Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 1
Interpretation of
Periodontal Disease
Chapter 34
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Slide 2
Learning Objectives
Lesson 34.1: Interpretation of
Periodontal Disease
1. Define the key terms associated with
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Slide 3
Learning Objectives
Lesson 34.1: Interpretation of
Periodontal Disease (Cont.)
4. Do the following related to the detection of
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 4
Learning Objectives
Lesson 34.1: Interpretation of
Periodontal Disease (Cont.)
5. Do the following related to the interpretation
of periodontal disease on dental images:
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Slide 5
Learning Objectives
Lesson 34.1: Interpretation of
Periodontal Disease (Cont.)
6. List the American Dental Association (ADA)
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Slide 6
Introduction
Purpose
To introduce the dental radiographer to the
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 7
Description of the
Periodontium
Lamina dura
Lamina dura appears as a dense radiopaque line
in healthy teeth.
Alveolar crest
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Slide 8
Description of the
Periodontium (Cont.)
Periodontal ligament space
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Slide 9
Description of the
Periodontium (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 10
Description of
Periodontal Disease
Periodontal disease is a group of diseases
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Slide 11
Description of
Periodontal Disease (Cont.)
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Slide 12
Detection of
Periodontal Disease
Clinical examination
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 13
Detection of
Periodontal Disease (Cont.)
Detection requires both clinical and dental
image examination.
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Slide 14
Clinical Examination
Clinical examination must be performed by
the dentist and dental hygienist.
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Slide 15
Dental Image Examination
This provides an overview of the amount of
bone present.
Indicates the pattern, distribution, and severity of
bone loss
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 16
Dental Image Examination (Cont.)
The horizontal bite-wing has limited value in
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Slide 17
Dental Image Examination (Cont.)
Images alone cannot be used to diagnose
periodontal disease.
They do not provide information about the
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Slide 18
Interpretation of Periodontal
Disease on Dental Images
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 19
Interpretation of Periodontal
Disease on Dental Images (Cont.)
All images should be:
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Slide 20
Bone Loss
Can be estimated as the difference between
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Slide 21
Bone Loss (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 22
Pattern
Described as either horizontal or vertical
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Slide 23
Pattern (Cont.)
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Slide 24
Pattern (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 25
Distribution
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Slide 26
Distribution (Cont.)
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Slide 27
Distribution (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 28
Severity
Can be classified as slight, moderate, or
severe
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Slide 29
Classification of Periodontal Disease
Based on the amount of bone loss,
periodontal disease can be classified as ADA
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Slide 30
ADA Case Type I
Gingivitis
No associated bone loss
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 31
ADA Case Type II
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Slide 32
ADA Case Type III
Moderate periodontitis
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Slide 33
ADA Case Type IV
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 34
Predisposing Factors
Predisposing factors and local irritants may
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Slide 35
Calculus
Results from the mineralization of plaque
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Slide 36
Defective Restorations
Faulty restorations may act as food traps and
lead to the accumulation of food debris and
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 34 Student Handout
Slide 37
Questions?
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