DPT2 + panoramic anatomy Flashcards
In a DPT the image of a skull has been flattened to a 2D image
what is the yellow structure of the mandible?
condyle
what is the green structure of the mandible?
coronoid process
what is the blue structure of the mandible?
ramus
what is the red structure of the mandible?
angle
what is the purple structure of the mandible?
body
what is the pink structure of the mandible?
sigmoid notch
what is the yellow structure of the mandible?
mandibular foramen
what is the green structure of the mandible?
mental foramen
what is the blue structure of the mandible?
inferior alveolar canal
upper and lower borders
name this structure of the mandible
submandibular fossa
depression on lingual aspect of mandible caused by salivary gland
name the yellow structure
hard palate
name the green structure
soft palate
name the red structure
anterior nasal spine
what is the structure outlined in orange, green and blue?
maxillary sinus
medial wall
floor
lateral wall
what is the pink structure?
pterygoid plates
what is the red structure?
(top right)
pterygomaxillary fissure
what is the yellow structure?
zygomatic arch
what is the purple structure?
zygomatic buttress
what does a distorted pterygomaxillary fissure suggest?
nerve damage
loss of maxillary sinus boundary is an early sign of what?
cancer
what is the yellow structure?
nasal cartilages
what is the blue structure?
nasal septum
what is the green structure?
inferior nasal concha
what is the yellow structure?
mastoid process
has honeycomb pattern and trabecular bone
what is the green structure?
styloid process
(stylohyoid ligament)
what is the blue structure?
orbital rim
what is the yellow structure?
glenoid/mandibular fossa
what is the green structure?
articular eminence/tubercle
what is the pink structure?
spine of sphenoid
what is the blue structure?
mental fossa
be able to identify these
what is the green structure?
cervical spine
what is the red structure?
hyoid bone
what is this red structure?
Pituitary fossa/sella turcica - often not seen but can check if enlarged
look at the different stages of tooth development
what is the yellow structure?
soft palate
what is the green structure?
tongue
what is the red structure?
bite block
what is the yellow structuer?
ear lobe
what is the green structure?
external acoustic meatus
what is the yellow structure?
epiglottis
what is the yellow air space?
oral cavity
what is the green air space?
nasal cavity
what is the blue air space?
nasopharynx
what is the pink air space?
oropharynx
what is this dark area circled red caused by?
open lips
what are double shadows?
Structures located near the centre of rotation can appear twice
what structures can appear as double shadows?
hyoid bone, soft palate, cervical spine
what structure is the blue double shadow?
cervical spine
what structure is the green double shadow?
soft palate
what structure is the yellow double shadow?
hyoid bone
what are ghost shadows?
Created by structures between the x-ray source and the centre of rotation
Structures on one side are projected onto the other side
Appear magnified, blurry, higher and transposed to the other side
this is a ghost shadow of what?
posterior mandible
this is a ghost shadow of what?
Hard palate ghost shadow above true hard palate
the cervical spine is a ghost image
The RHS is a ghost image of the LHS and vice versa
ghost shadows can also be of foreign bodies
what is this a ghost shadow of?
earring
“Selection Criteria for Dental Radiography” by the Faculty of General Dental Practice (UK)
states that panoramic radiographs should only be taken in the presence of what?
specific clinical signs and symptoms” - never to be used for routine screening.
selection criteria for DPT in general practice
Grossly neglected dentition -> generalised caries
Periodontal bone assessment
Bony lesion or unerupted tooth that cant be seen properly in intra-oral radiographs
Assessment of 3rd molars if planning surgical intervention
Orthodontic assessment
Generally if u cant see full extent on intra-oral radiograph then use panoramic
selection criteria for panoramic radiographs in hospitals
Fractures of posterior mandible
Maxillary sinus pathology
Destructive diseases of TMJ articular surfaces
Pre-implant planning - bone height or position of anatomical structures
panoramic vs periapical (full mouth 10 images)
? shows more anatomical structures
? has lower dose for full dentition
? have higher resolution
panoramic
panoramic
periapicals
bitewings vs panoramic pseudo bitewing image
? have higher resolution
? allows view of apices not just crowns of molars
Choice depends on what you want to see e.g. if calculus deposits then bitewings
bitewings
panoramic
what is the difference between panoramic and panoramic pseudo bitewing image?
“panoramic pseudo bitewing image” - smaller area radiated -> lower exposure
Postero-anterior mandible vs panoramic
? has a lot of superimposition
PA mandible
lateral cephalogram vs panoramic
? has superimposition
Generally only used in orthodontics to look at jaw positioning
lateral cephalogram
Anterior oblique maxillary occlusal vs panoramic
With ? can see anatomy at different angles
anterior oblique maxillary occlusal
cone beam CT vs panoramic
? can see multiple slices at different angled
? has better detail
? has higher radiation exposure
? requires more expensive and advanced equipment
cone beam CT for all
why does the spine appear bigger here and block the anterior teeth?
patient too far back