Radiographic Interpretation and Caries In Radiographs Flashcards

1
Q

When do the molar teeth usually erupt

A

6, 12 and 18

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2
Q

When is root formation complete

A

Fully formed 3 years after they erupt

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3
Q

What is a mesiodens tooth

A

A supernumerary tooth between the upper central incisors

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4
Q

Which teeth are most likely to be missing

A

Lateral incisors
Second premolars
Third molars

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5
Q

What is a supplemental tooth

A

A supernumerary tooth that looks like a normal tooth - may be impossible to distinguish the normal one

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6
Q

What is another common site of supernumerary or missing teeth

A

Midline of the maxilla

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7
Q

What are the common sites for caries

A

Pit and fissure - occlusal surface of premolars and molars and buccal surface of first molars
Smooth surface - interproximal, lingual and root
Secondary

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8
Q

What are the different methods of caries diagnosis (7)

A
Visual - wet and dry
Radiography - film and digital
Elective temporary tooth separation
Fibreoptic transillumination
Electrical methods
Laser fluorescence
Calcivis - detects calcium ion loss from tooth surface
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9
Q

How is interproximal caries detected on bitewings

A

Look at each of the proximal surfaces for a radiolucency that causes a break

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10
Q

Why are interproximal caries harder to see in younger children

A

Due to overlap

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11
Q

What is cervical burnout

A

Phenomenon caused by relative lower X-ray absorption of the mesial or distal aspect of teeth, between the edge of the enamel and the adjacent crest of the alveolar ridge
These areas appear relatively radiolucency with ill-defined margins
Mimics root surface caries

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12
Q

What do irregular margins on a restoration suggest

A

An amalgam restoration is present

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13
Q

What do smooth margins on a restoration suggest

A

A gold restoration is present

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14
Q

Why are the buccal-lingual dimensions of teeth in a radiograph variable

A

Thickness of different structures in the tooth will vary between parts of the teeth
eg - edges contain more enamel with perhaps no dentine

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15
Q

During periodontal assessment, what should be taken if pockets are 4-5mm

A

Horizontal bitewings

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16
Q

In periodontal assessment, what should be taken if pockets are =>6mm

A

Vertical bitewings and periapicals if bone isn’t shown

17
Q

In periodontal assessment, what should be taken if bone levels are irregular

A

May supplement with periapicals

18
Q

When are panoramics useful in periodontal assessment

A

Useful for overview of all teeth, supplemented by periapicals

19
Q

In periodontal assessment, what should be taken for suspected perio/endo lesions

A

Periapicals

20
Q

Describe the angles used during periodontal radiology

A

Horizontal angle 90* to line or arch to avoid overlap of adjacent teeth
Vertical angle 90* to long axis of tooth