A 24-year-old female presented with facial asymmetry and dental malocclusion. An i-CAT CBCT scan was performed to evaluate the dentition, jaws, and condyles. The scan revealed impacted teeth 28, 36, 38, and 46. Asymmetry was observed between the right and left hemimandibles, with measurements confirming the right side was larger. Features of the condyles were suggestive of condylar hypoplasia on the left side. The i-CAT CBCT provided 3D imaging to revolutionize diagnosis and treatment planning with ultra-low radiation dose.

1. i-CAT CONE BEAM DENTAL CT at MAHAJAN IMAGING
CASE SYNOPSIS:
TESTIMONY OF STATE OF THE ART TECHNOLOGY
DR. ADITYA PATNEY, MDS
CONSULTANT MAXILLOFACIAL AND DENTAL RADIOLOGIST
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2. • 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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3. • 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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4. Tru-PAN™ panoramic reconstruction demonstrated
impacted 28, 36, 38 and 46
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5. • 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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6. • 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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7. • 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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8. • Remarkable flattening of the articular surface of left
condylar head was observed
• These features were suggestive of condylar hypoplasia
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9. • 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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10. • 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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11. 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!
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