Revision Practical Final 36
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Transcript of Revision Practical Final 36
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Revision Cases
M D S 314“O ral Radiology II”
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40 years old female patient with history of successful
treatment of TB.
a- What is the most probable diagnosis?b- How to differentiate between true and false Rlesions?
CASE 36
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c!"#-$alcified lymph nodesB-%sing &' ( techni)ue
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4* years old female patient with the complaint of pain
in lower right side posteriorly and lymphadenopathy.a- +escribe the lesion.b- ,i e three ++.
CASE 37
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c!
#-lymph.
B-/- (aget s disease of the bone.
1- $emento-osseous dysplasia.!- ,ardner s syndrome.
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# radiograph of 10 yearsold female patient withasymptomatic teeth.
a- +escribe the lesion.b- ,i e two ++.
c- What is the diagnostictest used in this case?
CASE 38
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c!2#-# periapical radiograph of the lower right premolarsshows unilocular well defined radiopa)ue lesion withcorticated margins related to the api3 of 44 the lesion isoutside the periodontal membrane space.
B-/-idiopathic osteosclerosis enostosis51-condensing ostitis$-6itality test for 44
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# radiograph of 40years old male patientcame to the outpatientclinic for routineradiograph.a- What is the probablediagnosis?b- What is the main
radiographic feature ofthis lesion?
CASE 39
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c!7#-hypercementosis
BRadiopa)ue lesion in ol ing small area or thewhole root inside the periodontal membranespace
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CASE 4/" year old female patientwith the complaint of noneruption of her upper frontteeth. &he has a graduallyenlarging painless swellingon the left side of herma3illa.a. 8s the lesion seen on the
radiographic benign ormalignant? ,i e threereasons for your answer.
b. ,i e two radiographic ++
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c40A-Benign :1- slow growing lesion2- R.L with well corticated borders .
3-delayed eruption or regional swelling o !aws
B- 1-A"# 2-$"$
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CASE41
/2 year old female patient withthe complaint of a painlessslowly swelling of the left sideof the ma3illaa. +escribe the lesion on the
radiograph.b. ,i e 1 differential diagnosis
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c41A-radiopa%ue &nilateral ill de'ned in L(a)illa li*e a(orphous pattern .B-"steo(yelitis+onostatic 'brous dysplasia
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CASE4!
/2 year old female patient withthe complaint of a painlessslowly swelling of the rightside of the upper 9awa. +escribe the lesion on the
radiograph.b. ,i e 1 differential diagnosis
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c42A-,anora(a radiograph showing a (i)ed
radiolucent radioopa%ue lesion in the right(a)illary pre(olar and (olar region gi/ing aground glass appearanceB-'brous dysplasiabenign ce(entoblasto(as
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CASE 43
# radiograph for a 4* yearold female patient. &he hasno symptoms. #ll the lower
teeth were ital.a. What is the most
probable diagnosis forthe lesion pointed bythe red arrows?
b. What are the bluearrows pointing at?
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c43A-,$"
B-hori:ontal bone lose
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CASE 44
!0 year old female patientwith the complaint of aslow growing swelling ofthe right side of the lower
9aw.#spiration of the lesionyielded a thic;< yellowfluid.
a. +escribe the lesion onthe radiograph.
b. ,i e ++
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c44A-R.L lesion between 1st (olar to 3rd (olar and R." in central
B- 1-$"$2-" $3-$ "#
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CASE 4"40 year old male patient with the complaint of a slowly
growing painless swelling of the left side of his lower 9aw.a. +escribe the lesion.b. ,i e your ++
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c4A-(ultilocular lesions radiopacities around the crown o ane(bedded tooth gi/e ri/en now Appearance.B-5 $alci ying epithelial odontogenic tu(or6$ "#75 "donto(as
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CASE46
A male patient with the complaint of apain and swelling of the left side ofthe lower jaw. He gives a history ofextraction of an offending tooth andalso pus discharge. There is alsoa. Describe the lesion on the
radiograph.b. Give diagnosis
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c48A- olitary radiolucency with ragged andpoorly de'ned borders
B-"steo(yelitis 6chronic di9use sclerosing 7
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CASE47
40 year old male patient withthe complaint of a slowly
growing painless swelling ofthe right side of his lower
9aw.a. +escribe the lesion.
b. ,i e your ++
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CASE48" year old male patient with a complaint of se ere
pain< intermittent swelling and pus discharge on the leftside of his lower 9aw. He gi es a history of radiotherapyfor cancer /0 months bac;.a. +escribe the lesion seen on the radiograph.b. What is the diagnosis?
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c4<A- )tensi/e bone loss in le t (andibularsecondary to therapeutic radiation e)posure .
B-"steoradionecrosis
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A
B
CASE49
40 years old male patient with acomplaint of pain and clic;ing inthe left T=>. $linical e3aminationre ealed reciprocal clic;ing inthe left T=> and normal mouthopening.a. 8dentify closed- and opened-
mouth position#- openedB- closedb. What is the diagnosis?#nterior disc displacement withreduction
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CASE"
41 years old male patient with acomplaint of pain and 9oint noisein the left T=>. $linicale3amination re ealed crepitus in
the left T=> and limitation inmouth opening closed loc;5.a. 8dentify closed- and opened-
mouth position
#- $losedB- openedb. What is the diagnosis?#nterior disc displacement
without reduction
A
B
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B
CASE"1
@ame radiographic findingsA-$B$# closeB-$B$# open
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BA
CASE"!
a. @ame imaging modalityA-$.#B-+R=b. @ame the imaging section.
$oronal ection
CAS
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BA
a. @ame imaging modalityA-+R=B-$.#b. @ame the imaging section.
A)ial ection
CASE"3
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Name the dental anomaly seen in theradiograph.
A+issing
#eeth
B
+esiodens
$
+acrodonia
CASE""
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#a$ e %&e den%al ano$ aly seen in %&eradiogra'&(
A+icrodont
ia
B>usion
$ensin/agina
tus
CASE"6
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A ! year old male patient complains of slow growing swelling inleft lower region of jaw. "n clinical examination there is missingteeth and facial asymmetry. Aspiration results in thin strawcolored fluid.#hat is your diagnosis of the condition$
Describe your radiographic finding$
CASE"8
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c <
1- entigerous cyst
2- ection o panora(ic radiogrphy showing R"lesion e)tend ro( secound (olar to ra(us wellde'end unicuolar and showing 3rd (olarunerupted
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Name the different types of Dentigerous cyst in the belowpicture$
A. Circum ferential%. Latral&. Coronal
CASE"9
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Describe the radiographic
findings under'(ocation and extent.)eriphery and shape*nternal structure+ffects on surroundingstructure .
CASE6
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c80
'ocation and e3tent right side o (andibular ?
e)tend ro( 2nd (olar to ra(us(eriphery and shape well-de'ned with corticated
8nternal structure co(pletely radiolucent
Affects on surrounding structure (ini(al e)pansion
CASE
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*dentify and name the condition.
Avulsion displacem ent of a tooth from thealveolar
CASE61
CASE
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a b
*dentify the name the condition pointed by
arrow'a W idening inf l am m atory lesionb. H orizontal R oot Fractures
CASE6!
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a. #rite the radiographic interpretation.b. #hat is the most probable diagnosis if the tooth is nonvital$
CASE63
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c83A-,eriarpical radiograph showing lower anteriorteeth;ell de'ned radiolucent area in the apicl aspect
o 41 well de'ned cortical border round
surrounds by a narrow radiopa%ue (argine)tends ro( the la(ina dura and resorption othe roots also /ertical bone resorption and;idening o , L in right latral incisor .
B- Radicular cyst
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a( ) ri%e %&e radiogra'&i* in%er're%a%ion(+( ) &a% is %&e $ os% 'ro+a+le diagnosis,
CASE64
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c84A- periapical radiograph o pre(olar (olarregion o le t (andible showing : irre%ularradiopa%ue lesion at the ape) o secondpre(olar with large caries and widening ola(ina dura
B- $ondenting osteitis
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CASE
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a. #rite the radiographic interpretation.b. #hat is the most probable diagnosis$
CASE66
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c88
A-,eriapical radiograph at (a)illary rightpre(olar region showing well de'ne RL lesionat ape) o rist pre(olar tooth and not showsclerotic border with slight resoption o root
B-,eriapical granulo(a
CASE
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*dentify the radiographic changes pointed byarrow.O nion s-in a''earane
CASE67