Radiography Flashcards
PA granuloma
Chronic inflammatory infiltrate - lymphocytes, histiocytes, plasma cells
PA cyst
SS epithelium from cell rests of Malassez
Round/ovoid unilocular RL at root apex or at lateral aspect
Always associated with non-vital teeth except for residual cysts
Can have root resorption, bony expansion
Acute apical abscess
Pulp necrosis
TTP, TTPp
Severe pain, swelling, mobility, elevation, systemic symptoms
Condensing osteitis
Diffuse RO dense sclerotic bone around root
Occurs with pulpitis/necrosis
Variable responses to vitality tests or percussion/palpation
Osteomyelitis
May have periosteal bone reaction (onion layers)
Subtle decrease in bone trabeculation and increase in RL in acute osteomyelitis
Sequestra, sclerosis and mottled/motheaten look in chronic osteomyelitis
Ill defined, non-corticated borders
ORN
Similar to osteomyelitis but periosteal reaction is rare as there are no osteoblasts left after radiotherapy
Pathologic fracture possible
MRONJ
Alveolar bone loss or resorption but not due to perio
Change in trabecular pattern to have increased sclerosis and no new bone in extraction sockets
Lamina dura thickening and decrease in PDL space
Ameloblastoma
Well defined and corticated RL
Multilocular/unilocular
Honeycomb/soap bubble with thick and curved septae
Adenomatoid odontogenic tumour
Unilocular, well circumscribed RL
May have fine, snowflake like calcifications
Calcifying epithelial odontogenic tumour
Unilocular, RL or mixed
Complex odontome
Encapsulated RL with amorphous RO
Compound odontoma
Encapsulated RL with multiple miniature tooth-like structures
Ameloblastic fibroma
Well defined
Unilocular to multilocular RL with RO borders
Usually around impacted/unerupted teeth
Ameloblastic fibro-odontoma
Well defined
Unilocular mixed RL and RO
Usually around impacted/unerupted teeth
Cementoblastoma
Dense RO mass fused with root apex
Surrounded by thin, well-defined RL border
Odontogenic myxoma
Multilocular or unilocular RL
Honey comb or soap bubble RL areas with thin wispy trabecular at right angles (tennis racket)