Normal Radiographic Anatomy Flashcards

1
Q

name intra-oral radiographs

A
  • bitewings
  • periapicals
  • occlusal
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2
Q

name extra-oral radiographs

A
  • panoramic (DPT)
  • cephalometric
  • cone bone computed tomography (CBCT)
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3
Q

what should you be able to see in bitewing radiographs?

A
  • enamel
  • dentine
  • pulp chamber and canal
  • alveolar bone
  • periodontal ligament space (radiolucent line)
  • lamina dura (radiopaque line)

see 3/4 teeth on the upper and lower jaws
may not shown the apex

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4
Q

what does “periapical” mean

A
peri = around
apical = the apex / tip of the tooth
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5
Q

what should you be able to see in a periapical radiograph?

A
  • follicular space
  • alveolar crest
  • inferior alveolar (dental) canal (obviously only on the lower jaw) [appears radiolucent]
  • submandibular fossa [also only on the lower jaw]

shows the full length of at least one tooth and surrounding anatomical features

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6
Q

what is the alveolar crest

A

laminar dura where 2 teeth sockets are joined together with bone going over the crest

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7
Q

anatomy and pathology

A

theres a diagram labelled A-I with features labelled maybe look this up to make sure you know where / what everything is ?

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8
Q

what are normal radiolucent features

A
• Air shadows and soft tissues
	○ Soft tissue adjacent to hard tissue will be relatively radiolucent
• Oral cavity 
• Nasal cavity, orbits
• Maxillary sinuses
	○ And other sinuses on facial views or CBCT
• Pharynx and larynx 
• Inferior alveolar canal, foraminae
• Trabecular spaces
• Pterygomaxillary fissure
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9
Q

what are normal radiopaque features

A
• Hard tissues
○ Bones
	§ Ridges
	§ Canals that go through bone
	§ Septa - Thin projection of bone
	§ Bones often have variations - due to muscle attachments which need something to be attached to (the reason we have ridges / roughness on bones)
○ Teeth
• Soft tissues adjacent to air
○ Tongue, soft palate
	§ Most important
○ Nasal tissues
○ Lips
○ Ear lobes
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10
Q

what are anatomical features to look for in radiographs? [hard tissues]

A
○ Hard (bony) palate
○ Nasal septum
○ Nasal conchae
○ Zygomatic buttress (process)
○ Zygomatic arch
○ Vertebrae
○ Hyoid 
○ Styloid process
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11
Q

what are anatomical features to look for in radiographs? [soft tissues]

A
○ Tongue
○ Lips
○ Soft palate
○ Nasal soft tissues
	§ Philtrum
	§ Alae
○ Ear lobe
○ Epiglottis 
○ Posterior pharyngeal wall
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12
Q

what are anatomical features to look for in radiographs? [air cavities]

A
○ Maxillary sinus
○ Nasal cavity
○ Pharynx 
	§ Naso
	§ Oro
○ Laryngo
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13
Q

what are anatomical features to look for in radiographs? [canals and foramina]

A
○ Inferior alveolar (ID) canal
○ Mental foramen
○ External auditory meatus 
	§ Important 
○ Pterygo-maxillary fissure
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14
Q

what can be seen above the apices of upper anterior teeth in panoramic radiographs?

A

hard palate

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15
Q

what can you expect to see close to the apices of the upper molar teeth in panoramic radiographs?

A

the floor of the maxillary sinus

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16
Q

why can we sometimes see 2 lines showing the hard palate in panoramic radiographs?

A

x-ray beam goes up slightly at an angle of 8 degrees
and
curve of monson

17
Q

what should the patient do with the tongue during exposure

A

put it to the roof of their mouth and not move it

18
Q

what radiographs show the different margins of the maxillary sinus

A

• Floor
○ Panoramic (OM, lateral ceph.)

• Roof
○ Panoramic (OM, lateral ceph.)

• Medial wall
○ Panoramic (OM, SMV)

• Posterior wall
○ Panoramic (lateral ceph.)

• Lateral wall
○ (OM, SMV)
○ Panoramic never sees this

• Anterior wall
○ Panoramic (lateral cep., CT, MRI)

• All margins seen on CBCT

19
Q

what does OM stand for

A

occipitomental

20
Q

what does SMV stand for

A

submentovertex

21
Q

what is “lateral ceph.”

A

lateral cephalometric radiograph

22
Q

what does MRI stand for

A

magnetic resonance imaging

23
Q

why can the earlobe absorb more x-ray than soft tissues

A

has cartilage

24
Q

what can be seen in upper occlusal anatomy?

A

• Nasal structures
○ Septum
○ Conchae / turbinate bones
○ Cavity

  • Incisive canal and fossa
  • Maxillary sinus

• ? Zygomas (malar bones)
○ If long axis receptor laterally

• Nasolacrimal ducts
[Only really seen in small children as it goes so far back to be seen]