Our appreciation is extended to Dr. Juan Yepes, Indiana University School of Dentistry Department of Pediatric Dentistry and Riley Hospital for Children, for contributing this case.

History: A 26-year-old woman was referred to an oral and maxillofacial surgeon by a family dentist because of an unusual radiopacity at the posterior right maxilla, which was noted by the dentist in a panoramic film. No symptoms were reported by the patient.

The patient’s past medical history was remarkable for seasonal allergies.

The extraoral and intraoral exams were within normal limits. The surgeon ordered a cone-beam computed tomography (CBCT) scan. Click the images below to enlarge them.

Cropped panoramic film

Coronal view of the posterior face

Axial view of the posterior right maxilla

Sagittal view of the posterior right maxilla

CBCT 3D Reconstruction