W4.2 Case 7

OPG Case 7

1. Address Clinical Concerns
2. Dentoalveolar Analysis
   • Count teeth and identify ectopic and/or impacted teeth.
     • 28: hard to tell might be distoangularly impacted
   • Identify dental anomalies (position, shape, etc.).
     • **42: Rotated **
   • 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.
     • Between 34-25
       • bone island
       • Solitary bone cyst
   • Note altered trabecular patterns.
   • Identify fractures.
   • Assess jaw asymmetry.

• OPG error: Chin tipped too low

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1. Maxillary Sinuses: Evaluate for mucosal changes. - Asymmetry in the Nasal concha
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.