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RADIOGRAPHIC INTERPRETATION OF PULPAL AND PERIAPICAL DISEASE

RADIOGRAPHIC INTERPRETATION OF PULPAL AND PERIAPICAL DISEASE. Pulpal Interpretation. Size Secondary dentin Pulp stones, calcification Internal/External resorption. Large Pulp Chamber – Young Patient. Small Pulp Chamber/Secondary Dentin Formation: Older Patient.

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RADIOGRAPHIC INTERPRETATION OF PULPAL AND PERIAPICAL DISEASE

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  1. RADIOGRAPHIC INTERPRETATION OF PULPAL AND PERIAPICAL DISEASE

  2. Pulpal Interpretation Size Secondary dentin Pulp stones, calcification Internal/External resorption

  3. Large Pulp Chamber – Young Patient

  4. Small Pulp Chamber/Secondary Dentin Formation: Older Patient

  5. Enlarged Pulp Chamber/Root Canal: Non-vital tooth #7. Compare with contralateral tooth.

  6. Secondary Dentin Formation/Pulpal Recession – Distal Pulp Horn of First Molar

  7. Pulp Stones

  8. Pulp Stones

  9. Pulp Stones

  10. Pulp Calcification

  11. Pulp Calcification: First Molar

  12. Internal/External Root Resorption

  13. External Root Resorption

  14. External Root Resorption

  15. External Root Resorption

  16. External Root Resorption

  17. Superimposition of Normal Anatomic Structures Superior foramen of incisive canal Incisive foramen Lateral fossa Maxillary sinus Mental ridge Mental foramen Submandibular gland depression

  18. Floor of Maxillary Sinus

  19. Superior Foramina of Incisive Canal

  20. Lateral Fossa

  21. Nasopalatine Foramen

  22. Decreased Bone Density – Posterior Mandible

  23. Maxillary canine film turned upside down. Maxillary sinus simulates large periapical lesion.

  24. Open apices in young patient simulates periapical lesion.

  25. Interpretation of Periapical Disease

  26. Reversible Pulpitis

  27. Periodontal ligament widening at mesial apex of first molar.

  28. Apical Abscess

  29. Apical Abscess

  30. Apical Abscess

  31. Chronic Apical Abscess

  32. Chronic Apical Abscess

  33. Periapical Granuloma

  34. Periapical Cyst

  35. Periapical Cyst: Tooth #30

  36. Apical Scar: Tooth #30

  37. Periapical Halo Formation: First Molar

  38. Parulis: Draining Fistula

  39. Chronic Apical Abscess: Draining Fistula

  40. Draining Fistula

  41. Gutta Percha Point to Identify Source of Draining Fistula

  42. Condensing osteitis Osteosclerosis

  43. Condensing Osteitis

  44. Osteosclerosis

  45. Condensing Osteitis: Distal Root of First Molar

  46. Periapical Cemental Dysplasia: Teeth are vital.

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