高雄醫學大學附設中和紀念醫院口腔病理診斷科X光報告單
患者姓名:李謙謙 病歷號碼: 14289603 性別:F 年齡:30 送檢醫師:曾于娟 攝影日期:96,03,03 報告日期:96,03,13 臨床診斷:
cementoblastoma associated with the apical portion of tooth 36 攝影方式: □ periapical
□ cephalometry
□ others
■ panoramic
□ occlusal
□ TMJ view
□ sialography
X光診斷:
1) cementoblastoma associated with the apical portion of tooth 36 2) periapical osteosclerosis
Main X-ray findings:
There is a well-defined, homogenous, bulbous, radiopaque mass associated with the DB root apical portion of the mandibular left first molar. A radiolucence rim appears to be seen surrounding the mass. The mass extends from the DB root apex of tooth 36 to the superior border of mandibular canal, and from the furcation area of tooth 36 to the MB root apex of tooth 37, measuring approximately 1 x 1.4 cm in diameter. The root resorption of mandibular first molar has occurred. The genioplasty has been performed and the chin was fixed with wires.
Sinus: unremarkable Condyle: unremarkable Dental findings:
□ tooth abnormality:
■ caries: 45(M), 46(M)
■ periodontal condition: Generalnized horizontal bony destruction of maxilla
□ calculus:
■ missing tooth: 18, 28, 38, 48
■ endodontic condition: 22( post & core )
■ restoration (e.g. C & B): Metal: 14, 15, 16, 17 PFM: 11, 12, 13, 21, 22, 23
■ filling (e.g. amalgam): 36, 37, 44, 45, 46, 47
□ residual root:
■ others: PDL widening: 33, 35, 42, 43, 46
Bracket: 31, 23, 33, 34, 35, 36, 41, 42, 43, 44, 45, 46
Clerk:
Intern:張令怡 Resident:
V.S.:
Index:698 - 510 - 302
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