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Diagnostic radiology of the oral cavity
dental school diagnostic radio
85
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04/21/2010

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Term
which of the following can be visualized on the radiographs?
Definition
calculus
Term
which of the following is/are considered as a definite sign of active periodontal disease?
Definition
loss of definition of crestal lamina dura
Term
which of the following CEJ-crest distances is considered abnormal horizontal bone levels?
Definition
2.5mm
Term
the bony cortives of sinus walls, nasal cavity borders and tooth follicles may appear with a similar border thus confusing the radiographic diagnosis (T/F)
Definition
T
Term
the recommended radiographic view to best detect interproximal caries is:
Definition
bitewing
Term
which of the followings type of liesions have more potentials to cause thinning and expansion of the bone cortex?
Definition
slow growing benign cyst or tumor
Term
which of the followings usually produces a periapical radiolucency with well-defnied border
Definition
a periapical cyst larger than 1 cm
Term
which of the following usu causes root resorption
Definition
none of the above (all the slow growing benign cysts or tumor, most of the jawbone infections, most of the malignant lesions)
Term
which of the followings can cause tooth exfoliation
Definition
peridontal dx, jawbone infection, malignant lestions
Term
which of the followings can produce punched-out lesions in the bone?
Definition
multiple myeloma, langerhans cell histiocytosis, metastatic malignant lesions
Term
which of the following lesions has more potential to cause migration of the adjacent tooth to a distant area?
Definition
a pericoronal cyst or tumor larger than 2 cm associated with an impacted 3rd molar in a 25yr old patient
Term
which of the following lesions has more potential to cause migration of the adjacent tooth to a distant area?
Definition
a pericoronal cyst or tumor larger than 2 cm associated with an impacted 3rd molar in a 25 yrrs old patient
Term
which of the following lesions usually causes pain in the jawbone?
Definition
rapidly growing malignant lesions growing inside the bone, jawbone injection especially acute type, paget's dx (NOT slow growing benign cysts,)
Term
which of the following conditinos can cause lip paresthesias?
Definition
malignant lesions located in the body of the mandible (NOT slow growing cysts)
Term
which of the following procedures is contraindicated when we are dealing with a vascular lesion?
Definition
taking a biopsy from the lesion carefully (use should take a radiograph and evaluate it clinically)
Term
what lesions produces a radiopaque shadow surrounded by a radiolucent band?
Definition
fibro-osseous lesions, odontomas, an impacted tooth, sequestrated bone in osteomyelitis
Term
(T/F) caries is clearly visualized on the radiographic film/imager as soon as 20-25% the minerals content of the hard dental tissues is lost (demin)
Definition
F
Term
the size of the carious lesions is usu underestimated (visualized smaller than its true clinical size) on the radiograph
Definition
T
Term
Mack band effect is an optic illusion that appears when two structures with similar densities (gray shades) are located adjacent to each other)
Definition
F
Term
mack-band shadow usually produces a more diffuse margin on the radiograph compared with shadow of caries
Definition
T
Term
visualization of dental caries on the radiograph requires using appropriate imaging technique with proper setting of exposure factors
Definition
T
Term
the effect of using proper exposure setting for clear visualization of interproximal caries is as important as adjustment of horizontal and vertical angles of the projecting x-ray
Definition
T
Term
the border of caries on a radiograph appears sharper than the border of mechanically prepared cavities
Definition
F
Term
incipient caries is observed as a small triangular or cone-shaped radiolucency in the outer layer of the enamel surface. it usually does not need to be restored but follow-up and keeping good oral hygiene is necessary to arrest or re-mineralize the lesion
Definition
T
Term
the shadow of carious lesions located on the lingual surface of the teeth are usually less distinct and are barely visible on the radiograph bc they are farther away from the x-ray source and are located closer to the film or imager
Definition
F
Term
the shadow of attrition and abrasion of teeth appear with a more deifned margin on the radiograph compared with caries
Definition
T
Term
observation of the shadow of a buccal or lingual caries on the pulp chamber is indicative of pulp exposure by caries
Definition
F
Term
multiple cervical caries is more commonly observed in patients with periodontal disease, xerotomia or immunocompromised condition
Definition
T
Term
cervical burnout usually appears as a triangular, wedge-shaped radiolucency and sometimes as a band of radiolucency across the cervical neck of the teeth. it can be mistaken with cervical caries
Definition
T
Term
internal resoption on the radiograph appears as a localized balloning of the canal producing a round or ovoid radiolucency in the canal. it only occurs when the involved tooth has lost its supporting bone.
Definition
second statement F, first is T
Term
what is considered as an etiologic factor in formation of periodontal dx?
Definition
plaque
Term
what are limitations of dental radiographs in evaluation of periodontal dx?
Definition
radiographs are 2d images representing 3d structures, radiographs do not show the depth of the periodontal pockets, radiographs do not show the whole architecture of the periodontal defects, any changein angulation and exposure factors can affect visualization of perio defects on the radiographs
Term
which radiographraphic techniques are definitely required for evaluation of periodontal dx with mild bone loss?
Definition
periapical radiograph with paralleling technique and regular bitewing radiographs. (not vertical BW, periapical with bisecting or occlusal radiogrpahs)
Term
which radio technique is more reliable for eval of perio dx with servre bone loss extending to the apex?
Definition
periapical radiograph with paralleling technique
Term
which of the followings is/are considered as a definite sign(s) of active periodontal dx?
Definition
loss of definition of crestal lamina dura
Term
subgingal calculus usually has what kind of shape?
Definition
triangular
Term
a patient presented with difficulty in opening of the mouth due to loss of elasticity of tissues. the patient also has mask-face and fish-mouth appearance and has presented with widening of the PDL space in multiple teeth. if teeth demonstrate a crown-root ratio of 1:2 with no evidence of premature conetact or history of hyperfunction or TMJ disorder, the condition is most probably induced by
Definition
scleroderma
Term
which of the following conditions can cause the most rapid bilateral exfoliation of the involved teeth?
Definition
burkitts lymphoma
Term
an aymptomatic round radiolucent shadow larger than 1 cm in diameter with well-defined border is observed at the apex of mandibular premolar-molar area. which of the following is corret about this shadow?
Definition
it can be an odontogenic or non-odontogenic cyst or tumor
Term
which of the followings is the most possible cause of a 5x5 mm obvious periapical radiolucency assoc with a nonvital, tender and painful tooth when there is a clinical evidence of a gingival swelling adjacent to the involved tooth?
Definition
phoneix abscess- acute infection superimposed on a chronic periapical lesion)
Term
in which of the following pts or conditions a simple periapical abscess may develop to an osteomyelitis of the jawbone?
Definition
pt with hx of jaw radition therapy, immunocompromised pts, diabetic pts, pt with fractured jaw, pt with a large fibro-osseous lesion in the jaw bone
Term
multiple small periapical radiolucencies observed at the apex of vital mandibular anterior region of a 40 yr old african american woman is most probably?
Definition
periapical cemental dysplasia stage 1
Term
in diagnosis of which of the following dental pulp diseases clinical info are more important than radiological evaluation of the periapical area?
Definition
pulpitis, pulp necrosis, acute apical periodontitis
Term
which of the followings can be considered as radiographic sign of chronic osteomyelitis of the jawbone?
Definition
sequestration of bone, worm-eaten and moth-eaten shadows
Term
which is usu a circumscribed lesion with a corticated border?
Definition
radicular cyst
Term
which of the following usu appears with a more relative radiolucency and a thicker corticated border than a cyst and why?
Definition
surgical defect bc the cortical plate of both sides of the bone are perforated
Term
which of the following may appear as a periapical radiolucency?
Definition
a malignant tumor, a vascular lesion, a large marrow space located in the periapical area, a nutrient canal, and an osteoporotic area
Term
chronic periapical abscess differs from an acute periapical abscess in
Definition
clinical signs and symptoms suck as severity of pain and tenderness of the tooth, radiographic features such as size and relative radiolucency of the shadow. presence or abscenr of a sinus tract
Term
dentigenous cyst with OKC comparision, whats true?
Definition
dentogenerous cyst is always associated with an impactd tooth while OKC appear as an eneloping pericoronal radiolucency, dentigenous cycst can cause root resoption in 40-50% of cases while OKC usu does NOT cause root resorption and dentigerous cyst usu contains cystic fluid with regular consistency while OKC may have cystic fluid with a thicker consistency due to presence of excessive keratin layer formation
Term
which of the following is more compatible with radiological characteristics of a dentigerous cyst compared with odontogenic adenomatoid tumor?
Definition
a pericoronal radiolucency causing resorption of the roots of the adjacent teeth
Term
which of the followings is correct about OKC
Definition
it may be associated with basal cell nevus syndrome
Term
which is a feature of traumatic bony cyst?
Definition
scalloping btwn the roots of the adjacent teeth producing a saw-tooth appearance
Term
which of the followings can be a sign of basal cell nevus syndrome? (also called gorlin syndrome)
Definition
skeletal deformities such as bifid rib and kyphosis, presence of pigmentations in the skin, presence of multiple keratocytes in the jawbone
Term
which of the followings is correct about bone concavity of stafne?
Definition
on quiz was none of the above (choices were appears as PA radiolucency, dev bone depression in the eternal (lateral) surf of the angle of the mandible, and it usu cause expansion of the cortical bone)
Term
which cyst always appear in a specific location in the maxillary bone?
Definition
incisive canal cyst
Term
eg of a pseudocyst?
Definition
solitary (traumatic) bone cyst
Term
which 2 cysts CANNOT be differentiated from one another by a CT scan?
Definition
lateral periodontal cyst from a small OKC
Term
a multiocular radiolucent lesion has caused resorption of the adjacent teeth. if the lesion yields a cystic fluid upon aspiration, which is the most possible diagnosis?
Definition
unicystic ameloblastoma arising in an OKC
Term
lesion biopsied and diagnosesed as CGCG. labs show inc Ca2+ and dec in serum phosphorus, which condition is more prob responsible for dev this lesion?
Definition
primary hyperthyroidism
Term
30-40% bone loss in the mand anterior regiong corresponds to
Definition
15-50% is moderate horizontal loss
Term
in addition to exfoliation of the teeth, several punched out lesions were detected on the skull radiographs. diagnosis?
Definition
Hand Shuller christian dx (Langerhans' cell histiocytosis)
Term
pt has periapical radioluc and severe pain and tooth doesnt respond to percussion and palpation.. diagnosis?
Definition
acute apical abscess
Term
pericoronal radiolucency with well-defined border causing resorption of the roots of the max central incisors. diagnosis if straw-colored fluid was obtained upon aspiration?
Definition
dentigerous cyst (has root resorb too)
Term
bony cortices of sinus walls, nasal cavity borders and tooth follicles may appear with a similar border thus confusing the radiographic diagnosis (t/f)
Definition
True
Term
recommended radiographic view to best detect interprox caries is
Definition
bitewing
Term
which are correct about cementoblastoma?
Definition
on quiz was ALL: it is a neoplastic lesion arising from dental root cementum, it is fused to the root of the involved tooth, it usu appear in mandibular premolar-molar area
Term
which dx usu appear with a higher relative radiopacity on the radiograph?
Definition
fibrous dysplasia
Term
paget's dx at very eary or initial stages may produce the following bone changes:
Definition
osteoporosis or bone rarefaction in the skull bone which may be mistaken with osteoporosis induced by other dx
Term
in which of the following conditions multiple small denticles (v small mini teeth) are noted inside the lesion?
Definition
compound odontoma
Term
which of the following radiopague lesions have shown to have some tendency for malignant transformation?
Definition
Fibrous dysplasia and Pagets. (NOT periap cem dysplasia, florid osseous dysplasia or exostosis)
Term
in hypoplastic type of amelogenesis imperfecta:
Definition
the thickness of enamel is reduced but the tooth usu has a smooth surface and the tooth is not strong enough to withstand occlusal forces and consequently may undergo rapid attrition
Term
which of the following is NOT correct about dentigenesis imperf type 1?
Definition
the teeth are usu rootless. (correct-teeth demonstrate obliteration of pulp chamber and canals, usu have bulbous crown and inc cervical constriction as well as slender roots, and the pt may have blue sclera)
Term
which is part of Gardner's syndrome?
Definition
multiple osteomas involving the jaw and skull bone, multiple supernumeraries, and multiple intestinal polyposis (NOT kyphosis or abs of clavivle)
Term
ghost-teeth is applied to those teeth which usu demonstrate a shell of enamel with incomplete or lack of development of other dental structures. this dental anomaly is also called
Definition
regional odontodysplasia
Term
which of the following is NOT correct about taurodontism?
Definition
the teeth have large pulp chamber (usu demonstrating longitudinal englargement of the pulp)
Term
some features on taurodontism:
Definition
teeth demonstrate dec cervial constrction, anomaly usu causes an overall dec in the length of the teeth, fucation of the teeth is location more apically than normal teeth, teeth look rectangualr, large pulp chambers along the VERTICAL axis
Term
eg of what can appear as PA radiolucency?
Definition
malignant tumor, vascular lesion, large marrow space located in the PA area, an osteoporotic area
Term
which of the following conditions can cause enlargement of the bone marrow spaces and loss of bone trabecular leading to generalized rarefaction and expansion of the jawbone?
Definition
hemolytic anemias
Term
eg of a pseudocyst?
Definition
solitary bone cyst
Term
radio findings w hyperparathyroidism?
Definition
presence of generalized loss of bone density, loss of definition of lamina dura and cortiacl bone outlining normal landmarks, presence of a giant cell granuloma in the jawbone
Term
diff diagnosis if see mixed radiolucent/opaque shadow causing resorption of the root of the adjacent teeth in a 14 yr old pt
Definition
ameloblastoma in an odontoma
Term
sign of presence of an arterio-venous malformation in the jawbone?
Definition
radiolucent area in the jawbone with cart-wheel or sunray appearance, evidence of pumping teeth or a pulsatile swelling in oral cavity, presence of dilated vessels with strong bruit sign
Term
useful diff diagnosis of AOT from dentigerous cyst?
Definition
presence of calcified foci in the lesion
Term
which condition causes the most rapid bilateral exfoliation of the involved teeth?
Definition
burkitts lymphoma
Term
a well defined periapical radiolucency larger than 1 cm in diameter located in madibular premolar-molar area
Definition
can be an odontogenic or non-odontogenic cyst or tumor
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