Caries and periapical pathology -> justification & interpretation Flashcards

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1
Q

Selection of appropriate radiograph should be based off? 2

A

patient history
clinical examination

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2
Q

what does ALARP stand for and refer to?

A

as low as reasonably practicable

dose -> amount of radiation absorbed by the patient

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3
Q

remember these can be mistaken for caries

Cervical burnout or translucency

Visual perception - problem of contrast below dense metallic restoration

Air/lip shadow in premolar region

Dentine surrounding radio-opaque zone under amalgam

Radiolucent restorations

A
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4
Q

what are the red arrows pointing at?

A

cervical burnout

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5
Q

how often are bitewings taken for a high risk child?

A

6 monthly

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6
Q

how often are bitewings taken for a moderate risk child?

A

anually

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7
Q

how often are bitewings taken for a low risk child?

A

every 12-18 months

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8
Q

how often are bitewings taken for permanent dentition?

A

24months or more

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9
Q

describe the trabecular pattern of the mandible

A

○ Thick, close together, horizontally aligned

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10
Q

describe the trabecular pattern of the maxilla

A

○ Finer, more widely spaced, no obvious alignment pattern

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11
Q

radiographic appearance of initial acute inflammation

A

No apparent changes or possible widening of PDL space

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12
Q

radiographic appearance of initial spread of inflammation

A

Loss of lamina dura at apex

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13
Q

radiographic appearance of further inflammatory spread

A

Periapical bone loss

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14
Q

radiographic appearance of initial chronic inflammation

A

No bone destruction seen or dense sclerotic bone periapically (sclerosing osteitis)

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15
Q

radiographic appearance of chronic inflammation (long standing)

A

Well defined, radiolucent area periapically with sclerotic bone surrounding

  • Radiolucency sometimes called rarefying osteitis
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16
Q

what does this show?

A

radicular cyst