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NOTES on

Interpretation
Patients seen for the first
time, and those whose teeth
have never been
radiographed should:
✓ Have a routine examination, that
includes includes teeth, edentulous
spaces, edentulous jaws.
What a radiograph shows,

and what it does not:

The radiograph does not picture disease;
it only records on a photographic film
changes in the x-ray density of the tissues
brought about by pathologic processes, as
well as surgical or medical treatment.
As an aid to diagnosis:
Draw deductions from the picture;
Associate radiologic signs with
disease conditions (clinical
presentation)
Examinations of the following
conditions
Dental, periodontal, and periapical
tissues
!
1. Departures from normal, such as
abnormality in size, outline, position and
number of roots of tooth
!
2. Pulpless (root-canal filled) teeth, the
apices of which are in close relation with
the maxillary sinus
Dental, periodontal, and periapical tissues
!
3. Conditions of the fillings and other
restorations
!
4. Changes in the pulp canal; pulp
stones, denticles, and adventitious
dentin
!
5. Secondary evidence of pulp disease
!
6. Quality of the root canal fillings
Dental, periodontal, and periapical tissues
!
7. Evidence of resorption or
hypercementosis
!
8. Radiolucent periapical changes
!
9. Radiopaque pericapical changes
!
10. Evidence of extensive involvement
from osteitis
Dental, periodontal, and periapical tissues

11. Other marked deviations from


normal bone
!
12. Condition of the alveolar crest, atrophy,
widening of marginal periodontal membrane,
and pocket formation in periodontitis
(compared to clinical pocket): periodontal
bone sclerosis due to stress
Dental, periodontal, and periapical tissues

13. Evidence of parietal abscesses,


especially between the roots of
maxillary molars in periodontitis
!

14. Edentulous sections

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