intraoral radiographic anatomy e lecture Flashcards

aims: to recognise normal radiographic anatomical features in the maxilla and mandible on radiographic film be aware of normal variations (66 cards)

1
Q

what does radiolucency mean

A

object allows a lot of x rays to pass through it
maybe because its thin or made from non calcified tissues- then interacts with the x ray and is shown as dark on the film

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2
Q

what does radiopacity mean

A

due to an objects density or fitness x rays cannot reach the film and therefore seen as pale or white

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3
Q

if an object is radiopaque what does that mean

A

it is radio dense

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4
Q

where does the inter maxillary suture lie

A

upper ant PA( periapical) , the anode structure is a thin radiolucent line in the midline

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5
Q

where and how does the anterior nasal spine look

A

appears as a radiopaque v shaped line above the midline above the apices of the incisors

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6
Q

what can soft tissues do to the radiograph

A

they can create a shadow meaning they are superimposed on the image

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7
Q

how many openings are there to the pyriform fossa from the nasal end

A

2

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8
Q

how many openings are there to the pyriform fossa from the oral end

A

1

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9
Q

how does the nasal end look on a bisecting angle PA

A

it looks like two ovoid radiolucent structures just at the tip of the nasal spine

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10
Q

what might the nasal spine also look like

A

it might also look like a concavity next to the base of the nasal septum

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11
Q

what can the incisive canal develop

A

it can develop cysts

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12
Q

clinically what can be the issue with the incisive e foramen in the oral end

A

it can be projected over the apex of the tooth and can be mistaken for an inflammatory cyst

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13
Q

what does the oral end of the incisive foramen look like

A

there is a single radiolucency

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14
Q

what does the nasal septum look like

A

a radiopaque line

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15
Q

what lies either side of the nasal septum

A

the ant parts of the pyriform fossa

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16
Q

what is the nasal cavity also known as

A

the pyriform fossa

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17
Q

what does the inf concha look like

A

the bone is thin but mucous can be thick

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18
Q

what does he radiograph of the inf concha look like

A

a smooth rounded opacity due to the thick layer of mucous

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19
Q

which turbinate is shown on the radiograph

A

the inf nasal concha

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20
Q

why is only the inf nasal concha shown

A

as it is the largest and due to its position

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21
Q

what dos the canine fossa look like

A

less bone so less tissue therefore more radiolucency and poorly defined

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22
Q

how does the maxillary sinus look on a radiograph

A

it is radiolucent

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23
Q

what is another name for the maxillary sinus

A

the maxillary antrum

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24
Q

clinically what can the maxillary sinus be mistaken as

A

as a cyst

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25
what is the Y line of ennis
An anatomical landmark created by the superimposition of the floor of the nasal cavity and the border of the maxillary sinus.
26
what does the y line of ennis depict
It shows that the leg of the y is the laternal side of the nose which is also the medial wall of the antrum
27
what does one prong of the y show
that it is the floor of the nose(pyriform fossa) and the other prong is the floor of the antrum
28
what does the floor of the nose look like on an occlusal or post PA
flat horizontal radiopaque line
29
what other soft tissue can be shown on a radiograph
a subtle line down at an angle- the nasolabial fold
30
how does the antrum look on a radiograph
undulating radiopaque line which can come as forward as the canine
31
what can be found within the antrum
septi can be found which are shown as radiopaque lines
32
which three structures are close in relationship q
the nose the zygomatic buttress and the antrum
33
what can be seen above the UR 5,6,7,8
we see the undulating antrum but also radiodensity
34
why do we see radiodensity near the UR 5,6,7,8
due to the zygoma, cheekbone or the malar bone
35
what is it called where the zygoma meets the maxilla
it is known as the buttress
36
what is the cheekbone also known as
the zygoma and the malar bone
37
what does the lateral view of the skull show
the relationship between the maxilla, the zygoma and the pterygoid plates
38
what is the hamulus part of
the medial pterygoid plate
39
what is part of the medial pterygoid plate
the hamulus
40
clinically what is important of the hamular notch
we should consider when making a denture to extend the denture into the hamular notch as this is where soft tissue can give slightly
41
what is the maxillary tuberosity
it is the bone related to the last molar and just posterior to it
42
which bone is posterior to the last molar
the maxillary tuberosity
43
what can be seen near the maxillary tuberosity
soft tissues
44
which process of the bone can create a shadow when taking a PA
the coronoid process of the mandible can sometimes be seen taking radiographs of the post maxillary teeth PAs
45
what is the nasal septum seen as on a ant occlusal PA
a vertical radiopaque line
46
when looking at an upside down occlusal view of the maxilla we can see two similar radiolucent structures what are they
the tearducts or nasal lacrimal ducts
47
why is it not the greater palatine fossa
the x ray doesnt pass through that way and we would deffo choke the patient trying to get that x ray
48
what would neurovascular channels look like on an x ray
tiny circular radiolucencies
49
what does the neurovascular channels supply
the blood and nerve supply to the teeth
50
what is an important branch of the maxillary division of the trigeminal nerve
the middle or posterior superior alveolar nerve
51
which CN is the trigeminal nerve
CN V
52
what can we see from the lingual aspect of the midline
thicker area of bone radiopaque the bone has ridges where muscle attaches- genial tubercule- and the genioglossus and genial hyoid muscle attaches small foramen- the lingual foramen
53
why does the bone have ridges
where muscle can attach -the genial tubercle
54
which muscles attach to the genial tubercle
the genioglossus and the genial hyoid muscle
55
there is also a small foramen on the lingual aspect of the mandible
what is it | the lingual foramen
56
what nerve supplies the mandible
the inf alveolar nerve
57
what is the pathway of the inf alveolar nerve
passes along a bony canal where it reaches the premolar region and splits to the mental nerve via mental foramen and the incisive nerve via the incisive foramen
58
clinically what can be the issue with the inf alveolar nerve
it can be superimposed over a root and mistaken as pathology
59
how are caries seen on x rays
radiolucencies
60
what lies inferiorly to the mylohyoid ridge
the submandibular fossa
61
how does the the submandibular fossa look
relative radiolucency due to the thicker mylohyoid ridge above it also because it is thinner
62
what lies in the submandibular fossa
the submandibular gland
63
what is the shape of the submandibular gland
it lies in the submandibular fossa and then works round posteriorly to the mylohyoid muscle
64
what is another name for the chin
the mental protuberance
65
how does the chin show up in the x ray
as a radiodensity on the labial aspect of the ant part of the teeth slide 64
66
what tissues can be shown on the lingual aspect
the soft tissues such as the tongue