W4.2 Case 5

OPG Case 5

Systematic Approach

1. Address Clinical Concerns

2. Dentoalveolar Analysis

   • Count teeth and identify ectopic and/or impacted teeth.
     • 48: displaced inferiorly
       • due to ruptured dentigerous cyst
     • 38: Mesioangular Impaction
     • 28: Impacted?
   • Identify dental anomalies (position, shape, etc.).
     • 36: enamel Pearl
     • 16: Pulp chamber calcification
   • Assess periodontal bone loss.
   • Identify dental pathology (non-carious tooth loss, caries, fractures, periapical pathologies, etc.).

3. Maxilla and Mandible

   • Identify abnormal (radio)lucencies.
   • Identify abnormal (radio)opacities.
   • Note altered trabecular patterns.
   • Identify fractures.
   • Assess jaw asymmetry.

4. Maxillary Sinuses: Evaluate for mucosal changes.

5. TM Joints: Evaluate for morphological changes of the condyles.

6. Soft Tissues: Identify swelling or soft tissue calcifications (e.g., tonsilloliths, salivary gland stones, etc.).

7. Other Sites: Evaluate the spine, orbits, and other visible structures for structural changes.