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Reading File
Radiographic Interpretation
Patient: Gonabal Kushi, 26 years | Date: 04 July 2026 | Software: EzDentI
View: Mandibular Right Posterior Periapical Radiograph
Teeth Visible
| Tooth | FDI | Finding |
|---|---|---|
| Lower right 3rd molar | 48 | Mesioangularly impacted/tilted - partially visible |
| Lower right 2nd molar | 47 | Crown intact; suspected distal surface radiolucency near CEJ |
| Lower right 1st molar | 46 | Intact crown, normal pulp chamber, no pathology |
| Lower right 2nd premolar | 45 | Full-coverage radiopaque crown (metal or PFM) |
Detailed Findings
Tooth 48 (Third Molar)
- Mesioangularly tilted, pressing against the distal surface of tooth 47
- Creates a food trap / plaque-retention area that is difficult to clean
- Root structure mostly cut off at film edge, appearing deep in alveolar bone
Tooth 47 (Second Molar)
- Subtle radiolucency on the distal surface near the cemento-enamel junction (CEJ) - could represent:
- Early distal cervical caries secondary to third molar impaction
- Cervical burnout artifact (must correlate clinically)
- Pulp chamber normal - no calcification or pulp stones
- Mesial and distal roots with intact PDL space at apices
- No periapical radiolucency
Tooth 46 (First Molar)
- Crown radiodensity normal - no detectable occlusal or proximal caries
- Pulp horns well-defined, no pathological calcification
- Two divergent roots, canals clearly visible
- Lamina dura intact, PDL space uniform - no periapical pathology
Tooth 45 (Second Premolar)
- Large radiopaque full-coverage crown (metal/PFM) with generally well-adapted margins
- Slight step noted at distal crown margin - monitor for marginal gap
- Single straight root; apex normal, no periapical radiolucency
Bone Assessment
- Crestal bone height: ~1.5-2 mm below CEJs - within normal limits
- Angular bone defect: Noted on the distal of tooth 47, adjacent to the impacted third molar - consistent with chronic plaque accumulation from impaction
- Trabecular pattern: Normal throughout the mandible
Summary & Clinical Recommendations
| Priority | Finding | Recommendation |
|---|---|---|
| High | Impacted/tilted 48 with angular bone loss distal to 47 | Surgical extraction of 48 to prevent further bone loss and caries on 47 |
| Medium | Suspected distal caries on 47 (near CEJ) | Clinical probing + transillumination to confirm; restore if confirmed |
| Low | Marginal step on crown of 45 | Monitor at recall; replace crown if marginal gap progresses |
| Routine | Teeth 46 - no active pathology | Routine recall and oral hygiene maintenance |
Note: This interpretation is based on radiographic appearance only. Clinical correlation (probing depths, vitality testing, patient symptoms) is essential before finalizing diagnosis and treatment planning. This X-ray was taken on today's date (04 July 2026) based on the timestamp visible in the software.
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