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i-CAT CONE BEAM DENTAL CT at MAHAJAN IMAGING CASE SYNOPSIS:

TESTIMONY OF STATE OF THE ART TECHNOLOGY

DR. ADITYA PATNEY, MDSCONSULTANT MAXILLOFACIAL AND DENTAL RADIOLOGIST

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• A 24 year old female was referred to us for an overall evaluation of the maxillofacial region. She presented with facial asymmetry & dental malocclusion

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• i-CAT™ CBCT scanning of maxilla and mandible was performed for evaluation and assessment of the dentition, jaws and condyles. An ultra low radiation dose scan was done

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Tru-PAN™ panoramic reconstruction demonstrated impacted 28, 36, 38 and 46

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• Perceptible asymmetry was observed in comparison of the two hemimandibles with the right side evidently larger in the body and angle regions.

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• True 3D distance measurement was performed with i-CAT s/w in the angle region bilaterally to confirm the same (Right side: 30.41mm, left side: 24.78mm).

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• Hawk beak morphology of the condyles was visualized bilaterally and the joint space was found to be increased on both the sides

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• Remarkable flattening of the articular surface of left condylar head was observed

• These features were suggestive of condylar hypoplasia

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• 36 was impacted closer to the lingual cortex as compared to the buccal cortex. The mandibular canal appeared to be buccal to the tooth.

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• 46 was impacted almost in the middle of the buccolingual extension of the mandible with the mandibular canal coursing in proximity to the roots.

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With i- CAT CBCT, 3D Dental imaging is revolutionizing all aspects of patient care from diagnosis and treatment planning, to prognosis, all this at an ultra low radiation dose….The future is already here!