ACJ Quiz – Panoramic X-rays 04

tooth # 1.8 is impacted under gum, remember that soft tissue impaction is also considered impaction, space loss in mesial tooth # 2.7, sinus pneumatization in both sides, Antra pseudocyst has a dome shape appearance here the opacities inside  sinuses are shadows, Pterygoid Hamulus is hamular process and can be seen vividly in the second quadrant, acceptable root canal treatment of tooth # 2.5, buccal caries on tooth # 1.7

implants are BL, open margin in mesial of implant in 2.4 , all crowns are zirconia/full metal, no ridge atrophy can be seen, loss of bone is because of sinus pneumatization, occlusal caries on tooth # 1.8, prefabricated posts are in teeth # 1.2 and 1.4

RO in tooth # 4.6, composite restoration under the crown tooth # 3.7, acceptable root canal treatment on tooth # 4.6 and 4.7, peri implant bone loss can be detected about 1 mm on the distal of the implant in the place of 4.7, occlusal caries on tooth # 4.8, External Oblique ridge on both sides.

tooth # 1.8 seems shorter than the adjacent teeth, the reason is that this tooth is towards buccal or lingual, root canal of tooth # 1.6 cannot be considered successful as it is shortfill, no occlusal caries, no calculuses, no foreign body

PFM on tooth # 4.6, Zirconia/metal on teeth $ 3.7, 4.7, Dilaceration on tooth $ 4.4, Acceptable RCT on tooth # 4.7, Acceptable composite restoration in tooth # 4.5, 4.4, 3.5, 3.6

Recurrent caries on tooth # 3.7, RC6 on tooth # 2.7, Root canal of teeth # 1.6 is acceptable, Space loss in 4th quadrant, CBO can be seen vividly on mesial tooth # 4.5, 1.4, Impaction is for teeth # 2.8 and 3.8

no Perio bone loss can be detected, caries on distal of tooth# 1.3, recurrent caries on mesial tooth # 1.6, amalgam restoration on tooth # 2.7, composite restoration underthe crowns, sinus pneumatization on both sides, both crowns are full metal.

root canal treatment on tooth # 4.6 is acceptable, RO and CO can be seen on tooth # 3.6, Root canal on tooth # 3.6 is shortfill, Periodontal bone loss is seen on distal tooth # 3.6

caries on mesial tooth # 4.7, distal of 4.6, prefabricated fiber post in tooth # 3.5,

all crowns are connected, periodontal bone loss can be detected in molar areas both sides, pulpal sclerosis can be detected in tooth # 1.6, prefabricated fiber post in tooth # 2.2, prefabricated metal post in tooth # 2.5, recurrent caries in tooth # 2.4

option space loss is selected for the conditions in which there is an evidence of a space of a tooth that is now lost because of drifting the adjacent tooth/teeth, in the third quadrant, although there is teeth shifting, as the teeth count is right this option cannot be selected. Attrition/ Abrasion is obvious in occlusal of multiple teeth. Dilaceration in tooth # 3.4 evident, mental foramina is notable in forth quadrant in implant area, BL implant with platform switching abutment design can be seen.

) Implants are bone level with bone loss, if you pay attention to the implant neck in the lower one you can detect the line that define the prosthetic platform by a line. CBO in lower premolar area, Furcation radiolucency and acceptable RCT in tooth # 3.7, pneumatized sinus in both sides and overhang in tooth # 1.7

bridge in the front is a PFM bridge, RO on tooth # 4.6 and 1.6 can be detected, ridge atrophy under the bridge, perio bone loss is evident in distal of tooth # 3.6 and # 4.6, distal caries in 1.6, 2.7, 3.6, mesial caries in 1.7. No furcation perforation, even in tooth # 4.6

Hypodontia refers to a congenital missing of tooth/teeth, buccal caries on tooth # 3.8, post in 3.5, attrition in anteriors, supraeruption in tooth # 4.7,

there are tilted teeth that can justify the option of space loss but not incorrect path of eruption, periodontitis cannot be detected, caries on tooth # 2.5 is RC6 and there is no evidence of dislodged restoration, the restoration on tooth # 2.7 is amalgam with base, composite restoration is on tooth on tooth # 4.4 is composite and not defective,

canal calcification can be detected in multiple teeth including 4.3, 4.4, the rest cannot be detected

) foreign body is sealer puff of the RCT of the tooth # 2.5 which has an acceptable RCT as well, Incorrect path of eruption for lower molars, space loss can be selected for tooth # 3.5 which is distally tilted because of loss of tooth # 3.6 crown. Considering the radiolucency in the furcation area of tooth # 3.6 we have to remember that Furcation perforation option can be selected both for iatrogenic (during root canal) or caries condition, but here although there is a furcation perforation evident but it is not obvious if it is iatrogenic or caused by caries, furcation radiolucency is obvious as as there is bone loss that caused this radiolucency in furcation furcation involvement also can be selected.

the opacity is not tooth born, so cementoblastoma and CO and hypercementosis and cementoma are out, DBI is the correct option

foreign body can be selected for the tip of the toth # 4.5 with sealer puff, root canal is acceptable but for choosing successful we need more information like the resolve of a RO or a RCT which aws done years ago. The rest cannot be detected

tooth # 2.4 is rotated, the rest cannot be detected

the tooh # 2.8 shows ectopic eruption, this tooth has buccal/lingual eruption direction, the rest cannot be selected, crowns are PFM, no occlusal caries, periodontal bone loss and psudocyst

all posts are casting posts, RO in 3.4 area, overhang in distal 4.5, Space loss mesial 4.6, foreign body in 2.6 area there is amalgam particle

although there is a missing tooth the adjacent teeth are not tilting and space loss cannot be selected, dislodged restoration on tooth # 3.6, PFM crown in 4.5, recurrent caries in tooth # 1.6, pulpal sclerosis in all first molars can be detected.