Pulpal and PA pathology lucencies Flashcards

1
Q

Pulpal Interpretation factors

A

Size
Secondary dentin
Pulp stones, Pulpal sclerosis
Internal/External resorption

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2
Q
A

enlarged pulp chamber, young pt

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3
Q
A

enlarged pulp chambers, young pts

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4
Q
A

Small Pulp Chamber/Secondary Dentin Formation: Older Patient

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5
Q

compare with contralateral tooth

A

Enlarged Pulp Chamber/Root Canal: Non-vital tooth #7.
Compare with contralateral tooth.

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6
Q
A

Secondary Dentin Formation/Pulpal Recession –
Distal Pulp Horn of First Molar

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7
Q
A

pulp stones

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8
Q
A

pulp stones

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9
Q
A

pulpal sclerosis

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10
Q
A

internal root resorption

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11
Q
A

internal root resorb

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12
Q
A

External Root Resorption

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13
Q
A

External Root Resorption from tumor

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14
Q
A

External Root Resorption from impacted mesiodens that is resorbing

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15
Q

large horns/chamber issues

A

potential for carious exposure

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16
Q
A

ext root resorb, due to inflammatory process, may req endo

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17
Q
A

secondary dentin formation can make pulp chamber app as if its gone

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18
Q

Potential Superimposition of Normal
Anatomic Structures

A

Nasopalatine foramen
Lateral fossa
Mental foramen

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19
Q

8/9 luceny, pathologic?

A

no, NP canal

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20
Q
A

lateral fossa

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21
Q

internal root resorb

A

internal would be seen in canal system as aneurysm

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22
Q

int root resorb tx

A

endo

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23
Q

ext root resorb

A

not due to pulpal inflamm, ext pressure resorbing tooth (ortho, tumor, etc.)

24
Q
A

mental foramen

25
Q
A

Open apices in young patient
simulates periapical lesion.

26
Q

lamina dura importance

A

follow around the root to ensure lucency is not pathologic but instead anatomic

27
Q

Periapical Radiolucencies

A

Periapical Abscess
Periapical Granuloma
Periapical Cyst
Residual/Recurrent Cyst
Periapical Cemento-Osseous Dysplasia
Fibrous Healing Defect

28
Q

Acute Pulpal/Periapical Diseases

A

Reversible/irreversible pulpitis
Acute apical abscess

29
Q

reversiable pulpitis/early irreversable radio

A

may be none, use clinical findings

30
Q

Apical Abscess Radiographic Findings at Apex

A

in sequential order
1. PDL space thickening
1. Discontinuity of lamina dura
1. Periapical radiolucency

31
Q

1st molar path

A

Periodontal ligament space widening at mesial apex of first molar.

32
Q
A

discontinuous LD on 1st molar

33
Q

what could this be in an acute case

A

abcess

34
Q

Chronic Periapical Inflammatory Lesions

A

Chronic apical abscess
Periapical granuloma
Periapical cyst
Periapical rarefying osteitis (umbrella term)

35
Q

can we dif abcesses, granulomas and cyst radiographically?

A

no

36
Q

chronic apical abcess radio

A

small luceny surrounded by sclerotic bone

37
Q

apical diagnosis

A

CAA

38
Q
A

CAA

39
Q

PA granuloma radio

A

variable: well or ill defined margins, thin sclerotic border or not

40
Q

PA cyst may develop from

A

granuloma

41
Q

PA cyst radio

A

well defined often with thin sclerotic border (corticated)

42
Q
A

PA cyst

43
Q

granuloma vs cyst differentiation by size?

A

not done, but the larger the more likely it is a cyst

44
Q

Residual Cyst vs.
Recurrent Cyst

A

residual: remain after tooth has been extracted/lost
recurrent: removed tooth with no cyst, later on a cyst develops in this area due to remanent epithelium

45
Q

CAA divisions

A

those with and without DST (draining fistula with parulis)

46
Q

CAA, what is seen D?

A

DST

47
Q
A

Gutta Percha Point to Identify
Source of Draining Fistula

48
Q

Periapical Halo Formation

A

corticated border around apex of the tooth, none of it will contact part of the tooth
due to the tooth developing abcess in which fluid penetrated into sinus>periosteum stimulated to form layer of bone

49
Q
A

PA halo formation

50
Q

apical scars

A

occurs with tx of PA pathologies, may be small luceny associated with PT teeth

51
Q

apical scar diagnosis

A

would need prior radiographs to confirm, luceny would not change overtime

52
Q

fibrous healing defect

A

large PA lesion destroying B/L cortexes: not able tp reform bone
very radiolucent, no sclerotic border, no change over time

53
Q
A

fibrous healing defect

54
Q

PERIAPICAL
CEMENTO-OSSEOUS DYSPLASIA

A

three stages, beings as lucency then filled in with opacities
early stage can resemble inflam lesion due to lucencies
no tx required

55
Q
A

PA cemento-osseous dyplasia

56
Q

metastic carcinoma at apices

A

irregular, ill defined borders with isolated trabeculae