Cases

We’re exhibiting and speaking at the Baird Reunion Forum 2019 in Leeds this week
June 18, 2019

Case of the Month – All-on-Four and Zygomatic Implant Planning

CBCT Scanner: Gendex CB500

CBCT Imaging Protocol: 14cm diameter x 8.5cm height, 0.25mm voxel

Effective Dose: 0.095 mSv

Clinical Information: Pre-implant assessment for all-on-4 procedure, and potential planning for zygomatic implants if necessary.

Radiographic Findings:
A small dome-shaped homogeneous area of increased density was observed in the sphenoid sinus. Periapical radiolucencies were associated with the maxillary right canine and maxillary left first and second premolars. Curvilinear areas of increased density were noted lateral to the pituitary fossa in areas anatomically associated with the carotid artery; these appears to be consistent with calcification of the carotid artery. Such calcifications may be a potential indication of an increased risk of cardiovascular disease and stroke. Correlation of the radiographic observation with any clinical history of high blood pressure, elevated cholesterol, smoking and stress would be suggested. The left external auditory meatus appears partially obstructed by an irregular area of increased density consistent with earwax accumulation, which may diminish hearing acuity; correlation of the radiographic observation with the patient’s clinical history is suggested.

The following are selected images from the volume illustrating the findings

Clinical Information: Pre-implant assessment for all-on-4 procedure, and potential planning for zygomatic implants if necessary.