ACJ Quiz – Panoramic X-rays 01

there is acceptable RCT on teeth # 1.8, 1.7 and 1.1

there are proximal caries in distal tooth # 2.4, mesial tooth # 2.5, distal tooth # 2.5

tooth # 3.8 is impacted, fillings are composite ( there are composite with opacities very close to amalgam, caries on tooth # 3.7 is recurrent caries.

) tooth #4.6 is missing and there is space loss

there is recurrent caries on distal tooth # 1.4, distal tooth # 1.8 is CBO

there are pulp stones in teeth # 2.6 and 2.7, root canal is acceptable but successful cannot be selected.

caries on distal of the tooth # 3.5

there is dilaceration in teeth # 4.8

the post in tooth # 1.6 is prefabricated and acceptable

the amalgam filling on tooth # 2.7 is acceptable, crowns are PFM anf posts are prefabricated metallic post

tooth # 3.3 is rotated,

there is RO in distal root of 4.6

there is generalized periodontal bone loss, both sinuses are pneumatized, with periodontal bone loss there are calculus formation mostly obvious in posterior region also in distal root surface of tooth # 1.2, there is no root caries, bandlike CBO is obvious in cervical region of tooth # 1.5

) root canal in tooth # 2.5 is acceptable and dilaceration can be seen in tooth # 2.2, pay attention that tooth # 1.2 can be considered normal and 2.2 can be considered as dilaceration. There is no canal obliteration but calcification.

filling on tooth # 3.6 is amalgam and base/liner, calculus can be seen in anterior region, tooth # 3.7 shows RO, furcation radiolucency can be seen in tooth # 3.6

tooth # 4.6 shows dislodged restoration in distal part of amalgam. Anterior opacities are calculuses, no caries can be detected and remember that

there is a cantilever bridge on 2.2 and 2.3, on 2.4 dislodge restoration cannot be marked because there is no sign of previous restoration on tooth # 2.4. Tooth # 1.3 is impacted and there is no supernumary tooth

attrition/abrasion can be seen on the tip of the tooth # 2.3, crown on tooth # 2.5 is PFM, prefabricated post is not acceptable as it is not in the root.

calculus is on distal tooth # 3.8, caries on mesial crown, amalgam filling on tooth # 3.8 is acceptable.

bone loss is horizontal, attrition/abrasion can be seen in tooth # 4.1 and 4.4, CBO specially can be seen in premolar region.

amalgam restoration on tooth # 1.6 is acceptable, root canal restoration is not acceptable, tooth # 1.8 is not impacted but hugely cavitated, there is no rotated tooth.

caries on distal is on crown surface all other options can be selected

the rediolucent line over the crown of the anteriors and premolars is a shadows not abrasion, there is no bone loss or calcification, caries on tooth # 3.6 is a primary caries from mesial.

on the tooth # 4.6 the round amalgam restoration that seems to be under the occlusal amalgam is actually a buccal/lingual amalgam. Missing tooth is most probably congenital but cannot be selected as we do not see the retained primary tooth.