Non-invasive computed tomography and three-dimensional reconstruction of the dentition of a 2,800-year-old Egyptian mummy exhibiting extensive dental disease.

A second CT scan of the mummy Djedmaatesankh, which is housed in the Royal Ontario Museum, Toronto, Ontario, has been undertaken after an interval of some 15 years. The image data set of her dentition and the associated tissues acquired from 3 mm thick x 3 mm spacing slices was transferred to an ISG Allegro work station where two-dimensional reformats and three-dimensional reconstructions were produced. This non-invasive examination provided information on dental disease that is, in a number of respects, an advance on that which previously could be obtained from mummies by the traditional methods of visual inspection after unwrapping and by two-dimensional radiography. The two- and three-dimensional images reveal that: three molars are missing and the right maxillary canine is impacted; the rest of the dentition is afflicted by severe attrition, caries and periodontal disease; and, of the 28 teeth present in the mouth, 24 exhibit exposure of their dental pulps and 18 are afflicted by periapical lesions including five that could have contributed to a large secondarily infected radicular cyst. The cyst have displaced the maxillary antrum and enlarged the maxilla on its lateral aspect and the vault of the palate on its medial aspect. Pus from the cyst may have drained through five different sinuses. In life, Djedmaatesankh's widespread dental infection probably caused her considerable pain, personal distress and malaise, and possibly resulted in her death.