Chapter 6: Intraoral Radiographic Anatomy Flashcards
A complete radiographic survey is made up of?
14-17 Periapical radiographs: (8 maxilla 7 mandible)
2-4 Bitewing radiographs
Steps for a radiographic interpretation:
- Radiographic positioning
- light box
- sequential examination: visual search strategies (identification of anatomic structures)
- match the radiographic finding with the clinical examination
A radiolucent image?
- absorption
- darker or whiter
- example of which structures
- less absorption
- darker
- body cavities, pulp, PDL, bone marrow
A radio opaque image?
- absorption
- darker or whiter
- example of which structures
- more absorption
- whiter
- dentin, enamel, LD, alveolar bone crest, cortical bone, metal
Teeth structures observed in a radiograph?
- Enamel
- Dentin
- Cementum
- Pulp
- DEJ
- Roots
- Apical foramen
Enamel?
- % of mineralisation
- radiolucent or radio opaque
- dense or not
- absorption (more or less)
- 95%
- radioopaque
- dense
- more absorption
Dentin?
- % of mineralisation
- radiolucent or radio opaque
- dense or not
- absorption (more or less)
- 75%
- radioopaque but less then enamel
- less dense
- less absorption
- smooth and homogenous
Which of the teeth structures is not usually apparent radiographically?
Cementum
Pulp?
- radiolucent or radio opaque
- dense or not
- absorption (more or less)
- what can you see, parts of the pulp?
- radiolucent
- less dense
- less absorption
- chambers, root canal, apical foramen
What can be seen radiographically and can be mistaken for dental caries?
- cervical burnout
Cervical burnout?
- radiolucent or radio opaque
- where is it more pronounced
- radiolucent band around the necks of the teeth
- more pronounced at the proximal edges
What are the 4 supporting structures?
- lamina dura
- alveolar crest
- PDL
- cancellous bone
Lamina dura?
- radiolucent or radioopaque
- which tooth structure does it support
- radio opaque
- supports enamel
LED
The lamina dura is wider and more dense in?
Heavy occlusion
Alveolar crest?
- radiolucent or radioopaque
- which tooth structure does it support
- distance from CEJ?
- it’s continuous with with structure?
- radio opaque
- supports dentin
- 1.5mm
- lamina dura and forms a sharp angle with it
ABCD
2 situations in which the alveolar crest recedes?
Age and periodontal disease