INTERPRETATION IN RADIOLOGY Flashcards
Radiographs are a valuable aid in the:
Diagnosis of periodontal disease
- Determination of the prognosis, and
- Evaluation of the outcome of treatment
types of radiographs
PAN
Bitewing
Periapical
Radiographs are helpful in evaluation of:
Amount of bone present
Condition of alveolar crests
Bone loss in furcation areas
Width of the Periodontal Ligament (PDL) space
Local factors which can cause or intensify periodontal disease
Radiographic assessment of periodontal condition
Amount of bone present Condition of alveolar crest Bone loss in furcation area Width of PDL space Local initiating factors (calculus, overhanging restorations) Root length and morphology Crown root ratio Anatomical considerations Pathological considerations (caries, periapical lesions, root resorption)
Changes in interdental septa includes:
Crestal bone loss
lamina dura
Crestal density
height and contour of bone
Radiological changes of the supporting tissues
Bone loss from periodontal disease may extend into the furcations of multirooted teeth
Initially, seen as widening of the PDL space at crest of the furcation
A lesion progresses, the bone loss progresses apically