This is a real Lucent note, de-identified.

Upper arch — teeth 24 to 27

Four maxillary teeth are visible in the coronal portion of the image, consistent with 24, 25, 26 and 27. Teeth 24 and 25 appear fully erupted with intact crown profiles and no restorative material visible on the imaged surfaces. A well-defined radiopaque restoration is visible at the occlusal surface of 26. Tooth 27 is partially visible at the distal edge of the frame, with the crown imaged and root structure outside the field. Contact points between the maxillary teeth appear closed, with mild superimposition of adjacent tooth structures at several interproximal regions limiting full interproximal surface assessment. Maxillary root structure is not visible within the frame.

Lower arch — teeth 34 to 38

Five mandibular teeth are visible. Teeth 34 and 35 are fully erupted, single-rooted forms with no restorative material visible on accessible surfaces; root structure is visible to approximately mid-root level. A pronounced, highly radiopaque restoration occupies the full occlusal surface of 36, extending to the mesial and distal aspects of the crown. The restoration has well-defined margins and a degree of radiopacity consistent with metallic restorative material. The root of 36 is partially visible, with the apex extending toward but not clearly reaching the inferior edge of the image. Tooth 37 presents a fully erupted crown with no restorative material on visible surfaces. Tooth 38 is partially visible at the distal edge of the frame, with crown and partial root structure imaged; no restorative material is discernible within the visible area.

Crestal bone

Crestal bone is visible in the interproximal regions of the mandibular teeth. Crestal bone height is visible at approximately 1 to 2 mm apical to the estimated cementoenamel junction level across the visible mandibular interproximal sites, and crestal contour appears generally maintained across the imaged region. The lamina dura is partially visible along accessible root surfaces of the mandibular teeth. Maxillary crestal bone is not assessable within the visible field due to the coronal framing of the image.

Additional structural observations

A rectangular radiopaque object consistent with a film or sensor positioning device is superimposed horizontally across the mid-region of the image, partially obscuring the cervical regions of both arches and limiting assessment of the cementoenamel junction in the maxillary arch. No retained roots, supernumerary teeth, or implant hardware are visible within the field.

Regions marked on the image for the clinician's attention

Early interproximal caries suspected at 26 mesial and 37 mesial; neither cavitated radiographically. Existing restorations at 26 and 36 appear intact with no marginal deficiency.

No operative treatment indicated at this visit. Preventive advice given. Repeat bitewing radiographs at 12-month recall in line with FGDP selection criteria; review 26 mesial and 37 mesial at that interval.