Clinical background and issue

In this particular case, the layered panoramic image showed a hyperdense structure projected onto the root tip of tooth 44. A repeat DVT investigation was performed with a view to clarifying the spatial extent and morphology of the change.

Description

At the periapical area of tooth 44, a sharply defined, round, heterogeneous, and largely hyperdense structure can be seen extending as far as the compact bone in the buccal direction and crowding this out completely.

Findings

These findings are certainly compatible with periapical stage II-III cemental dysplasia and should be monitored over time. For the time being, we recommend the patient should be seen again in a year.