Radiology: Exam #2

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1.

...

6.

Ameloblastic Fibroma

7.

Ameloblastoma

2.

...

8.

Ameloblastoma

3.

... Ameloblastoma

9.

This is just what a buccal bifurcation cyst looks like.

4.

...

A benign neoplasm
10.

Ameloblastoma but could say it is a Giant Cell Granuloma or an Odontogenic Keratocyst

5.

Aggressive periodontal disease classifications?

- Juvenile periodontitis - Papillon-Lefevre syndrome* - Hypophosphotasia - Neutropenias* - Leukocyte adhesion deficiency - Chediak-Higashi syndrome - Down's syndrome

11.

Amelogenesis imperfecta

16.

Calcifying cystic odontogenic tumor

12.

Amelogenesis imperfecta

17.

cemental dysplasia cementoma cementoosseous dysplasia

13.

Amelogenesis imperfecta
18.

cementoosseous dysplasia cemental dysplasia cementoma

14.

Basal cell nevus syndrome Gorlin-Goltz syndrome Nevoid Basal Cell Carcinoma Syndrome Bisphosphonate associated osteonecrosis

19.

15.

cementoosseous dysplasia cemental dysplasia cementoma It seems like there is a mixture of class I, class III and maybe even a class III.

20.

Chondrosarcoma

24.

Complex odontoma

Similar to osteosarcoma, but it has less calcification 1:1 Mandible:Maxilla Mandible: Symphysis, coronoid or condyle Maxilla: Septal Area Has scattered appearance
21.

25.

Complex odontoma

Chronic periapical inflammation

26.

Compound odontoma

27. 22.

Complex Odontoma

Condensing Osteitis sclerosing osteitis periostitis

23.

Complex odontoma
28.

If you see this the tooth is dead or dying and needs endo treatment Condensing Osteitis Sclerosing Osteitis periostitis

Root tip may be resorbed with this type of defect

29.

Defeine: 1-walled defect Define: 2-walled defect Define: 3-walled defect Define: advanced adult periodontitis

When both plates have been lost When 1 of the plates has been resorbed Surrounded by 3 bony walls when buccal and lingual cortical plates remain LOA >6mm PD > 6mm Horizontal and vertical alveolar bone loss > 5mm Class II and III furcation Significant tooth mobility

36.

Dentigerous cyst

30.

31.

32.

37.

Dentigerous cyst

33.

Dens evaginatus

38.

Dentin Dysplasia

34.

Dens in Dente

39.

Dentinogenesis imperfecta

40.

Dentinogenesis imperfecta

35.

Dens in dente

41.

Diagnosis of periodontitis includes _________ and __________. Dilaceration

clinical; radiographic findings

42.

43.

Dilaceration

49.

Features of mild adult periodontitis? Features of moderate adult periodontitis?

LOA <3mm (20%) PD 3-5mm Alveolar crestal bone loss <2mm Class I furcation LOA 4-5mm Horizontal and vertical bone loss 3-5mm Class II furcation Mobile teeth Possible interdental craters

50.

51.

Florid cementoosseous dysplasia

44.

Does the earliest mild destructive lesions in bone cause a sufficient change in detectable density? Enamel Pearl Enameloma

No

Note the multiple mixed radiopaque and radiolucent lesions extending across both the maxilla and mandible
52.

Gemination

45.

46.

exostosis

53.

Giant Cell Granuloma

Focus on the radiopacities in the lower right of the screen

47.

External root resorption

54.

Giant cell Granuloma

48.

External root resorption

55.

Giant cell granuloma

61.

Hypodontia

56.

Giant Cell Granuloma but could also say ameloblastoma

62.

Idiopathic osteosclerosis

57.

Hypercementosis Defect where dense bone forms for no apparent reason

63.

Incisive canal cyst

58.

Hypercementosis

64. 59.

Hyperdontia

Incisive canal cyst Nasopalatine Canal Cyst

60.

Hyperdontia Most cases of this between 40-50 yrs. old Occasionally root resorption occurs
65.

Internal root resorption

66.

Internal root resorption

71.

Macrodont

67.

Lateral Periodontal cyst

72.

Mesiodens

68.

Lateral periodontal cyst

73.

Microdont

75% are in the premolar region of the mandible

69.

74.

Mucoepidermoid Carcinoma

Lateral periodontal cyst This seldom will displace teeth twice as likely in the mandible as in the maxilla
75.

Odontogenic Keratocyst

70.

Lymphoma

76.

Odontogenic keratocyst

81.

Osteomyelitis

82.

Osteonecrosis

77.

Odontogenic Keratocyst but could say it is a Giant Cell Granuloma or Ameloblastoma

83.

Osteosarcoma

78.

Odontogenic Myxoma Note the sunray spicules on the left picture suggesting this is a malignant neoplasm
84.

Osteosarcoma

79.

Odontogenic Myxoma
85.

Male more than femal Mandible more than Maxilla Periapical granuloma

80.

Ossigying periostitis or periapical rarefying osteitis

Synonyms for chronic periapical inflammation

86.

Periapical granuloma

87.

Periapical radiolucency

93.

Principles of bitewing radiographs? Progression of periodontitis Radicular Cyst

1. no overlapping proximal contacts 2. no overlapping roots of adjacent teeth 3. no overlapping of buccal and lingual molar cusps 1. Inflammation 2. CT breakdown 3. Alveolar bone loss

94.

95.

88.

Periapical scar

Epicenter is at the base of the tooth

96.

Radicular Cyst

89.

Periodontal abscess

This is the most common cyst in the jaws They arise from non-vital teeth They arise from rest of malassez Asymptomatic unless secondary infection occurs
90.

Periodontal abscess

97.

Radicular cyst Dental Cyst Periapical Cyst

91.

Presence of ___________ indicates good supporting bone; it's absence _________ signify pathology Prevalence of periodontitis in the US:

lamina dura; doesn't always

60% of these are in maxilla around the incisors and the tooth is non-vital 23%

92.

98.

Regional odontodysplasia

103.

Supraeruption

99.

Regional odontodysplasia

104.

Supraeruption

100.

Residual cyst

105.

Taurodontism

101.

Residual Cysts

106.

Taurodontism

Left behind after the tooth is taken out

102.

107.

Socket sclerosis

This is an early ameloblastoma Differential Diagnosis: Lateral Periodontal cyst Radicular Cyst Other odontogenic tumors

Name all of the differential diagnosis that could apply here

108.

Transposition

109.

What are early radiographic changes seen in periodontitis?

1. Blunting of interdental septae on the anteriors 2. Loss of "crestal cortication" 3. Loss of sharp angles from crest to lamina dura 0.5-2.0mm

110. 111.

What is the proper height of alveolar crest to the CEJ? Widening of PDL

Look at #10