Panoramic Radiographic Evaluation Flashcards

1
Q

What are the things we need to look for in a radiograph?

A
  • Basic anatomy (condyles)
  • Pathology
  • Eruption sequence (Stage of dentition)
  • Congenitally missing teeth
  • Supernumerary teeth
  • Crowding/Spacing
  • Ankylosed teeth
  • Impacted teeth
  • Primary teeth that aren’t resorbing
  • Ectopically erupting teeth
  • Canine eruption
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2
Q

When does the permanent max central incisor erupt?

A

7-8 years

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3
Q

When does the permanent max lateral incisor erupt?

A

8-9 years

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4
Q

When does the permanent max canine erupt?

A

11-12 years

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5
Q

When does the permanent max first premolar erupt?

A

10-11 years

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6
Q

When does the permanent max second premolar erupt?

A

10-12 years

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7
Q

When does the permanent max first molar erupt?

A

6-7 years

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8
Q

When does the permanent max second molar erupt?

A

12-13 years

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9
Q

When does the permanent max third molar erupt?

A

17-21 years

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10
Q

When does the permanent mand central incisor erupt?

A

6-7 years

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11
Q

When does the permanent mand lateral incisor erupt?

A

7-8 years

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12
Q

When does the permanent mand canine erupt?

A

9-10 years

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13
Q

When does the permanent mand first premolar erupt?

A

10-12 years

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14
Q

When does the permanent mand second premolar erupt?

A

11-12 years

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15
Q

When does the permanent mand first molar erupt?

A

6-7 years

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16
Q

When does the permanent mand second molar erupt?

A

11-13 years

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17
Q

When does the permanent mand third molar erupt?

A

17-21 years

18
Q
A

mandibular condyle and neck

19
Q
A

pathology (dentigerous cyst)

20
Q
A

ameloblastoma

21
Q

What is really important to do in a pano radiograph for ortho?

A

Always count the teeth
(look for congenitally missing teeth)

22
Q

What do you do with supernumerary teeth?

A

Extract as soon as you can without harming the adjacent developing teeth

23
Q

What is the issue with supernumerary teeth?

A
  • Disrupt normal eruption
  • Disrupt alignment and spacing
24
Q

Where are supernumerary teeth most commonly found?

A

anterior maxilla

25
supernumerary teeth
26
What is the issue in this pano?
crowding
27
What are the issues with ankylosed teeth?
* Delays eruption of permanent tooth * Causes abnormal eruption path of permanent tooth
28
When do you extract ankylosed teeth?
Extract when it causes eruption problems
29
With ankylosed teeth, permanent successor will bring bone into the area if _________________ is present.
vertical bony defect
30
With ankylosed teeth, if no permanent successor, need to extract as soon as it is diagnosed to avoid ____________________ in the area.
large vertical bony defect
31
ankylosed tooth
32
If there is a "step" in the occlusal plane what does this suggest?
ankylosed tooth
33
How do you diagnose an ankylosed tooth?
tap on the tooth - ankylosed tooth sounds different than normal teeth
34
ankylosed tooth
35
impacted teeth
36
What issue is shown here?
Primary Teeth with Roots that are not Resorbing
37
What is an ectopic eruption?
* Permanent tooth resorbs a primary tooth other than the one it is to replace * Permanent tooth resorbs another permanent tooth as it erupts
38
ectopic eruption
39
Ectopic eruption of the permanent maxillary canines can lead to:
– Canine impaction – Resorption of lateral incisor roots
40
What is the treatment of the ectopic eruption of canines?
* Treatment is extraction of primary canines * Normalize the path of the erupting canine
41
What issue does this show?
ectopic eruption of canine