Hi Doitashi,
Thank you for posting the xrays.
The first xray of her upper right that you posted:
There appears to be 4 separate retained roots. I cannot tell you exactly what teeth they belong to because she's had several extractions and this xray is only of the posterior which does not offer any vision of what is more anterior. The farthest to the right retained root may be attached to a whole tooth. But since the xray is cut off in that exact spot, I cannot see if there is a whole tooth there or not.
The second xray that of her upper right:
This xray was obviously taken after root remnants were removed. The angulation of this xray is different than the first one and is not really conclusive whether or not there are retained root tips. But there doesn't appear to be any. The one thing that stands out to me is the area all the way to the right on this xray. Follow the jaw bone along the gum line from left to right. On the right there appears to be an opening in the bone which could be in communication with the sinus. It could also be just the angulation of the xray but by any chance has anyone remarked on that area?
The next three xrays are very light and many of the root tips are not captured in their entirety. So the diagnostic quality is not ideal on these films.
With that said, tooth #2 with the full coverage crown may have decay on the mesial area of the tooth at the crown margin. The mesial is on the right side of the tooth closest to tooth #3. The open or decayed area resembles a "bite" area out of the tooth. The angulation of the UL xray is not ideal and I am not comfortable commenting on it.
Bryanna
The area of teeth #4 and 5
Quote:
Originally Posted by Doitashi62
Hi Bryanna,
Can you please take a look at these PA x-rays and let me know what you see? The recent PA x-rays (post extraction) from tooth #2 are from my wife and we believe there are still two retained roots (one appears to be the palatal root and the other the mesial root from a 3D scan done a couple months ago) due to apparent complications from an extraction just about 1 year ago. This was a very old and badly infected root canal tooth (second time re-treatment done 17 years ago). Her #2 extraction site was not bone grafted, but the sockets for teeth #3, #4, and #5 were and appear to be healing okay.
Also, the other x-rays are from a recent full mouth series of x-rays from my son (UR and UL areas). It appears there is an infection/cyst? above areas #2 or #3 in the UR area and extensive bone loss or a cyst above #14 in the UL area?). My son does not feel any pain directly in the teeth from either of these areas but is having some systemic symptoms.
Thank you
|