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Date: September 10, 2009 Patient: Implant & Impacted 3rds Date of Birth: xx/xx/xxxx Gender: F Date of Study: 09/09/2009 Referred By: Dr. DIAGNOSTIC OBJECTIVE: Assessment of the anatomical structures included in the volume. AOI: General Interpretation RADIOGRAPHIC TECHNIQUE: The patient was referred for a Cone-beam CT (CBCT) imaging series. Examination with the I-CAT and data were provided by IMagDent radiology Center, San Antonio, Texas. A radiology report to evaluate the anatomical volume was performed. RADIOGRAPHIC FINDINGS: The listed structures are reviewed and evaluated for bilateral symmetry, configuration, cortical outline, medullary space, and patent sinuses/airways. Evaluation of the CBCT anatomical volume is intended as an overall review for pathology and abnormalities not directly associated with dental and periodontal conditions best imaged by conventional dental radiography. All viewed structures determined to have no significant findings are reported as no abnormalities detected. Paranasal Sinuses: minimal mucosal thickening in the left and right maxillary sinuses Nasal Cavities: No abnormalities detected Airway: No abnormalities detected Temporomandibular Joints: Both joints are well visualized and no abnormalities are detected Osseous Structures: No abnormalities detected Dental findings: impacted # 1, 17 and 32. # 1 is in a horizontal position with the crown pointing through the buccal cortex, # 17 and 32 are in a vertical position and in close contact with the mandibular canal bilaterally, the canal is more in a lingual position. Possible invasive cervical resorption or internal resorption on # 10 Other findings: No abnormalities detected IMPRESSIONS AND RECOMMENDATIONS: All viewed structures were determined to have no significant findings and are reported as no abnormalities detected except: Impacted # 1, 17 and 32, no remarkable pathology noted. Minimal mucositis in the maxillary sinuses, no further evaluation needed. Possible invasive cervical resorption or internal resorption on # 10, the prognosis is very poor, extraction is suggested Thank you for the referral of this patient and the opportunity to serve your practice. ____________________________ Marcel Noujeim DDS MS Diplomate, American Board of Oral & Maxillofacial Radiology Panoramic reconstruction Area of # 9 #32 #17 Impacted third molars #1 Minimal mucositis in the maxillary sinuses #10