W4.2 Case 6

OPG Case 6

1. Address Clinical Concerns
2. Dentoalveolar Analysis
   • Count teeth and identify ectopic and/or impacted teeth.
   • Identify dental anomalies (position, shape, etc.).
     • Opencontacts
       • 44-45
       • 13-12
       • you get it
   • Assess periodontal bone loss.
     • 37: bone resorption causes floating appearance
     • generalized periodontal bone loss : Moderate (15-33%)
   • Identify dental pathology (non-carious tooth loss, caries, fractures, periapical pathologies, etc.).
     • 46 : large triangle radiolucency on mesial cusp
3. Maxilla and Mandible
   • Identify abnormal (radio)lucencies.
   • Identify abnormal (radio)opacities.
   • Note altered trabecular patterns.
   • Identify fractures.
   • Assess jaw asymmetry.

• Maxilla
  • chondral dysplasia
    • assymetrical condyles
  • LHS Posterior region communicated with LHS floor of sinus / possible tissue invasion

1. Maxillary Sinuses: Evaluate for mucosal changes.
2. TM Joints: Evaluate for morphological changes of the condyles.
3. Soft Tissues: Identify swelling or soft tissue calcifications (e.g., tonsilloliths, salivary gland stones, etc.).
4. Other Sites: Evaluate the spine, orbits, and other visible structures for structural changes.