Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 1
Copyright © 2017, Elsevier Inc. All Rights Reserved. 1
Interpretation of Trauma, Pulpal
Lesions, and Periapical Lesions
Chapter 35
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Slide 2
Learning Objectives
Lesson 35.1: Interpretation of Trauma, Pulpal
Lesions, and Periapical Lesions
1. Define the key terms associated with the
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Slide 3
Learning Objectives
Lesson 35.1: Interpretation of Trauma, Pulpal
Lesions, and Periapical Lesions (Cont.)
4. Describe and identify the appearance of
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 4
Learning Objectives
Lesson 35.1: Interpretation of Trauma, Pulpal
Lesions, and Periapical Lesions (Cont.)
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Slide 5
Introduction
Purpose
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Slide 6
Trauma Viewed
on Dental Images
Fractures
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 7
Trauma Viewed
on Dental Images (Cont.)
Trauma
Trauma is an injury produced by an external force.
It may affect the crowns and roots of teeth as well
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Slide 8
Fractures
The breaking of a part
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Crown Fractures
This most often involves anterior teeth.
May involve enamel, dentin, and/or pulp
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 10
Crown Fractures (Cont.)
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Slide 11
Root Fractures
Root fractures most often occur in the
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Slide 12
Root Fractures (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 13
Copyright © 2017, Elsevier Inc. All Rights Reserved. 13
Jaw Fractures
Jaw fractures are most often observed in the
mandible.
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Jaw Fractures (Cont.)
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Slide 15
Injuries
Trauma may result in the displacement of
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 16
Luxation
Luxation is the abnormal displacement of
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Luxation (Cont.)
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Slide 18
Luxation (Cont.)
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 19
Dental Avulsion
Complete displacement of a tooth from
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Slide 20
Resorption Viewed
on Dental Images
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Slide 21
Resorption Viewed
on Dental Images (Cont.)
Physiologic resorption
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 22
External Resorption
Seen along the periphery of the root surface
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Internal Resorption
Internal resorption occurs within the crown or
root of a tooth.
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Slide 24
Pulpal Lesions Viewed
on Dental Images
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 25
Pulpal Sclerosis
Pulpal sclerosis is diffuse calcification of the
pulp chamber and pulp canals of teeth.
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Pulpal Obliteration
The calcification, or deposition of hard tissue,
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Pulp Stones
Pulp stones are dystrophic calcifications
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 28
Periapical Lesions Viewed
on Dental Images
Periapical radiolucencies
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Slide 29
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Periapical Radiolucencies
Periapical granulomas, cysts, and abscesses
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Periapical Granuloma
This is a localized mass of chronically
inflamed granulation tissue at the apex of a
nonvital tooth.
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 31
Periapical Cyst
Periapical cyst is a lesion that develops over
a long period.
It results from cystic degeneration of the periapical
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Slide 32
Periapical Abscess
This is a localized collection of pus around
the apex of a nonvital tooth.
Acute
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Slide 33
Periodontal Abscess
Collection of pus that results from infection
within the periodontal tissues (surrounding
the tooth
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 34
Periapical Radiopacities
The following are a few of the common
periapical radiopacities that may be seen on
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Slide 35
Condensing Osteitis
Condensing osteitis is a well-defined
radiopacity.
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Slide 36
Sclerotic Bone
Sclerotic bone is a well-defined radiopacity
seen below the apices of vital, noncarious
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 35 Student Handout
Slide 37
Hypercementosis
Hypercementosis is the excess deposition of
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Slide 38
Questions?
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