X-Ray examination in oral surgery

Marika zurmukhtashvili
Literature

• Color atlas of medicine – periodontology

• Pp 176-178
Horizontal bone loss
Vertical (angulated ) bone loss
 Panoramic radiography

• Screening

• The slightly magnified film can provide a good overview of the dental structures,

and often clarify incidental observations.

• The panoramic film cannot yet completely replace the classical radiographic

survey, especial- ly in complex cases. For the optimum depiction of peri- odontal

structures, the parallel, right-angle technique, using the long cone is recommended
Video panoramic x-ray

• Video panoramic x-ray https://youtu.be/6DcP3bGl9M8

Isolete area imaging

• Distribution and localization of periodontal bone loss, the hard tissue defect:

• • Changes in the entire dentition

• On individual teeth (septa) and root surfaces.

• Type of bone loss:

• Demineralization (maintained matrix, reversible) • Resorption at the alveolar margin

• Horizontal bone loss (with narrow septa)

• Vertical bone loss (with wide septa;)

• Vertical cup-like bone loss.

• Extent of destruction:

• Distance from bone to the CEJ

• Furcation involvement
Apical
Periapical rediograph

• https://youtu.be/H0qZVv8It0E
Bite-wing
 CBCT

Recent use of three-dimensional radiographic techniques with

CBCT gives a much more accurate picture of periodontal bone
loss

“Cone-beam” computed tomography

(CBCT) is accomplished using a rotation
in which a pyramidal- or cone-shaped xray
beam is directed towards an area x-ray
detector on the other side of the patient’s
head.
CBCT

3 Dimensions

3 planes
Video CBCT

• https://youtu.be/Y0QCR_FK7mE
Homework for seminar

• Radiographic Examination of the Tooth for Removal pp 109-112