OSCE Flashcards
Nutrient canals
Nutrient canal
Nutrient canals (branching system)
Identify the radiolucent branches
Nutrient canals (branching system)
Describe the phenomenon displayed
Pneumatization
Pneumatization to the incisal and midline regions on axial CT
Pneumatization - loculation
Sinus septum
Sinus septa
Hyperostosis (exostosis)
Hyperostosis (exostosis)
Hyperostosis (exostosis)
Hyperostosis (exostosis)
Floor of maxillary sinus
List the problems in this panoramic (disregard teeth)
- Loss of the floor of the R maxilla
- Loss of the floor of the nose
- Opacification of the R maxillar
Problem found in this projection
Opacification of L side
Identify the problems indicated
- Ethmoid sinusitis
- Maxillary sinusitis
Maxillary sinusitis
Thickened mucosa associated with endodontic therapy
Thickened mucosa during endo of 16
Identify the soft tissue defect
Mucositis
Identify the soft tissue defect
Mucositis
Identify the soft tissue defect associated with the sinus
Mucositis
Diagnose this patient (male, age 21, pain while running)
Acute sinusitis (pocification of the left maxillary sinus)
Diagnose this patient
Acute sinusitis
Describe the notable finding
Fluid level in sinus
Describe the notable finding
Fluid level in maxillary sinus
Diagnose this patient
Chronic sinusitis
Diagnose this patient and identify the object indicated
- Chronic sinusitis
- Apex of 13 indicated
Diagnose this patient
Chronic sinusitis
Diagnose this patient
Chronic sinusitis with blocked ostium
Diagnose this patient
Chronic sinusitis
Identify the abnormality
Maxillary sinus retention psuedocyst
Identify
Mucous retention pseudocyst
Identify
Mucous retention pseudocyst
Identify the abnormality
Mucous retention pseudocyst
Identify the abnormality
Benign bony lesion
Identify the abnormality
Benign bony lesion
Identify the structures indicated by the orange and green arrows
- Orange = inferior nasal concha
- Green = polyposis
Anthrolith
Anthrolith
Anthrolith
IDentify the problem
Retained roots
Retained root
Retained root
Retained root - anthrolith (displaced in the maxillary sinus)
Ectopic tooth with crypt cortex
Identify the problem
Ectopic tooth in maxillary sinus
Identify
Artificial bone for sinus graft to lift sinus for implant placement
Describe what is in this CT
Artificial bone in maxillary sinus to lift sinus for implant placement
Diagnose
Fibrous dysplasia encroaching upon the maxillary sinus
Identify the abnormality
Supplemental tooth (4th molar)
Identify the abnormality
Supplemental tooth (4th molar)
Identify the abnormality
Supplemental tooth (fourth molar)
Identify the abnormality
Supplemental tooth (fourth molar)
Identify the abnormality
Supernumary teeth between 44, 45, and 46
Identify the abnormality
Supernumary tooth between 36 and 37
Identify the abnormality
Supernumary tooth in between 75 and the erupting 35
Identify the abnormality
Supernumary tooth around 43 and 44
Identify the abnormality
Mesiodens
Identify the abnormality
Mesiodens
Identify the abnormality
Mesiodens
Identify the abnormality
Mesiodens
Identify the abnormality
Mesiodens
List 3 findings on this radiograph and give the possible associated disorder
- Prolonged retention of deciduous teeth
- Multiple unerupted supernumary teeth resembling premolars
- Maxillary hypoplasia
–> Cleidocranial dysplasia
Identify the abnormality
Hypodontia (missing 45)
Identify the abnormality
Hypodontia (congenitally missing 18, 17, 27, 28, 38, 37, 48)
Identify the abnormality
Hypodontia (congenitally missing 13, 23, 28, 38, 31, 41)
Identify the abnormality
Oligodontia
Diagnose this patient’s condition
Hypohydrotic ectodermal dysplasia
Identify the abnormality
Microdontia (peg lateral)
Identify the abnormality
Microdontia (peg lateral)
Identify the abnormality
Microdontia (31)
Identify the abnormality
Microdontia (28)
Identify the abnormality
Microdontia (28)
Identify the abnormality
Macrodontia (35)
Identify the abnormality
Talon cusp on 11
Identify the abnormality
Dilaceration of 14
Identify the abnormality
Dilaceration of 15
Identify the abnormality
Dilaceration of 25
Identify the abnormality
Dilaceration of 34
Identify the abnormality
Taurodontism of 46
Identify the abnormality
Taurodontism of 26 (possibly 27)
Identify the abnormality
Taurodontism of 36
Identify the abnormality
Accentuated cingulum
Identify the abnormality
Accentuated cingulum of 12
Identify the abnormality
Dens invaginatus of 12
Identify the abnormality
Dens invaginatus of 22
List all abnormalities
- Dens invaginatus 63
- Hypodontia (missing 23)
- Fusion of 25 and 26
- Root resorption of 24?
Identify the indicated abnormalities
Extra tubercles from dens evaginatus of 34 and 35
Describe what is happening in this radiograph
Wear of dens evaginatus of 35 lead to micro-pulp exposure –> necrotic pulp and rarefying osteitis
Identify the abnormality
Gemination + dens in dente of 22
Identify the abnormality affecting 25
Rotation
Identify the abnormality
Concrescence
Identify the abnormality
Supernumary root on 46
Identify the abnormality affecting 35
Bifid canal
Identify the abnormality
Ectopic eruption of 45
Identify the abnormality
Transposition of 23 and 22
Identify the abnormality
Hypodontia (missing all first premolars and 8’s)
Transposition of 32 and 33
Identify the abnormality
Attrition
Identify the abnormality
Abrasion/abfraction of 33
Identify the abnormality
Abrasion/abfraction of 13
Identify the abnormality
Abrasion/abfraction of 23
Identify the abnormality
Pulp stones in 22 and 23
Identify the abnormality
Pulp stones in 11 and 21
Identify the abnormalities
Pulp sclerosis and enamel hypoplasia of all the 6’s
Identify the abnormality
Hypercementosis
Identify the abnormality
Hypercementosis
Identify the abnormality
Hypercementosis
Identify the abnormality
Hypercementosis with rarefying osteitis around 46
Identify the abnormality
Hypercementosis with rarefying osteitis
Most probable radiographic diagnosis for 46
Sclerosing osteitis around the mesial root and hypercementosis of the distal root?
Diagnose
Amelogenesis imperfecta
Diagnose
Amelogenesis imperfecta (pitted, mottled enamel)
Diagnose
Dentinogenesis imperfecta
Diagnose
Dentin Dysplasia Type I (Radicular)
Diagnose
Dentin dysplasia type I (radicular)
Diagnose
Dentin dysplasia type II (coronal)
Diagnose
Regional odontodysplasia
Diagnose
Periapical inflammatory lesion around 17
Diagnose
Pericoronitis around 38
Diagnose
Osteomyelitis
Diagnose
Periapical lesion (rarefying osteitis/cyst?)
Diagnose
Periapical lesion (rarefying osteitis)
Diagnose
Periapical lesions on 46, 47, 48
Diagnose
Periapical lesion around 25 (rarefying osteitis)
Diagnose
Periapical lesion on 34 (rarefying osteitis)
Diagnose
Periapical lesion (widened PDL space of 14)
Diagnose
Periapical lesion (sclerosing osteitis around 16, potentially widened PDL space around 14)
Diagnose
Osteosclerosis of 46
Diagnose
Periapical lesion (rarefying osteitis) on 15
Diagnose
Periapical lesion on 25
Diagnose
Periapical lesion with external root resorption on 21 and 22
Diagnose
Periapical lesion with external root resorption of 25
Describe what is occuring in the maxillary sinus
Periapical lesion causing periosteal reaction in the floor of the maxillary sinus, new bone production, and regional mucositis of the adjacent segment
Describe the significance of this finding
Periapical lesion caused small perforation through the floor of the maxillary sinus –> mucositis of the adjacent segment of maxillary sinus
Diagnose
Maxillary sinusitis of dental origin
Diagnose
Maxillary sinusitis of dental origin
Diagnose
Radicular cyst
Diagnose
Radicular cyst
Diagnose
Periapical cemental dysplasia
Diagnose
Periapical cemental dysplasia
Diagnose
Periapical cemental dysplasia
Diagnose
Pericoronitis around 48
Diagnose
Pericoronitis around 38
Diagnose
Pericoronitis around 38
Diagnose
Pericoronitis around 38
Diagnose
Osteomyelitis around 36 spreading towards 37
Diagnose
Acute osteomyelitis
Diagnose
Acute osteomyelitis
Diagnose
Acute osteomyelitis
Diagnose
Chronic osteomyelitis
Diagnose
Chronic osteomyelitis
Diagnose
Chronic osteomyelitis
Diagnose
Fibrous dysplasia
Diagnose
Osteosarcoma
Diagnose
Oral epidermoid carcinoma
Diagnose
Bisphosphonate-related osteonecrosis of the jaws
Diagnose
Dentigerous cyst
Diagnose
Cyst
Diagnose
Cyst invaginated into the maxillary sinus
Diagnose
Cyst
Diagnose
Radicular cyst around mandibular incisors
Diagnose
Radicular cyst most likely arising from nonvital 23
Diagnose
Radicular cyst around 41 and 42
Diagnose
Radicular cyst invaginating the maxillary sinus
Diagnose
Radicular cyst causing cortical expansion
Diagnose
Radicular cyst causing displacement of the mandibular canal
Diagnose
Radicular cyst
Diagnose
Lateral radicular cyst
Diagnose
Residual cyst
Diagnose
Odontogenic keratocyst
Diagnose
Stafne bone defect
Diagnose
Dentigerous cyst
Diagnose
Dentigerous cyst
Diagnose
Dentigerous cyst
Diagnose
Dentigerous cyst
Diagnose
Dentigerous cyst with expansion of the outer cortical boundary and inferior displacement of the mandibular canal
Diagnose
Dentigerous cyst with expansion of the outer cortical boundary and inferior displacement of the mandibular canal
Diagnose
Dentigerous cyst with expansion of the outer cortical boundary and inferior displacement of the mandibular canal
Diagnose
Small dentigerous cyst or hyperplastic follicle
Diagnose
Dentigerous cyst
Diagnose
Dentigerous cyst or odontogenic keratocyst
Diagnose
Cystic ameloblastoma
Diagnose
Ameloblastic fibroma
Diagnose
Adenomatoid odontogenic tumor
Diagnose
Odontogenic keratocyst
Diagnose
Odontogenic keratocyst
Diagnose
Multiple odontogenic keratocysts possibly associated with Gorlin syndrome
Diagnose
Lateral periodontal cyst
Diagnose
Lateral periodontal cyst
Diagnose
Calcifying odontogenic cyst
Diagnose
Glandular odontogenic cyst
Diagnose
Nasopalatine canal cyst
Diagnose
Nasopalatine canal cyst
Diagnose
Nasopalatine canal cyst
Diagnose
Traumatic bone cyst