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Oral Radiology

Case Solution: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here You can view the Case Follow up here Case Solution Periapical osseous dysplasia (formerly known as periapical cemental dysplasia or PCD) is classified as a bone dysplasia, in which normal cancellous bone is replaced by a combination of abnormal, disorganized bone and fibrous connective tissue. In periapical osseous dysplasia, the mineralized component of ...

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Case Follow-up: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here. Case Follow-Up Four implants were placed in the anterior mandible. Following implant surgery, the patient experienced persistent pain in the implant area and two of the implants failed in the immediate post-operative period. Over the course of the following year, the pain progressively worsened in the anterior mandible and the patient was subsequently ...

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To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon,  Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. Check the case follow-up: Click Here A 72-year old female patient of African-American descent presented to an Oral and Maxillofacial Radiology clinic for pre-operative dental implant imaging.  Cone beam CT examination yielded the following images: Axial cone beam CT cross-sectional image at the level of the mandibular alveolar process Rendered panoramic reconstruction from cone beam CT data set Bucco-lingual cone ...

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Clinical Case: How do I quantify the risk of nerve injury with wisdom teeth extraction? (VIDEO SOLUTION)

This case is presented by Drs Stephen Cho & Ian Furst at Coronation Dental Specialty Group & Cambridge Memorial Hospital A 56 year old male has a partially impacted wisdom tooth #3.8, communication to the mouth, pericoronitis and a complaint of persistent pain associated with the tooth. You take a panorex and note the overlap of the inferior alveolar nerve. Based on current scientific data, what is the risk, during an extraction, of an intimate association between the tooth and nerve? Is there a scientifically valid way of determining which developing wisdom teeth are likely to become partially impacted? The ...

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oasisImage of the Week: Why can’t he feel his forehead?

A 35-year old man develops a serious infection from an impacted 2.8. The tooth is extracted and the infection is drained but he develops a serious bleed 3 days after surgery (from the internal maxillary artery) which requires neuroradiology embolization. One month later, he has recurrent swelling around the left temple and TMJ but also complains he feels numbness in the entire trigeminal nerve, including V-1. Attached is a slice of the MRI and an intraoperative shot. Why can’t he feel his forehead?

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oasisimage of the Week: What would you do with these highly impacted canines?

We’re adding a new feature this week called “Image of the Week”. Each Wednesday, an image (some xrays, some clinical shots and some random stuff) will be posted to the blog. In each case, a question will be posed, the answer to which will appear in the comments section a day or two later. Enjoy the video and please participate in the discussion. In this case, an 11 year old girl presents with unerupted 1.3 and 2.3. The height of them, on panorex, is extraordinary and you decide to get a cone beam CT. See the CT below and tell ...

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Have you seen this article at medGadet.com?

Debating Imaging Radiation Exposure: Study Illustrates Importance of Considering Short-Term vs. Long-Term Risk.  

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Can you visualize the medical data explosion?

With the explosion of cone beam CT the amount of data being generated is staggering. Anders Ynnerman gives a TED talk about how data is being stored and re-processed to help us better understand the human body. He covers the size of the data explosion, virtual autopsy, functional MRI and more. A very interesting lecture.

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