Interpretation of OPGs Workshop DR MAY LAM OMF RADIOLOGIST DR MAY LAM OMF RADIOLOGIST | Technical errors | | | --- | --- | | Appliances/Hardware | | | Counting teeth | | | Impacted/Ectopic teeth | | | Dental anomalies | | | Periodontal status (inc. calculus) | | | Restorative status | | | Caries | | | NCTSL | | | Endodontic status (inc. periapical lesions) | | | Other lucencies or opacities | | | TMJs | | | Mx sinuses | | | Other structures (e.g. airways, C-spine, etc.) | | # OPG Report Checklist 1. Identify any significant OPG error 2. Check stage of dentition (deciduous / mixed / permanent) 3. Identify any missing teeth ( & supernumerary teeth, if present ) * Are there implants in edentulous sites? * Comment or peri-implant crestal bone level. * Are there root remnants? 4. Identify any impacted or ectopic teeth * Location * Angulation * Morphology (both crown & root system) * Relationship with adjacent structures eg. Adjacent molars, mx sinus, IDC, etc. 5. Any dental anomalies? (eg. Dens invaginatus, supernumeraries, etc) 6. Identify periodontal bone loss * Perio-endo bony defects * Horizontal bone loss * Angular bony defects / vertical bone loss * Furgation involvement 7. Are there calculus deposits? Where? 8. Is there existing restorative therapy? * Identify any faulty restorations eg. overhang, insufficient margin 9. Identify caries including recurrent caries 10. Identify non-carious tooth loss (NCTL) * eg. attrition 11. Is there existing endodontic therapy? 12. Identify periapical lucencies ie. periapical inflammatory lesions * Any associated root resorption, antral floor remodelling, reactive sclerosis, reactive mucosal thickening in antrum? 13. Identify any abnormal lucencies or opacities in the Jaws * Location * Border and Morphology * Well-defined? ll-defined? * Overall shape - oval, round, elongated, etc. * Internal architecture * Effects on adjacent structures * Surgical Sieve - Differential diagnoses if can. 14. Extragnathic structures * Maxillary sinues – Symmetrical? Size? Opacity? Floor and walls intact? * Condyles – Symmetrical? Deformity? Remodelling? Sclerosis? Pitting? Beaking / lipping? Loose bodies? * Airspace * Cervical spine * Any presence of soft tissue calcifications? * Check submandibular region, tonsillar regions, carotid bulb region, etc. * Pterygomaxillary fissure * Orbits 15. Summary (for long reports or reports with significant pathology) * Further imaging required? If yes, which modality?   #### Technical errors - Appliances/Hardware - Counting teeth - Impacted/Ectopic teeth - Dental anomalies - Periodontal status (inc. calculus) - Restorative status - Caries - NCTSL - Endodontic status (inc. periapical lesions) - Other lucencies or opacities - TMJs - Mx sinuses - Other structures (e.g. airways, C-spine, etc.) 1. Identify any significant OPG error 2. Check stage of dentition (deciduous / mixed / permanent) 3. Identify any missing teeth (& supernumerary teeth, if present) - Are there implants in edentulous sites? - Comment or peri-implant crestal bone level. - Are there root remnants? 4. Identify any impacted or ectopic teeth - Location - Angulation - Morphology (both crown & root system) - Relationship with adjacent structures e.g., adjacent molars, mx sinus, IDC, etc. 5. Any dental anomalies? (e.g., Dens invaginatus, supernumeraries, etc.) 6. Identify periodontal bone loss - Perio-endo bony defects - Horizontal bone loss - Angular bony defects / vertical bone loss - Furcation involvement 7. Are there calculus deposits? Where? 8. Is there existing restorative therapy? - Identify any faulty restorations e.g., overhang, insufficient margin 9. Identify caries including recurrent caries 10. Identify non-carious tooth loss (NCTL) - e.g., attrition 11. Is there existing endodontic therapy? 12. Identify periapical lucencies i.e., periapical inflammatory lesions - Any associated root resorption, antral floor remodelling, reactive sclerosis, reactive mucosal thickening in antrum? 13. Identify any abnormal lucencies or opacities in the jaws - Location - Border and Morphology - Well-defined? Ill-defined? - Overall shape - oval, round, elongated, etc. - Internal architecture - Effects on adjacent structures - Surgical Sieve - Differential diagnoses if can. 14. Extragnathic structures - Maxillary sinuses – Symmetrical? Size? Opacity? Floor and walls intact? - Condyles – Symmetrical? Deformity? Remodelling? Sclerosis? Pitting? Beaking / lipping? Loose bodies? - Airspace - Cervical spine - Any presence of soft tissue calcifications? - Check submandibular region, tonsillar regions, carotid bulb region, etc. - Pterygomaxillary fissure - Orbits 15. Summary (for long reports or reports with significant pathology) - Further imaging required? If yes, which modality? A structured text-based checklist titled 'OPG Report Checklist' containing 15 numbered items detailing a comprehensive examination protocol for Orthopantomogram (OPG) reports. The list covers technical errors, dentition stages, missing/supernumerary teeth, impacted/ectopic teeth, dental anomalies, periodontal bone loss, calculus deposits, restorative therapy, caries, non-carious tooth loss, endodontic therapy, periapical lesions, abnormal lucencies/opacities, extragnathic structures (sinuses, condyles, airways, spine), and a summary section. A two-column table with the left column listing categories related to OPG analysis (e.g., Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status, Restorative status, Caries, NCTSL, Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, Other structures). The right column is empty, indicating fields intended for input or data entry corresponding to each category. **BOX 17-1 Analysis of Intraosseous Lesions** **STEP 1: LOCALIZE ABNORMALITY** * Anatomic position (epicenter) * Localized or generalized * Unilateral or bilateral * Single or multifocal **STEP 2: ASSESS PERIPHERY AND SHAPE** **Periphery** * **Well defined** * Punched-out * Corticated * Sclerotic * Soft tissue capsule * **Ill defined** * Blending * Invasive **Shape** * Circular * Scalloped * Irregular **STEP 3: ANALYZE INTERNAL STRUCTURE** * Totally radiolucent * Totally radiopaque * Mixed (describe pattern) **STEP 4: ANALYZE EFFECTS OF LESION ON SURROUNDING STRUCTURES** * Teeth, lamina dura, periodontal membrane space * Inferior alveolar nerve canal and mental foramen * Maxillary antrum * Surrounding bone density and trabecular pattern * Outer cortical bone and periosteal reactions **STEP 5: FORMULATE INTERPRETATION**   #### Step 1: Localize Abnormality - Anatomic position (epicenter) - Localized or generalized - Unilateral or bilateral - Single or multifocal #### Step 2: Assess Periphery and Shape **Periphery** - **Well defined** - Punched-out - Corticated - Sclerotic - Soft tissue capsule - **Ill defined** - Blending - Invasive **Shape** - Circular - Scalloped - Irregular #### Step 3: Analyze Internal Structure - Totally radiolucent - Totally radiopaque - Mixed (describe pattern) #### Step 4: Analyze Effects of Lesion on Surrounding Structures - Teeth, lamina dura, periodontal membrane space - Inferior alveolar nerve canal and mental foramen - Maxillary antrum - Surrounding bone density and trabecular pattern - Outer cortical bone and periosteal reactions #### Step 5: Formulate Interpretation A structured procedural checklist titled 'Analysis of Intraosseous Lesions' containing five steps. Step 1 covers localizing abnormalities (position, laterality). Step 2 details assessing periphery (well-defined vs ill-defined characteristics like punched-out or sclerotic) and shape (circular, scalloped). Step 3 outlines analyzing internal structure (radiolucency). Step 4 lists effects on surrounding structures (teeth, nerve canal, antrum). Step 5 is to formulate interpretation. A grid diagram illustrating the 'Surgical Sieve' for identifying lesions. The diagram categorizes findings into blue boxes arranged in three rows: Top row includes Artefactual, Anatomical, Anomaly, Inflammatory/Infection, Cysts/Cyst-like Lesions. Middle row includes Hamartoma, Benign Tumour (Odontogenic/Non-odontogenic), Idiopathic, Fibro-osseous Lesions, Malignancy. Bottom row includes Trauma, Vascular Anomalies, Metabolic/Systemic Disease, Other (giant cell lesion, syndromes, etc.).  Clinical radiograph (orthopantomogram) showing a full view of the maxilla and mandible. The image includes both dental arches with visible teeth, jawbones, temporomandibular joints, and surrounding anatomical structures. Small metallic artifacts are present bilaterally near the posterior regions, likely from external hardware or markers. The region labeled 'DV' appears in the lower right quadrant. <table> <tr> <th>Technical errors</th> <td>Earrings in situ<br>Lead apron artefact</td> </tr> <tr> <th>Appliances/Hardware</th> <td></td> </tr> <tr> <th>Counting teeth</th> <td>Absent teeth: 18, 28.</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>Impacted 38 and 48 roots likely contact the mandibular canals.<br>Follicular spaces NAD.</td> </tr> <tr> <th>Dental anomalies</th> <td>Nil</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>There is restorative therapy.</td> </tr> <tr> <th>Caries</th> <td>27 M: morphology/caries.</td> </tr> <tr> <th>NCTSL</th> <td>Nil</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>Nil</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>18/28 hypodense appearances $\rightarrow$ post-extraction healing/large marrow spaces.</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table>   - **Technical errors**: Earrings in situ, Lead apron artefact - **Appliances/Hardware**: (none) - **Counting teeth**: Absent teeth: 18, 28. - **Impacted/Ectopic teeth**: Impacted 38 and 48 roots likely contact the mandibular canals. Follicular spaces NAD. - **Dental anomalies**: Nil - **Periodontal status (inc. calculus)**: NAD - **Restorative status**: There is restorative therapy. - **Caries**: 27 M: morphology/caries. - **NCTSL**: Nil - **Endodontic status (inc. periapical lesions)**: Nil - **Other lucencies or opacities**: 18/28 hypodense appearances → post-extraction healing/large marrow spaces. - **TMJs**: NAD - **Mx sinuses**: NAD - **Other structures (e.g. airways, C-spine, etc.)**: NAD Orthopantomograph (panoramic dental X-ray) showing the maxilla and mandible. Key features include earrings in situ (visible as radiopaque objects on both sides), a lead apron artefact at the bottom center, absent teeth 18 and 28, impacted/ectopic roots of 38 and 48 likely contacting mandibular canals, hypodense appearances in regions 18/28 indicating post-extraction healing/large marrow spaces, and restorative therapy present. A structured clinical report table summarizing findings from the radiograph. It includes sections for Technical errors (Earrings in situ, Lead apron artefact), Appliances/Hardware (empty), Counting teeth (Absent teeth: 18, 28), Impacted/Ectopic teeth (Impacted 38 and 48 roots likely contact the mandibular canals; Follicular spaces NAD), Dental anomalies (Nil), Periodontal status (NAD), Restorative status (There is restorative therapy), Caries (27 M: morphology/caries), NCTSL (Nil), Endodontic status (Nil), Other lucencies or opacities (18/28 hypodense appearances -> post-extraction healing/large marrow spaces), TMJs (NAD), Mx sinuses (NAD), and Other structures (NAD). ```html <table border="1" cellspacing="0"> <tr> <td> Technical errors </td> <td> Earrings in situ<br>Lead apron artefact </td> </tr> <tr> <td> Appliances/ Hardware </td> <td> </td> </tr> <tr> <td> Counting teeth </td> <td> Absent teeth: 18, 28. </td> </tr> <tr> <td> Impacted/Ectopic teeth </td> <td> 38, 48: vertically impacted; roots likely contact the IAC. Follicular spaces NAD. </td> </tr> <tr> <td> Dental anomalies </td> <td> Nil </td> </tr> <tr> <td> Periodontal status (inc. calculus) </td> <td> NAD </td> </tr> <tr> <td> Restorative status </td> <td> There is restorative therapy. </td> </tr> <tr> <td> Caries </td> <td> 27 M: morphology/caries. </td> </tr> <tr> <td> NCTSL </td> <td> Nil </td> </tr> <tr> <td> Endodontic status (inc. periapical lesions) </td> <td> Nil </td> </tr> <tr> <td> Other lucencies or opacities </td> <td> 18/28 hypodense appearances $\rightarrow$ post- extraction healing/large marrow spaces. </td> </tr> <tr> <td> TMJs </td> <td> NAD </td> </tr> <tr> <td> Mx sinuses </td> <td> NAD </td> </tr> <tr> <td> Other structures (e.g. airways, C- spine, etc.) </td> <td> NAD </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> FINDINGS: </td> <td> </td> </tr> <tr> <td> </td> <td> No evidence of 18 and 28.</td> </tr> <tr> <td> </td> <td> 38 and 48 are vertically impacted. The roots likely contact the mandibular canals. Follicular </td> </tr> <tr> <td> </td> <td> spaces are within normal limits.</td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> Periodontal bone levels are within normal limits.</td> </tr> <tr> <td> </td> <td> There is restorative therapy.</td> </tr> <tr> <td> </td> <td> 27 mesial lucency cervically likely reflects morphology/caries.</td> </tr> <tr> <td> </td> <td> No evidence of periapical inflammatory lesions.</td> </tr> <tr> <td> </td> <td> Hypodense appearances at the 18 and 28 sites likely reflect post-extraction healing/large </td> </tr> <tr> <td> </td> <td> marrow spaces.</td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> Allowing for the oblique view, condylar appearances are within normal limits.</td> </tr> <tr> <td> </td> <td> The maxillary sinuses are clear.</td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> Technical error: lead apron; earrings</td> </tr> <tr> <td> </td> <td> Absent: 18, 28</td> </tr> <tr> <td> </td> <td> Impacted: vertically impacted; roots likely contact IAC; follicular spaces NAD. </td> </tr> <tr> <td> </td> <td> Perio: NAD</td> </tr> <tr> <td> </td> <td> Resto: 270cc</td> </tr> <tr> <td> </td> <td> Caries: 27M $\rightarrow$ morphology/caries</td> </tr> <tr> <td> </td> <td> NCTSL: NAD</td> </tr> <tr> <td> </td> <td> Endo: NAD</td> </tr> <tr> <td> </td> <td> Other: 18/28 hypodense appearance $\rightarrow$ post exo/large marrow spaces</td> </tr> <tr> <td> </td> <td> TMJ: NAD</td> </tr> <tr> <td> </td> <td> Mx sinuses: NAD</td> </tr> </table> ```   - **Technical errors**: Earrings in situ, Lead apron artefact - **Appliances/Hardware**: (none) - **Counting teeth**: Absent teeth: 18, 28. - **Impacted/Ectopic teeth**: 38, 48: vertically impacted; roots likely contact the IAC. Follicular spaces NAD. - **Dental anomalies**: Nil - **Periodontal status (inc. calculus)**: NAD - **Restorative status**: There is restorative therapy. - **Caries**: 27 M: morphology/caries. - **NCTSL**: Nil - **Endodontic status (inc. periapical lesions)**: Nil - **Other lucencies or opacities**: 18/28 hypodense appearances → post-extraction healing/large marrow spaces. - **TMJs**: NAD - **Mx sinuses**: NAD - **Other structures (e.g. airways, C-spine, etc.)**: NAD #### Findings - No evidence of 18 and 28. - 38 and 48 are vertically impacted. The roots likely contact the mandibular canals. Follicular spaces are within normal limits. - Periodontal bone levels are within normal limits. - There is restorative therapy. - 27 mesial lucency cervically likely reflects morphology/caries. - No evidence of periapical inflammatory lesions. - Hypodense appearances at the 18 and 28 sites likely reflect post-extraction healing/large marrow spaces. - Allowing for the oblique view, condylar appearances are within normal limits. - The maxillary sinuses are clear. - Technical error: lead apron; earrings. #### Summary - Absent: 18, 28 - Impacted: vertically impacted; roots likely contact IAC; follicular spaces NAD. - Perio: NAD - Resto: 270cc - Caries: 27M → morphology/caries - NCTSL: NAD - Endo: NAD - Other: 18/28 hypodense appearance → post exo/large marrow spaces - TMJ: NAD - Mx sinuses: NAD Table summarizing radiographic findings with categories including Technical errors (Earrings in situ; Lead apron artefact), Appliances/Hardware (empty), Counting teeth (Absent teeth: 18, 28), Impacted/Ectopic teeth (38, 48: vertically impacted; roots likely contact the IAC. Follicular spaces NAD.), Dental anomalies (Nil), Periodontal status (NAD), Restorative status (There is restorative therapy), Caries (27 M: morphology/caries), NCTSL (Nil), Endodontic status (Nil), Other lucencies or opacities (18/28 hypodense appearances → post-extraction healing/large marrow spaces), TMJs (NAD), Mx sinuses (NAD), and Other structures (e.g., airways, C-spine, etc.) (NAD). Text-based table summarizing radiographic findings with categories including Technical error (lead apron; earrings), Absent (18, 28), Impacted (vertically impacted; roots likely contact IAC; follicular spaces NAD), Perio (NAD), Resto (270cc), Caries (27M → morphology/caries), NCTSL (NAD), Endo (NAD), Other (18/28 hypodense appearance → post exo/large marrow spaces), TMJ (NAD), Mx sinuses (NAD), and FINDINGS section detailing no evidence of 18 and 28, 38 and 48 vertically impacted with root contact to mandibular canals, normal follicular spaces, normal periodontal bone levels, restorative therapy present, 27 mesial lucency reflecting morphology/caries, no periapical inflammatory lesions, hypodense appearances at 18 and 28 sites reflecting post-extraction healing/large marrow spaces, condylar appearances within normal limits, and clear maxillary sinuses.  Panoramic dental radiograph (orthopantomogram) showing the maxillary and mandibular arches. Notable findings include a mesh-like metallic object in the anterior region of the maxilla, likely related to surgical intervention or trauma repair. Additionally, there are curved wire-like structures visible around the premolars and canines bilaterally, possibly indicating orthodontic appliances or retained foreign bodies. The image also displays various anatomical landmarks such as the temporomandibular joints, nasal cavity, and mandible. | | | | :--- | :--- | | **Technical errors** | **Nil** | | **Appliances/Hardware** | **Acrylic denture in situ.** | | **Counting teeth** | **Absent teeth:** 18, 11, 21, 28 | | **Impacted/Ectopic teeth** | **38:** mesioangular; roots likely contact IAC.<br>**48:** vertically.<br>Slightly widened distal follicular space with adjacent sclerosis $\rightarrow$ chronic pericoronitis. | | **Dental anomalies** | **Nil** | | **Periodontal status**<br>(inc. calculus) | **Mild to moderate periodontal bone loss.** | | **Restorative status** | **Nil** | | **Caries** | **38, 37** | | **NCTSL** | **Attrition.** | | **Endodontic status**<br>(inc. periapical lesions) | **37** apical periodontal ligament space widening $\rightarrow$ apical periodontitis | | **Other lucencies or opacities** | **NAD** | | **TMJs** | **NAD** | | **Mx sinuses** | **NAD** | | **Other structures**<br>(e.g. airways, C-spine, etc.) | **NAD** |   - **Technical errors**: Nil - **Appliances/Hardware**: Acrylic denture in situ. - **Counting teeth**: Absent teeth: 18, 11, 21, 28 - **Impacted/Ectopic teeth**: 38: mesioangular; roots likely contact IAC. 48: vertically. Slightly widened distal follicular space with adjacent sclerosis → chronic pericoronitis. - **Dental anomalies**: Nil - **Periodontal status (inc. calculus)**: Mild to moderate periodontal bone loss. - **Restorative status**: Nil - **Caries**: 38, 37 - **NCTSL**: Attrition. - **Endodontic status (inc. periapical lesions)**: 37 apical periodontal ligament space widening → apical periodontitis - **Other lucencies or opacities**: NAD - **TMJs**: NAD - **Mx sinuses**: NAD - **Other structures (e.g. airways, C-spine, etc.)**: NAD Radiograph: Panoramic dental X-ray showing the maxilla and mandible. Visible features include an acrylic denture in situ (radiopaque mesh-like structure in the anterior maxilla), absent teeth 18, 11, 21, and 28, impacted tooth 38 with mesioangular orientation and contact to IAC, vertically impacted tooth 48 with widened follicular space suggesting chronic pericoronitis, caries on teeth 38 and 37, attrition on NCTSL, and apical periodontitis indicated by widening of the periapical ligament space around tooth 37. Table: A structured report summarizing findings from the radiograph. Columns include categories such as 'Technical errors', 'Appliances/Hardware', 'Counting teeth', 'Impacted/Ectopic teeth', 'Dental anomalies', 'Periodontal status', 'Restorative status', 'Caries', 'NCTSL', 'Endodontic status', 'Other lucencies or opacities', 'TMJs', 'Mx sinuses', and 'Other structures'. Corresponding values are listed in the right column, detailing specific observations like 'Acrylic denture in situ', 'Absent teeth: 18, 11, 21, 28', 'Mild to moderate periodontal bone loss', 'Caries: 38, 37', 'Attrition', and '37 apical periodontal ligament space widening -> apical periodontitis'. | | | | :--- | :--- | | Technical errors | Nil | | Appliances/Hardware | Acrylic denture in situ. | | Counting teeth | **Absent teeth:** 18, 11, 21, 28 | | Impacted/Ectopic teeth | **38:** mesioangular*; roots likely contact IAC. <br> **48:** vertically. <br> Slightly widened distal follicular space with adjacent sclerosis $\rightarrow$ chronic pericoronitis. | | Dental anomalies | Nil | | Periodontal status (inc. calculus) | Mild to moderate periodontal bone loss. | | Restorative status | Nil | | Caries | 38, 37 | | NCTSL | Attrition. | | Endodontic status (inc. periapical lesions) | 37 apical periodontal ligament space widening $\rightarrow$ apical periodontitis | | Other lucencies or opacities | NAD | | TMJs | NAD | | Mx sinuses | NAD | | Other structures (e.g. airways, C-spine, etc.) | NAD | <br> <br> ### FINDINGS: Acrylic denture in situ. 18, 11, 21, and 28 are absent. Mesioangularly impacted 38 and vertically impacted 48 roots likely contact the mandibular canal. Widened distal follicular spaces with adjacent sclerosis likely reflect chronic pericoronitis. 38 and 37 coronal lucencies likely reflect caries. There is attrition. 37 widened apical periodontal ligament spaces likely reflect inflammatory lesions. Allowing for the oblique view, condylar appearances are within normal limits. The maxillary sinuses are clear.  - **Technical errors**: Nil - **Appliances/Hardware**: Acrylic denture in situ. - **Counting teeth**: Absent teeth: 18, 11, 21, 28 - **Impacted/Ectopic teeth**: 38: mesioangular; roots likely contact IAC. 48: vertically. Slightly widened distal follicular space with adjacent sclerosis → chronic pericoronitis. - **Dental anomalies**: Nil - **Periodontal status (inc. calculus)**: Mild to moderate periodontal bone loss. - **Restorative status**: Nil - **Caries**: 38, 37 - **NCTSL**: Attrition. - **Endodontic status (inc. periapical lesions)**: 37 apical periodontal ligament space widening → apical periodontitis - **Other lucencies or opacities**: NAD - **TMJs**: NAD - **Mx sinuses**: NAD - **Other structures (e.g. airways, C-spine, etc.)**: NAD #### Findings - Acrylic denture in situ. - 18, 11, 21, and 28 are absent. - Mesioangularly impacted 38 and vertically impacted 48 roots likely contact the mandibular canal. Widened distal follicular spaces with adjacent sclerosis likely reflect chronic pericoronitis. - 38 and 37 coronal lucencies likely reflect caries. - There is attrition. - 37 widened apical periodontal ligament spaces likely reflect inflammatory lesions. - Allowing for the oblique view, condylar appearances are within normal limits. - The maxillary sinuses are clear. A structured summary table of a dental radiographic report. The table is divided into two columns: 'Category' and 'Findings'. It lists various diagnostic categories including Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status, Restorative status, Caries, NCTSL (Non-Carious Tooth Surface Loss), Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, and Other structures. Specific findings are noted for each category, such as absent teeth (18, 11, 21, 28), impacted teeth (38 mesioangularly, 48 vertically), caries in teeth 38 and 37, attrition, and apical periodontitis in tooth 37.  Radiograph: Panoramic dental X-ray showing the full dentition of both upper and lower jaws. The image displays multiple teeth with varying degrees of radiopacity, indicating different stages of development or pathology. Notable features include a prominent 'L' marker in the bottom right corner, likely denoting the left side of the patient's anatomy. The jawbones are clearly visible, along with surrounding soft tissue structures. <table> <tr> <th> Technical errors </th> <td> Slight chin up </td> </tr> <tr> <th> Appliances/ Hardware </th> <td> Nil </td> </tr> <tr> <th> Counting teeth </th> <td> Absent: 18, 15, 25, 28, 47 </td> </tr> <tr> <th> Impacted/Ectopic teeth </th> <td> 38: distoangular; root darkening </br> deviation. </td> </tr> <tr> <th> </th> <td> 48: vertical; root darkening. </td> </tr> <tr> <td> Bilateral retromolar canals. </td> </tr> <tr> <td> Follicular spaces NAD. </td> </tr> <tr> <th> Dental anomalies </th> <td> Nil </td> </tr> <tr> <th> Periodontal status (inc. calculus) </th> <td> Mild to moderate. </td> </tr> <tr> <th> Restorative status </th> <td> Nil </td> </tr> <tr> <th> Caries </th> <td> Root remnants: 16, 14, 27, 36, 46 </td> </tr> <tr> <td> Caries: 17, 37 </td> </tr> <tr> <th> NCTSL </th> <td> Attrition (mild) </td> </tr> <tr> <th> Endodontic status (inc. periapical lesions) </th> <td> Apical lucencies: 16, 14, 27, 36, 42(?), 46 </td> </tr> <tr> <th> Other lucencies or opacities </th> <td> NAD </td> </tr> <tr> <th> TMJs </th> <td> Normal? Related to oblique view? </td> </tr> <tr> <th> Mx sinuses </th> <td> L mucosal thickening. </td> </tr> <tr> <th> Other structures (e.g. airways, C- spine, etc.) </th> <td> NAD </td> </tr> </table> **FINDINGS:** 18, 15, 25, 28, and 47 are absent Distoangularly impacted 38 and vertically impacted 48 roots are likely intimately related to the mandibular canal. Follicular spaces are within normal limits. Note is made of the bilateral retromolar canals, a normal variant. There is mild/moderate periodontal bone loss 16, 14, 26, 36, and 46 root remnants with associated inflammatory lesions noted. 17 and 37 coronal lucencies likely reflect caries. There is attrition. 42 apical periodontal ligament space widening may relate to mobility/loading, though it is difficult to fully exclude an inflammatory lesion. Condylar appearances are likely related to the oblique view, although it is difficult to fully exclude arthropathy from OPGs. There is minor mucosal thickening within the left maxillary sinus.  - **Technical errors**: Slight chin up - **Appliances/Hardware**: Nil - **Counting teeth**: Absent: 18, 15, 25, 28, 47 - **Impacted/Ectopic teeth**: 38: distoangular; root darkening & deviation. 48: vertical; root darkening. Bilateral retromolar canals. Follicular spaces NAD. - **Dental anomalies**: Nil - **Periodontal status (inc. calc A structured clinical data table with a two-column layout. The left column contains categories such as 'Technical errors', 'Appliances/Hardware', 'Counting teeth', 'Impacted/Ectopic teeth', 'Periodontal status', and 'Endodontic status'. The right column lists specific findings corresponding to each category, including details like 'Absent: 18, 15, 25, 28, 47', '38: distoangular; root darkening & deviation', and 'Apical lucencies: 16, 14, 27, 36, 42(?), 46'. The table uses alternating row colors for readability.  Radiograph of the mandible and maxilla showing multiple teeth with restorations (fillings) and missing teeth. The image includes anatomical structures such as the jawbones, sinuses, and surrounding soft tissues. <table> <tr> <td>Technical errors</td> <td>R soft palate swallowing Slight chin up</td> </tr> <tr> <td>Appliances/ Hardware</td> <td>Nil</td> </tr> <tr> <td>Counting teeth</td> <td>Absent teeth: 16, 12, 22-25, 36, 47, all third molars.</td> </tr> <tr> <td>Impacted/Ectopic teeth</td> <td>Nil</td> </tr> <tr> <td>Dental anomalies</td> <td>Nil</td> </tr> <tr> <td>Periodontal status (inc. calculus)</td> <td>A few sites of moderate to severe. 26 distal furcation defect (?) Calculus present.</td> </tr> <tr> <td>Restorative status</td> <td>There is restorative therapy. Overhangs: 26D, 27D.</td> </tr> <tr> <td>Caries</td> <td>Nil</td> </tr> <tr> <td>NCTSL</td> <td>Attrition/erosion (moderate)</td> </tr> <tr> <td>Endodontic status (inc. periapical lesions)</td> <td>Nil</td> </tr> <tr> <td>Other lucencies or opacities</td> <td>Opacity superimposed over 33 root → bone island</td> </tr> <tr> <td>TMJs</td> <td>NAD</td> </tr> <tr> <td>Mx sinuses</td> <td>NAD</td> </tr> <tr> <td>Other structures (e.g. airways, C- spine, etc.)</td> <td>NAD</td> </tr> </table> **FINDINGS:** 16, 12, 22-25, 36, 47, and all third molars are absent. There a few sides of moderate to severe periodontal bone loss, with likely 26 distal bony furcation defect. Dental calculus deposit is noted There is restorative therapy. Note is made of the 26/27 distal overhangs. No definite caries is seen although it cannot be ruled out with this technique. There is moderate attrition/erosion. No evidence of periapical inflammatory lesion. Opacity superimposed over the 33 root likely reflects a bone island. Appearances of remaining osseous structures in this view are within normal limits.  <table> <tr> <td>Technical errors</td> <td>R soft palate swallowing Slight chin up</td> </tr> <tr> <td>Appliances/ Hardware</td> <td>Nil</td> </tr> <tr> <td>Counting teeth</td> <td>Absent teeth: 16, 12, 22-25, 36, 47, all third molars.</td> </tr> <tr> <td>Impacted/Ectopic teeth</td> <td>Nil</td> </tr> <tr> <td>Dental anomalies</td> <td>Nil</td> </tr> <tr> <td>Periodontal status (inc. calculus)</td> <td>A few sites of moderate to severe. 26 distal furcation defect (?) Calculus present.</td> </tr> <tr> <td>Restorative status</td> <td>There is restorative therapy. Overhangs: 26D, 27D.</td> </tr> <tr> <td>Caries</td> <td>Nil</td> </tr> <tr> <td>NCTSL</td> <td>Attrition/erosion (moderate)</td> </tr> <tr> <td>Endodontic status (inc. periapical lesions)</td> <td>Nil</td> </tr> <tr> <td>Other lucencies or opacities</td> <td>Opacity superimposed over 33 root → bone island</td> </tr> <tr> <td>TMJs</td> <td>NAD</td> </tr> <tr> <td>Mx sinuses</td> <td>NAD</td> </tr> <tr> <td>Other structures (e.g. airways, C- spine, etc.)</td> <td>NAD</td> </tr> </table> **FINDINGS:** 16, 12, 22-25, 36, 47, and all third molars are absent. There a few sides of moderate to severe periodontal bone loss, with likely 26 distal bony furcation defect. Dental calculus deposit is noted There is restorative therapy. Note is made of the 26/27 distal overhangs. No definite caries is seen although it cannot be ruled out with this technique. There is moderate attrition/erosion. No evidence of periapical inflammatory lesion. Opacity superimposed over the 33 root likely reflects a bone island. Appearances of remaining osseous structures in this view are within normal limits. Table: A structured list of radiographic findings. It includes categories such as Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status (inc. calculus), Restorative status, Caries, NCTSL, Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, and Other structures. The table provides specific details for each category, noting absent teeth, periodontal bone loss, restorative overhangs, attrition/erosion, and a bone island.  Radiograph: Panoramic dental X-ray showing the full dentition and maxillofacial anatomy. The image displays both upper (maxillary) and lower (mandibular) arches with multiple teeth in various stages of development or eruption. Visible structures include molars, premolars, canines, incisors, and developing tooth buds. Bone density appears consistent across the mandible and maxilla. No obvious fractures or gross pathologies are evident at this resolution. The label 'LEFT JFA' is visible in the lower right corner, indicating orientation and possibly patient identifier. <table><thead><tr><th>Technical errors</th><th>NAD</th></tr></thead><tbody><tr><td>Appliances/Hardware</td><td>Nil</td></tr><tr><td>Counting teeth</td><td>Absent: 35, all 3rd molars</td></tr><tr><td>Impacted/Ectopic teeth</td><td>NAD</td></tr><tr><td>Dental anomalies</td><td>Fusion 12/11 and 21/22.</td></tr><tr><td>Periodontal status (inc. calculus)</td><td>NAD</td></tr><tr><td>Restorative status</td><td>NAD</td></tr><tr><td>Caries</td><td>Caries: 85M</td></tr><tr><td>NCTSL</td><td>NAD</td></tr><tr><td>Endodontic status (inc. periapical lesions)</td><td>NAD</td></tr><tr><td>Other lucencies or opacities</td><td>NAD</td></tr><tr><td>TMJs</td><td>NAD</td></tr><tr><td>Mx sinuses</td><td>NAD</td></tr><tr><td>Other structures (e.g. airways, C-spine, etc.)</td><td>NAD</td></tr></tbody></table> **FINDINGS:** Appearances of the teeth in the maxillary central incisor positions likely reflect fusion of 12/11 and 21/22. The tooth in the right maxillary lateral incisor position is presumably the 52. There is no evidence of 35 and all third molars at this stage. Remaining permanent teeth are present. Periodontal bone levels of this mixed dentition are within normal limits. 85 mesial coronal lucency likely reflects caries. No periapical inflammatory lesions. Appearances are remaining osseous structures in this are within normal limits.  <table><thead><tr><th>Technical errors</th><th>NAD</th></tr></thead><tbody><tr><td>Appliances/Hardware</td><td>Nil</td></tr><tr><td>Counting teeth</td><td>Absent: 35, all 3rd molars</td></tr><tr><td>Impacted/Ectopic teeth</td><td>NAD</td></tr><tr><td>Dental anomalies</td><td>Fusion 12/11 and 21/22.</td></tr><tr><td>Periodontal status (inc. calculus)</td><td>NAD</td></tr><tr><td>Restorative status</td><td>NAD</td></tr><tr><td>Caries</td><td>Caries: 85M</td></tr><tr><td>NCTSL</td><td>NAD</td></tr><tr><td>Endodontic status (inc. periapical lesions)</td><td>NAD</td></tr><tr><td>Other lucencies or opacities</td><td>NAD</td></tr><tr><td>TMJs</td><td>NAD</td></tr><tr><td>Mx sinuses</td><td>NAD</td></tr><tr><td>Other structures (e.g. airways, C-spine, etc.)</td><td>NAD</td></tr></tbody></table> Appearances of the teeth in the maxillary central incisor positions likely reflect fusion of 12/11 and 21/22. The tooth in the right maxillary lateral incisor position is presumably the 52. There is no evidence of 35 and all third molars at this stage. Remaining permanent teeth are present. Periodontal bone levels of this mixed dentition are within normal limits. 85 mesial coronal lucency likely reflects caries. No periapical inflammatory lesions. Appearances are remaining osseous structures in this are within normal limits. A table listing radiographic findings. The first column contains categories: Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status (inc. calculus), Restorative status, Caries, NCTSL, Endodontic status (inc. periapical lesions), Other lucencies or opacities, TMJs, Mx sinuses, and Other structures (e.g. airways, C-spine, etc.). The second column provides corresponding values: NAD, Nil, Absent: 35, all 3rd molars, NAD, Fusion 12/11 and 21/22, NAD, NAD, Caries: 85M, NAD, NAD, NAD, NAD, NAD, NAD.  Clinical radiograph (orthopantomogram) showing a pediatric dentition in mixed stage of development. The image displays both maxillary and mandibular dental arches with primary teeth and developing permanent successors. Notable findings include unerupted permanent molars and canines, as well as developing roots of the primary teeth. <table style="border-collapse: collapse; width: 100%; text-align: left;"> <tr> <th style="background-color: #d4b8b8; width: 30%">Technical errors</th> <td>Slightly chin down</td> </tr> <tr> <th style="background-color: #d4b8b8">Appliances/<br/>Hardware</th> <td>Nil</td> </tr> <tr> <th style="background-color: #d4b8b8">Counting teeth</th> <td>Absent: all 3rd molars<br/>Supernumerary: two premaxillary (between 11/21; superimposed over 21)</td> </tr> <tr> <th style="background-color: #d4b8b8">Impacted/Ectopic teeth</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Dental anomalies</th> <td>Nil</td> </tr> <tr> <th style="background-color: #d4b8b8">Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Restorative status</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Caries</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">NCTSL</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Other lucencies or opacities</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">TMJs</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Mx sinuses</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** No evidence of third molars at this stage. Remaining permanent teeth are present, at various stages of development and eruption. There are two premaxillary supernumerary teeth. The right supernumerary tooth is erupted, likely impeding the eruption of 11. The left supernumerary tooth crown is superimposed over the 21 root. Periodontal bone levels of this mixed dentition are within normal limits. No definite caries seen although it cannot be ruled out with this technique. No evidence of periapical inflammatory lesions. No evidence of external root resorption of permanent teeth. Intraoral radiographs or Cone Beam CT could be considered in further evaluation. Appearances of remaining osseous structures in this view are within normal limits.  <table style="border-collapse: collapse; width: 100%; text-align: left;"> <tr> <th style="background-color: #d4b8b8; width: 30%">Technical errors</th> <td>Slightly chin down</td> </tr> <tr> <th style="background-color: #d4b8b8">Appliances/<br/>Hardware</th> <td>Nil</td> </tr> <tr> <th style="background-color: #d4b8b8">Counting teeth</th> <td>Absent: all 3rd molars<br/>Supernumerary: two premaxillary (between 11/21; superimposed over 21)</td> </tr> <tr> <th style="background-color: #d4b8b8">Impacted/Ectopic teeth</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Dental anomalies</th> <td>Nil</td> </tr> <tr> <th style="background-color: #d4b8b8">Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Restorative status</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Caries</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">NCTSL</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Other lucencies or opacities</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">TMJs</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Mx sinuses</th> <td>NAD</td> </tr> <tr> <th style="background-color: #d4b8b8">Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** No evidence of third molars at this stage. Remaining permanent teeth are present, at various stages of development and eruption. There are two premaxillary supernumerary teeth. The right supernumerary tooth is erupted, likely impeding the eruption of 11. The left supernumerary tooth crown is superimposed over the 21 root. Periodontal bone levels of this mixed dentition are within normal limits. No definite caries seen although it cannot be ruled out with this technique. No evidence of periapical inflammatory lesions. No evidence of external root resorption of permanent teeth. Intraoral radiographs or Cone Beam CT could be considered in further evaluation. Appearances of remaining osseous structures in this view are within normal limits. A structured clinical data table summarizing findings. The left column lists categories such as 'Technical errors', 'Appliances/Hardware', 'Counting teeth', and various dental statuses (Impacted/Ectopic teeth, Periodontal status, etc.). The right column provides specific details or abbreviations like 'Slightly chin down', 'Nil', 'Absent: all 3rd molars', and 'NAD' for most other items.  Clinical panoramic radiograph (orthopantomogram) of the maxillofacial region. The image displays the upper and lower dental arches, mandible, maxilla, temporomandibular joints, and cervical spine structures. Multiple teeth show restorations (radiopaque fillings), and there is a missing tooth in the upper right quadrant. The image serves as a diagnostic visual for dental and skeletal assessment. <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <td><b>Appliances/Hardware</b></td> <td>Nil</td> </tr> <tr> <td><b>Counting teeth</b></td> <td>Absent: 25</td> </tr> <tr> <td><b>Impacted/Ectopic teeth</b></td> <td>23: ectopically impacted; crown superimposed over 21 → resorption?<br><br>38, 48: horizontal; likely contact IAC.<br>38 follicular space widening with adjacent sclerosis → chronic pericoronitis + periodontal bone loss.</td> </tr> <tr> <td><b>Dental anomalies</b></td> <td>Location: 23 site<br>Periphery: well-defined, lucent rim with corticated borders<br>Internal: odontoid opacities<br>Surrounding: superimposed over 24<br>DDx: compound odontoma<br>Tx: depends at this age...</td> </tr> <tr> <td><b>Periodontal status (inc. calculus)</b></td> <td>Minor to moderate</td> </tr> <tr> <td><b>Restorative status</b></td> <td>There is restorative therapy.</td> </tr> <tr> <td><b>Caries</b></td> <td>Root remnant: 18<br>Caries: 37D</td> </tr> <tr> <td><b>NCTSL</b></td> <td>Attrition</td> </tr> <tr> <td><b>Endodontic status (inc. periapical lesions)</b></td> <td>37: apical PDL widening → inflammatory lesion<br>Endodontically treated: 14</td> </tr> <tr> <td><b>Other lucencies or opacities</b></td> <td>Opacities at apical aspects of 41/42 & 46 → bone islands</td> </tr> <tr> <td><b>TMJs</b></td> <td>NAD</td> </tr> <tr> <td><b>Mx sinuses</b></td> <td>Mild L Mx sinus</td> </tr> <tr> <td><b>Other structures (e.g. airways, C-spine, etc.)</b></td> <td>NAD</td> </tr> </table> **FINDINGS**: Ectopic 23 crown is projected over the apical aspects of the 21 and 22 where appearances of 21 raise the possibility of associated root resorption. The lesion at the 23 region, projected over the 24 with an estimated overall dimension of approximately 12mm demonstrates internal odontoid appearances, likely related to an odontome. Opacity at 18 site likely reflects a carious root remnant, essentially located within the mucosa. 28 is erupted. Impacted mandibular third molar roots likely contact the mandibular canals. There is likely associated distal caries and severe periodontal bone loss of the 37. Sclerosis adjacent to this second molar and 38 is likely reactive in nature, related to the periodontal bone loss as well as chronic pericoronitis. Widened apical periodontal space of 37 may be related to increased mobility/loading but an inflammatory lesion is included in the differential diagnosis. A few sites of minor and moderate periodontal bone loss noted elsewhere. There is restorative therapy. 26 and 36 lucencies reflect morphology or caries. There is attrition. 14 is endodontically treated. Opacities at the apical aspect of 41/42 and inferior to 46 likely reflect bone islands. There is likely minimal mucosal thickening at the left maxillary sinus floor. **COMMENT**: Opaque lesion at 23 region described likely reflects an odontome. The impacted ectopic 23 crown is projected over the apical aspect of 21/22 where appearances raise the possibility of root resorption associated with the 21. In view of these appearances and the other dentoalveolar findings described, Cone Beam CT could be considered in further evaluation.  <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <td><b>Appliances/Hardware</b></td> <td>Nil</td> </tr> <tr> <td><b>Counting teeth</b></td> <td>Absent: 25</td> </tr> <tr> <td><b>Impacted/Ectopic teeth</b></td> <td>23: ectopically impacted; crown superimposed over 21 → resorption?<br><br>38, 48: horizontal; likely contact IAC.<br>38 follicular space widening with adjacent sclerosis → chronic pericoronitis + periodontal bone loss.</td> </tr> <tr> <td><b>Dental anomalies</b></td> <td>Location: 23 site<br>Periphery: well-defined, lucent rim with corticated borders<br>Internal: odontoid opacities<br>Surrounding: superimposed over 24<br>DDx: compound odontoma<br>Tx: depends at this age...</td> </tr> <tr> <td><b>Periodontal status (inc. calculus)</b></td> <td>Minor to moderate</td> </tr> <tr> <td><b>Restorative status</b></td> <td>There is restorative therapy.</td> </tr> <tr> <td><b>Caries</b></td> <td>Root remnant: 18<br>Caries: 37D</td> </tr> <tr> <td><b>NCTSL</b></td> <td>Attrition</td> </tr> <tr> <td><b>Endodontic status (inc. periapical lesions)</b></td> <td>37: apical PDL widening → inflammatory lesion<br>Endodontically treated: 14</td> </tr> <tr> <td><b>Other lucencies or opacities</b></td> <td>Opacities at apical aspects of 41/42 & 46 → bone islands</td> </tr> <tr> <td><b>TMJs</b></td> <td>NAD</td> </tr> <tr> <td><b>Mx sinuses</b></td> <td>Mild L Mx sinus</td> </tr> <tr> <td><b>Other structures (e.g. airways, C-spine, etc.)</b></td> <td>NAD</td> </tr> </table> **FINDINGS**: Ectopic 23 crown is projected over the apical aspects of the 21 and 22 where appearances of 21 raise the possibility of associated root resorption. The lesion at the 23 region, projected over the 24 with an estimated overall dimension of approximately 12mm demonstrates internal odontoid appearances, likely related to an odontome. Opacity at 18 site likely reflects a carious root remnant, essentially located within the mucosa. 28 is erupted. Impacted mandibular third molar roots likely contact the mandibular canals. There is likely associated distal caries and severe periodontal bone loss of the 37. Sclerosis adjacent to this second molar and 38 is likely reactive in nature, related to the periodontal bone loss as well as chronic pericoronitis. Widened apical periodontal space of 37 may be related to increased mobility/loading but an inflammatory lesion is included in the differential diagnosis. A few sites of minor and moderate periodontal bone loss noted elsewhere. There is restorative therapy. 26 and 36 lucencies reflect morphology or caries. There is attrition. 14 is endodontically treated. Opacities at the apical aspect of 41/42 and inferior to 46 likely reflect bone islands. There is likely minimal mucosal thickening at the left maxillary sinus floor. **COMMENT**: Opaque lesion at 23 region described likely reflects an odontome. The impacted ectopic 23 crown is projected over the apical aspect of 21/22 where appearances raise the possibility of root resorption associated with the 21. In view of these appearances and the other dentoalveolar findings described, Cone Beam CT could be considered in further evaluation. A structured table containing a radiographic assessment summary. The table has two columns: the left column lists categories (Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status, Restorative status, Caries, NCTSL, Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, Other structures) with pink headers; the right column provides specific clinical findings for each category, such as 'Absent: 25' for missing teeth and detailed descriptions of an odontome at site 23.  Clinical dental radiograph (orthopantomogram) showing the full dentition and surrounding maxillofacial structures. The image displays multiple metallic restorations (fillings/crowns) visible as high-density white areas in the posterior teeth of both arches. Anatomical landmarks include the mandible, maxilla, temporomandibular joints, and nasal cavity. <table> <tr> <th>Technical errors</th> <td>Slightly chin up</td> </tr> <tr> <th>Appliances/ Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Absent: 11, 21, 41</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>Location: generalised, all teeth<br>Shape: thistle-shaped pulp chambers; narrow root canals<br>DDx: dentine dysplasia type II</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>NAD</td> </tr> <tr> <th>Caries</th> <td>NAD</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Opacity apical aspect of 44 → bone island</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> ### FINDINGS: 11, 21, and 41 are absent. There is generalised unusual morphology of the root canal system of the visualised teeth, with thistle-shaped pulp chambers, and narrow root canal systems radicularly. Appearances likely reflect dentine dysplasia type II. Periodontal bone levels are within normal limits. No definite caries is seen on cannot be ruled out with this technique. No evidence of periapical inflammatory lesions. Opacity at the apical aspect of 44 likely reflects a bone island. Appearances remaining osseous structures in this view are within normal limits.  <table> <tr> <th>Technical errors</th> <td>Slightly chin up</td> </tr> <tr> <th>Appliances/ Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Absent: 11, 21, 41</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>Location: generalised, all teeth<br>Shape: thistle-shaped pulp chambers; narrow root canals<br>DDx: dentine dysplasia type II</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>NAD</td> </tr> <tr> <th>Caries</th> <td>NAD</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Opacity apical aspect of 44 → bone island</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> ### FINDINGS: 11, 21, and 41 are absent. There is generalised unusual morphology of the root canal system of the visualised teeth, with thistle-shaped pulp chambers, and narrow root canal systems radicularly. Appearances likely reflect dentine dysplasia type II. Periodontal bone levels are within normal limits. No definite caries is seen on cannot be ruled out with this technique. No evidence of periapical inflammatory lesions. Opacity at the apical aspect of 44 likely reflects a bone island. Appearances remaining osseous structures in this view are within normal limits. A structured clinical report table listing categories of dental and radiographic examination findings. The table includes rows for 'Technical errors' (noted as 'Slightly chin up'), 'Counting teeth' (listing absent teeth: 11, 21, 41), 'Dental anomalies' (identifying generalised thistle-shaped pulp chambers and narrow root canals consistent with dentine dysplasia type II), and various status checks like Periodontal, Restorative, Caries, NCTSL, Endodontic, TMJs, Mx sinuses, and Other structures, most marked as 'NAD'. One row notes an opacity at the apical aspect of tooth 44 suggesting a bone island.  Clinical radiograph showing a panoramic view of the dentition and maxillofacial structures. The image displays both upper (maxillary) and lower (mandibular) dental arches with visible teeth, alveolar bone, and surrounding anatomical features. <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Nil</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>Location: generalised, all teeth<br/>Shape: thin/loss of enamel<br/>DDx: amelogenesis imperfecta</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>16M → morphology/caries</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Opacities 38 and 43 → bone islands.<br/>Also 38 distal root resorption (related to the bone island)</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** All permanent teeth are present. There is generalised thinning/loss of enamel, consistent with amelogenesis imperfecta. Periodontal bone levels are within normal limits. 16 mesio-cervical lucency likely reflects morphology/caries. No evidence of periapical inflammatory lesions. Opacities surrounding the 38 roots, and at the apical aspect of 43 likely reflect bone islands. Note is made of the 38 distal root resorption, sometimes seen associated with bone island. Appearances of the other osseous structures in this view are within normal limits.  <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Nil</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>Location: generalised, all teeth<br/>Shape: thin/loss of enamel<br/>DDx: amelogenesis imperfecta</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>16M → morphology/caries</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>NAD</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Opacities 38 and 43 → bone islands.<br/>Also 38 distal root resorption (related to the bone island)</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** All permanent teeth are present. There is generalised thinning/loss of enamel, consistent with amelogenesis imperfecta. Periodontal bone levels are within normal limits. 16 mesio-cervical lucency likely reflects morphology/caries. No evidence of periapical inflammatory lesions. Opacities surrounding the 38 roots, and at the apical aspect of 43 likely reflect bone islands. Note is made of the 38 distal root resorption, sometimes seen associated with bone island. Appearances of the other osseous structures in this view are within normal limits. A structured clinical summary table. The table is organized into two columns: the left column lists diagnostic categories (Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status, Restorative status, Caries, NCTSL, Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, Other structures), and the right column provides the specific findings for each category (e.g., 'Nil', 'NAD', '16M -> morphology/caries', 'Opacities 38 and 43 -> bone islands').  Radiograph: Panoramic dental radiograph (orthopantomogram) showing the maxillary and mandibular dentition, alveolar bone, temporomandibular joints, and surrounding anatomical structures. The image displays a full set of teeth with visible roots and crowns, suitable for diagnostic evaluation of dental anatomy and pathology. <table><tbody><tr><td colspan="1" rowspan="2">Technical errors</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Appliances/<br>Hardware</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Counting teeth</td><td colspan="1" rowspan="2">Absent: 38, 48</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Impacted/Ectopic<br>teeth</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Dental anomalies</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Periodontal status<br>(inc. calculus)</td><td colspan="1" rowspan="2">18, 28 supra-erupted.<br>NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Restorative status</td><td colspan="1" rowspan="2">There is restorative therapy</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Caries</td><td colspan="1" rowspan="2">26D, 36D, 46D proximal</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">NCTSL</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Endodontic status<br>(inc. periapical<br>lesions)</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Other lucencies or<br>opacities</td><td colspan="1" rowspan="2">Lucency coronal/mid root of 21 → resorption.<br>Also submerged appearance → ankylosis(?)<br>Opacity 45/46 → bone island.</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">TMJs</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Mx sinuses</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Other structures<br>(e.g. airways, C-<br>spine, etc.)</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr></tbody></table> FINDINGS: No evidence of 38 and 48. 18 and 28 are overerupted. Periodontal bone levels are within normal limits. There is restorative therapy. 26 distal, 36 distal, and 46 distal proximal lucencies likely reflect caries. No evidence of periapical inflammatory lesions. 21 radicular lucency at the coronal/mid root level with submerged appearances likely reflect resorption and ankylosis. This region is unavoidably not well demonstrated on account of superimposition of anatomical structures. Opacity between 45/46 likely reflects a bone island. Appearances of the remaining osseous structures in this view are within normal limits.  <table><tbody><tr><td colspan="1" rowspan="2">Technical errors</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Appliances/<br>Hardware</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Counting teeth</td><td colspan="1" rowspan="2">Absent: 38, 48</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Impacted/Ectopic<br>teeth</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Dental anomalies</td><td colspan="1" rowspan="2">Nil</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Periodontal status<br>(inc. calculus)</td><td colspan="1" rowspan="2">18, 28 supra-erupted.<br>NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Restorative status</td><td colspan="1" rowspan="2">There is restorative therapy</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Caries</td><td colspan="1" rowspan="2">26D, 36D, 46D proximal</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">NCTSL</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Endodontic status<br>(inc. periapical<br>lesions)</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Other lucencies or<br>opacities</td><td colspan="1" rowspan="2">Lucency coronal/mid root of 21 → resorption.<br>Also submerged appearance → ankylosis(?)<br>Opacity 45/46 → bone island.</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">TMJs</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Mx sinuses</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr><tr><td colspan="1" rowspan="2">Other structures<br>(e.g. airways, C-<br>spine, etc.)</td><td colspan="1" rowspan="2">NAD</td></tr><tr><td></td></tr></tbody></table> No evidence of 38 and 48. 18 and 28 are overerupted. Periodontal bone levels are within normal limits. There is restorative therapy. 26 distal, 36 distal, and 46 distal proximal lucencies likely reflect caries. No evidence of periapical inflammatory lesions. 21 radicular lucency at the coronal/mid root level with submerged appearances likely reflect resorption and ankylosis. This region is unavoidably not well demonstrated on account of superimposition of anatomical structures. Opacity between 45/46 likely reflects a bone island. Appearances of the remaining osseous structures in this view are within normal limits. Table: A structured summary of radiographic findings. The table lists categories in the first column (e.g., 'Technical errors', 'Counting teeth', 'Periodontal status') and corresponding values in the second column. Key entries include: 'Counting teeth' listed as 'Absent: 38, 48'; 'Caries' noted at '26D, 36D, 46D proximal'; and 'Other lucencies or opacities' detailing specific findings such as 'Lucency coronal/mid root of 21 -> resorption' and 'Opacity 45/46 -> bone island'. Other rows contain 'Nil' or 'NAD'.  Radiograph of the maxillofacial region showing both upper and lower dental arches with orthodontic brackets and wires in place. The image includes the mandible, maxilla, nasal cavity, and sinuses. ```html <table border="1"> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/ Hardware</th> <td>Orthodontic hardware (FFA)</td> </tr> <tr> <th>Counting teeth</th> <td>Absent: 3rd molars</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>27 & 47 delayed eruption.<br>47 soft tissue density with prominent follicular space $\rightarrow$ eruption cyst?</td> </tr> <tr> <th>Dental anomalies</th> <td>Nil</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD.</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>Nil</td> </tr> <tr> <th>NCTSL</th> <td>Nil</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>Widened PDL spaces $\rightarrow$ ortho tx</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Nil</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** Orthodontic hardware present. No evidence of 3rd molars at this stage. Soft tissue density overlying the unerupted 47 crown, with prominent residual follicular spaces are noted. The possibility of an eruption cyst is considered. Clinical correlation may clarify. Periodontal bone levels are within normal limits. No definite caries seen although it cannot be ruled out with this technique. Widened periodontal ligament spaces are likely related to the orthodontic therapy. No evidence of external root resorption of permanent teeth. Intraoral imaging could be considered in further evaluation. Appearances of remaining osseous structures in this view are within normal limits. ```  ```html <table border="1"> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/ Hardware</th> <td>Orthodontic hardware (FFA)</td> </tr> <tr> <th>Counting teeth</th> <td>Absent: 3rd molars</td> </tr> <tr> <th>Impacted/Ectopic teeth</th> <td>27 & 47 delayed eruption.<br>47 soft tissue density with prominent follicular space $\rightarrow$ eruption cyst?</td> </tr> <tr> <th>Dental anomalies</th> <td>Nil</td> </tr> <tr> <th>Periodontal status (inc. calculus)</th> <td>NAD.</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>Nil</td> </tr> <tr> <th>NCTSL</th> <td>Nil</td> </tr> <tr> <th>Endodontic status (inc. periapical lesions)</th> <td>Widened PDL spaces $\rightarrow$ ortho tx</td> </tr> <tr> <th>Other lucencies or opacities</th> <td>Nil</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures (e.g. airways, C-spine, etc.)</th> <td>NAD</td> </tr> </table> **FINDINGS:** Orthodontic hardware present. No evidence of 3rd molars at this stage. Soft tissue density overlying the unerupted 47 crown, with prominent residual follicular spaces are noted. The possibility of an eruption cyst is considered. Clinical correlation may clarify. Periodontal bone levels are within normal limits. No definite caries seen although it cannot be ruled out with this technique. Widened periodontal ligament spaces are likely related to the orthodontic therapy. No evidence of external root resorption of permanent teeth. Intraoral imaging could be considered in further evaluation. Appearances of remaining osseous structures in this view are within normal limits. ``` A structured table summarizing radiographic findings. The left column lists categories: Technical errors, Appliances/Hardware, Counting teeth, Impacted/Ectopic teeth, Dental anomalies, Periodontal status (inc. calculus), Restorative status, Caries, NCTSL, Endodontic status (inc. periapical lesions), Other lucencies or opacities, TMJs, Mx sinuses, and Other structures (e.g. airways, C-spine, etc.). The right column contains corresponding clinical observations, such as 'Orthodontic hardware (FFA)', 'Absent: 3rd molars', and 'Widened PDL spaces -> ortho tx'.  Panoramic dental radiograph showing the maxillary and mandibular arches. The image includes teeth in various stages of development or extraction, with visible roots and surrounding bone structures. ```html <table border="1" dir="ltr"> <tbody> <tr> <th style="text-align:left; vertical-align:middle"> Technical errors </th> <td style="text-align:left; vertical-align:middle"> Slightly chin up </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Appliances/ Hardware </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Counting teeth </th> <td style="text-align:left; vertical-align:middle"> 17, 16, 26, 45 </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Impacted/Ectopic teeth </th> <td style="text-align:left; vertical-align:middle"> 38: vertically; roots likely contact IAC; follicular space NAD.<br/>48: horizontally; root darkening; hypercementosis.<br/><br/>Location: centred inferior to 48 crown. Involves follicular space.<br/>Periphery: well-defined; corticated.<br/>Internal: lucent<br/>Surrounding: inferior displacement of IAC. 47 root resorption?<br/>DDx: cyst (dentigerous cyst or OKC).<br/>Tx: OMFS referral </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Dental anomalies </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Periodontal status (inc. calculus) </th> <td style="text-align:left; vertical-align:middle"> Mild to moderate </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Restorative status </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Caries </th> <td style="text-align:left; vertical-align:middle"> 27, 37, 36, 46 </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> NCTSL </th> <td style="text-align:left; vertical-align:middle"> Attrition/erosion (severe) </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Endodontic status (inc. periapical lesions) </th> <td style="text-align:left; vertical-align:middle"> 27 apical lucency.<br/>37, 36 widened PDL spaces + adjacent sclerosis $\rightarrow$ inflammatory lesions </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Other lucencies or opacities </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> TMJs </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Mx sinuses </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Other structures (e.g. airways, C-spine, etc.) </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> </tbody> </table> <div style="text-align:left; vertical-align:middle"> FINDINGS:<br/>There is a well-defined corticated lucency within the right posterior mandible, centred inferior to the 48 crown, in continuity with the follicular space. This lucency is superimposed over the 47 distal root apex where it is difficult to exclude root resorption. There is mild displacement of the right mandibular canal inferiorly.<br/><br/>Horizontally impacted 48 roots are likely intimately related to the right mandibular canal. Increased periradicular density likely reflects hypercementosis.<br/><br/> OTHER FINDINGS:<br/>Impacted 38 roots likely contact the left mandibular canal. Follicular space is within normal limits.<br/>There are a few sites of mild to moderate periodontal bone loss.<br/>27, 37, 36, and 46 coronal lucencies likely reflect caries/lost restoration.<br/>There is substantial attrition/erosion.<br/> 27 apical lucency likely reflects an inflammatory lesion.<br/>37 and 36 widened apical periodontal ligament spaces with adjacent sclerosis also likely reflects inflammatory lesions.<br/>There is mild mucosal thickening within the visualised left maxillary sinus.<br/><br/> COMMENT:<br/>1. Well-defined right posterior mandibular lucency described likely reflects an odontogenic keratocyst. A dentigerous cyst is less likely. Further evaluation with Multi-slice CT +/- MRI is recommended.<br/>2. Other dentoalveolar findings, including caries and inflammatory lesions, are described. </div> ```  ```html <table border="1" dir="ltr"> <tbody> <tr> <th style="text-align:left; vertical-align:middle"> Technical errors </th> <td style="text-align:left; vertical-align:middle"> Slightly chin up </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Appliances/ Hardware </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Counting teeth </th> <td style="text-align:left; vertical-align:middle"> 17, 16, 26, 45 </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Impacted/Ectopic teeth </th> <td style="text-align:left; vertical-align:middle"> 38: vertically; roots likely contact IAC; follicular space NAD.<br/>48: horizontally; root darkening; hypercementosis.<br/><br/>Location: centred inferior to 48 crown. Involves follicular space.<br/>Periphery: well-defined; corticated.<br/>Internal: lucent<br/>Surrounding: inferior displacement of IAC. 47 root resorption?<br/>DDx: cyst (dentigerous cyst or OKC).<br/>Tx: OMFS referral </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Dental anomalies </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Periodontal status (inc. calculus) </th> <td style="text-align:left; vertical-align:middle"> Mild to moderate </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Restorative status </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Caries </th> <td style="text-align:left; vertical-align:middle"> 27, 37, 36, 46 </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> NCTSL </th> <td style="text-align:left; vertical-align:middle"> Attrition/erosion (severe) </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Endodontic status (inc. periapical lesions) </th> <td style="text-align:left; vertical-align:middle"> 27 apical lucency.<br/>37, 36 widened PDL spaces + adjacent sclerosis $\rightarrow$ inflammatory lesions </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Other lucencies or opacities </th> <td style="text-align:left; vertical-align:middle"> Nil </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> TMJs </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Mx sinuses </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> <tr> <th style="text-align:left; vertical-align:middle"> Other structures (e.g. airways, C-spine, etc.) </th> <td style="text-align:left; vertical-align:middle"> NAD </td> </tr> </tbody> </table> <div style="text-align:left; vertical-align:middle"> FINDINGS:<br/>There is a well-defined corticated lucency within the right posterior mandible, centred inferior to the 48 crown, in continuity with the follicular space. This lucency is superimposed over the 47 distal root apex where it is difficult to exclude root resorption. There is mild displacement of the right mandibular canal inferiorly.<br/><br/>Horizontally impacted 48 roots are likely intimately related to the right mandibular canal. Increased periradicular density likely reflects hypercementosis.<br/><br/> OTHER FINDINGS:<br/>Impacted 38 roots likely contact the left mandibular canal. Follicular space is within normal limits.<br/>There are a few sites of mild to moderate periodontal bone loss.<br/>27, 37, 36, and 46 coronal lucencies likely reflect caries/lost restoration.<br/>There is substantial attrition/erosion.<br/> 27 apical lucency likely reflects an inflammatory lesion.<br/>37 and 36 widened apical periodontal ligament spaces with adjacent sclerosis also likely reflects inflammatory lesions.<br/>There is mild mucosal thickening within the visualised left maxillary sinus.<br/><br/> COMMENT:<br/>1. Well-defined right posterior mandibular lucency described likely reflects an odontogenic keratocyst. A dentigerous cyst is less likely. Further evaluation with Multi-slice CT +/- MRI is recommended.<br/>2. Other dentoalveolar findings, including caries and inflammatory lesions, are described. </div> ``` A structured table listing dental examination findings. The left column contains categories such as 'Technical errors', 'Appliances/Hardware', 'Counting teeth', 'Impacted/Ectopic teeth', 'Dental anomalies', 'Periodontal status', 'Restorative status', 'Caries', 'NCTSL', 'Endodontic status', 'Other lucencies or opacities', 'TMJs', 'Mx sinuses', and 'Other structures'. The right column provides corresponding clinical observations for each category.  Clinical radiograph (panoramic X-ray) of the maxillofacial region showing both dental arches. The image displays multiple teeth with restorations including amalgam fillings and crowns. Notable findings include a large radiolucent lesion in the posterior mandible on the left side, likely indicating pathology such as a cyst or tumor. There is also evidence of missing teeth and possible bone loss around certain roots. The temporomandibular joints are visible bilaterally. <table> <tr> <td><b>Technical errors</b></td> <td>Nil</td> </tr> <tr> <td><b>Appliances/Hardware</b></td> <td>Nil</td> </tr> <tr> <td><b>Counting teeth</b></td> <td>Absent: 15, 12, 36, 35, 46, 47, all 3rd molars</td> </tr> <tr> <td><b>Impacted/Ectopic teeth</b></td> <td>Nil</td> </tr> <tr> <td><b>Dental anomalies</b></td> <td>Nil</td> </tr> <tr> <td><b>Periodontal status (inc. calculus)</b></td> <td>Moderate</td> </tr> <tr> <td><b>Restorative status</b></td> <td>There is restorative therapy.</td> </tr> <tr> <td><b>Caries</b></td> <td>Decoronated: 22, 37</td> </tr> <tr> <td><b>NCTSL</b></td> <td>Attrition/erosion (moderate to severe)</td> </tr> <tr> <td><b>Endodontic status (inc. periapical lesions)</b></td> <td>26, 27 periapical lucencies $\rightarrow$ inflammatory lesions.<br> 22, 23 apical PDL widening $\rightarrow$ inflammatory lesions?<br> Endodontically treated: 25, 37, 45</td> </tr> <tr> <td><b>Other lucencies or opacities</b></td> <td>Opacities superimposed Md premolar/canine region $\rightarrow$ lingual tori</td> </tr> <tr> <td><b>TMJs</b></td> <td>Location: L condylar head<br> Periphery: well-defined; bony cortex preserved<br> Internal: bony trabecular architecture<br> Surrounding: NAD – hard to tell on OPGs.<br> DDx: osteochondroma; osteophyte from DJD<br> Tx: MSCT. OMFS?</td> </tr> <tr> <td><b>Mx sinuses</b></td> <td>NAD</td> </tr> <tr> <td><b>Other structures (e.g. airways, C-spine, etc.)</b></td> <td>C-spine: degenerative changes</td> </tr> </table> **FINDINGS:** There are a few sites of moderate periodontal bone loss. There is restorative therapy. 22 and 37 are decoronated, likely related to lost restoration. There is attrition/erosion. 26 and 27 periapical lucencies likely reflect inflammatory pathology. 22 and 23 apical periodontal ligament space widening likely reflects fibrous healing although it is difficult to fully exclude early inflammatory lesion. 25, 37, and 45 are also endodontically treated. Opacity superimposed over the 21 apical aspect raises the possibility of an impacted supernumerary tooth. Bilateral mandibular lingual tori noted. Intraoral radiographs or Cone Beam CT could be considered in further evaluation. There is mucosal thickening within the left maxillary sinus, likely reactive in nature. Allowing for the oblique view, left condylar appearances likely reflect a bony prominence. Degenerative changes of the visualised cervical spine are noted. **COMMENT:** The dentoalveolar findings, including inflammatory lesions, are described. Allowing for the oblique view, left condylar appearances likely reflect arthropathy and suggest the presence of a bony prominence. An osteochondroma would be included in the differential diagnosis. Multislice CT could be considered for further evaluation.  <table> <tr> <td><b>Technical errors</b></td> <td>Nil</td> </tr> <tr> <td><b>Appliances/Hardware</b></td> <td>Nil</td> </tr> <tr> <td><b>Counting teeth</b></td> <td>Absent: 15, 12, 36, 35, 46, 47, all 3rd molars</td> </tr> <tr> <td><b>Impacted/Ectopic teeth</b></td> <td>Nil</td> </tr> <tr> <td><b>Dental anomalies</b></td> <td>Nil</td> </tr> <tr> <td><b>Periodontal status (inc. calculus)</b></td> <td>Moderate</td> </tr> <tr> <td><b>Restorative status</b></td> <td>There is restorative therapy.</td> </tr> <tr> <td><b>Caries</b></td> <td>Decoronated: 22, 37</td> </tr> <tr> <td><b>NCTSL</b></td> <td>Attrition/erosion (moderate to severe)</td> </tr> <tr> <td><b>Endodontic status (inc. periapical lesions)</b></td> <td>26, 27 periapical lucencies $\rightarrow$ inflammatory lesions.<br> 22, 23 apical PDL widening $\rightarrow$ inflammatory lesions?<br> Endodontically treated: 25, 37, 45</td> </tr> <tr> <td><b>Other lucencies or opacities</b></td> <td>Opacities superimposed Md premolar/canine region $\rightarrow$ lingual tori</td> </tr> <tr> <td><b>TMJs</b></td> <td>Location: L condylar head<br> Periphery: well-defined; bony cortex preserved<br> Internal: bony trabecular architecture<br> Surrounding: NAD – hard to tell on OPGs.<br> DDx: osteochondroma; osteophyte from DJD<br> Tx: MSCT. OMFS?</td> </tr> <tr> <td><b>Mx sinuses</b></td> <td>NAD</td> </tr> <tr> <td><b>Other structures (e.g. airways, C-spine, etc.)</b></td> <td>C-spine: degenerative changes</td> </tr> </table> **FINDINGS:** There are a few sites of moderate periodontal bone loss. There is restorative therapy. 22 and 37 are decoronated, likely related to lost restoration. There is attrition/erosion. 26 and 27 periapical lucencies likely reflect inflammatory pathology. 22 and 23 apical periodontal ligament space widening likely reflects fibrous healing although it is difficult to fully exclude early inflammatory lesion. 25, 37, and 45 are also endodontically treated. Opacity superimposed over the 21 apical aspect raises the possibility of an impacted supernumerary tooth. Bilateral mandibular lingual tori noted. Intraoral radiographs or Cone Beam CT could be considered in further evaluation. There is mucosal thickening within the left maxillary sinus, likely reactive in nature. Allowing for the oblique view, left condylar appearances likely reflect a bony prominence. Degenerative changes of the visualised cervical spine are noted. **COMMENT:** The dentoalveolar findings, including inflammatory lesions, are described. Allowing for the oblique view, left condylar appearances likely reflect arthropathy and suggest the presence of a bony prominence. An osteochondroma would be included in the differential diagnosis. Multislice CT could be considered for further evaluation. A clinical summary table listing dental and anatomical findings. Key rows include: 'Technical errors' (Nil), 'Counting teeth' (Absent: 15, 12, 36, 35, 46, 47, all 3rd molars), 'Periodontal status' (Moderate), 'Caries' (Decoronated: 22, 37), 'NCTSL' (Attrition/erosion moderate to severe), 'Endodontic status' (Lesions in 26, 27; treated in 25, 37, 45), 'TMJs' (L condylar head with well-defined periphery and bony trabecular architecture), 'Mx sinuses' (NAD), and 'Other structures' (C-spine degenerative changes).  Clinical radiograph (panoramic dental X-ray) showing the maxillary and mandibular arches with teeth, alveolar bone, and jaw structures. Includes orientation markers 'RIGHT' and 'LEFT' at the bottom corners. ```html <table border="1"> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/</th> <td>Nil</td> </tr> <tr> <th>Hardware</th> <td></td> </tr> <tr> <th>Counting teeth</th> <td>NAD</td> </tr> <tr> <th>Impacted/Ectopic</th> <td>18/28: impacted; roots approximate sinus floor. Follicles NAD.</td> </tr> <tr> <th>teeth</th> <td>38/48: vertically; roots contact IAC. Widened distal follicular</td> </tr> <tr> <td></td> <td>spaces + adjacent sclerosis → chronic pericoronitis.</td> </tr> <tr> <th>Dental anomalies</th> <td>Nil</td> </tr> <tr> <th>Periodontal status</th> <td>NAD</td> </tr> <tr> <th>(inc. calculus)</th> <td></td> </tr> <tr> <th>Restorative status</th> <td>There is restorative therapy.</td> </tr> <tr> <th>Caries</th> <td>NAD</td> </tr> <tr> <th>NCTSL</th> <td>Attrition (mild to moderate)</td> </tr> <tr> <th>Endodontic status</th> <td>NAD</td> </tr> <tr> <th>(inc. periapical</th> <td></td> </tr> <tr> <th>lesions)</th> <td></td> </tr> <tr> <th>Other lucencies or</th> <td>Linear lucency from 38 distal follicular space to L Md angle →</td> </tr> <tr> <th>opacities</th> <td>displaced oblique fracture.</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures</th> <td>NAD</td> </tr> <tr> <th>(e.g. airways, C-</th> <td></td> </tr> <tr> <th>spine, etc.)</th> <td></td> </tr> </table> FINDINGS: There is an oblique fracture of the left mandibular angle, involving the 38 distal follicular space, with separation and displacement. The condylar necks are intact. No evidence of maxillary or zygomatic fracture. The antral margins and orbital rims appear intact. OTHER FINDINGS: Impacted 18 and 28 roots approximate the sinus floor. Residual follicular spaces are within normal limits. Vertically impacted 38 and 48 roots likely contact the mandibular canals. Widened distal follicular spaces with adjacent sclerosis likely reflect chronic pericoronitis. Periodontal bone levels are within normal limits. There is restorative therapy. No definite caries seen although cannot be ruled out with this technique. There is attrition. No evidence of periapical inflammatory lesions. Appearance of remaining osseous structures in this view are within normal limits. COMMENT: Displaced compound fracture extending from the 38 distal follicular space to the left mandibular angle. Other dentoalveolar findings are described. ```  ```html <table border="1"> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/</th> <td>Nil</td> </tr> <tr> <th>Hardware</th> <td></td> </tr> <tr> <th>Counting teeth</th> <td>NAD</td> </tr> <tr> <th>Impacted/Ectopic</th> <td>18/28: impacted; roots approximate sinus floor. Follicles NAD.</td> </tr> <tr> <th>teeth</th> <td>38/48: vertically; roots contact IAC. Widened distal follicular</td> </tr> <tr> <td></td> <td>spaces + adjacent sclerosis → chronic pericoronitis.</td> </tr> <tr> <th>Dental anomalies</th> <td>Nil</td> </tr> <tr> <th>Periodontal status</th> <td>NAD</td> </tr> <tr> <th>(inc. calculus)</th> <td></td> </tr> <tr> <th>Restorative status</th> <td>There is restorative therapy.</td> </tr> <tr> <th>Caries</th> <td>NAD</td> </tr> <tr> <th>NCTSL</th> <td>Attrition (mild to moderate)</td> </tr> <tr> <th>Endodontic status</th> <td>NAD</td> </tr> <tr> <th>(inc. periapical</th> <td></td> </tr> <tr> <th>lesions)</th> <td></td> </tr> <tr> <th>Other lucencies or</th> <td>Linear lucency from 38 distal follicular space to L Md angle →</td> </tr> <tr> <th>opacities</th> <td>displaced oblique fracture.</td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>NAD</td> </tr> <tr> <th>Other structures</th> <td>NAD</td> </tr> <tr> <th>(e.g. airways, C-</th> <td></td> </tr> <tr> <th>spine, etc.)</th> <td></td> </tr> </table> FINDINGS: There is an oblique fracture of the left mandibular angle, involving the 38 distal follicular space, with separation and displacement. The condylar necks are intact. No evidence of maxillary or zygomatic fracture. The antral margins and orbital rims appear intact. OTHER FINDINGS: Impacted 18 and 28 roots approximate the sinus floor. Residual follicular spaces are within normal limits. Vertically impacted 38 and 48 roots likely contact the mandibular canals. Widened distal follicular spaces with adjacent sclerosis likely reflect chronic pericoronitis. Periodontal bone levels are within normal limits. There is restorative therapy. No definite caries seen although cannot be ruled out with this technique. There is attrition. No evidence of periapical inflammatory lesions. Appearance of remaining osseous structures in this view are within normal limits. COMMENT: Displaced compound fracture extending from the 38 distal follicular space to the left mandibular angle. Other dentoalveolar findings are described. ``` A structured table with two columns: 'Technical errors', 'Appliances/Hardware', 'Counting teeth', 'Impacted/Ectopic teeth', 'Dental anomalies', 'Periodontal status (inc. calculus)', 'Restorative status', 'Caries', 'NCTSL', 'Endodontic status (inc. periapical lesions)', 'Other lucencies or opacities', 'TMJs', 'Mx sinuses', and 'Other structures (e.g. airways, C-spine, etc.)'. Corresponding values include 'Nil', 'NAD', '18/28: impacted; roots approximate sinus floor...', 'There is restorative therapy.', 'Attrition (mild to moderate)', and 'Linear lucency from 38 distal follicular space to L Md angle → displaced oblique fracture.'.  Clinical radiograph (orthopantomogram) of the maxillofacial region. The image displays the upper and lower dental arches, mandible, maxilla, and temporomandibular joints. Several radiopaque dental restorations are visible on the posterior teeth of both arches. The 'MI' marker is present in the lower right quadrant. ```html <table border="1" cellspacing="0"> <tr> <th> Technical errors </th> <td> Nil </td> </tr> <tr> <th> Appliances/ Hardware </th> <td> Nil </td> </tr> <tr> <th> Counting teeth </th> <td> Absent: 28 </td> </tr> <tr> <th> Impacted/Ectopic teeth </th> <td> 38, 48: mesioangular; roots contact IAC; follicular spaces NAD </td> </tr> <tr> <th> Dental anomalies </th> <td> 18: microdontic. Loss of enamel $\rightarrow$ hypoplasia? </td> </tr> <tr> <th> Periodontal status (inc. calculus) </th> <td> Mild </td> </tr> <tr> <th> Restorative status </th> <td> There is restorative therapy. </td> </tr> <tr> <th> Caries </th> <td> 26D, 23M(?), 47Occ(?) </td> </tr> <tr> <th> NCTSL </th> <td> Attrition </td> </tr> <tr> <th> Endodontic status (inc. periapical lesions) </th> <td> 26 apical PDL widening $\rightarrow$ inflammatory lesion </td> </tr> <tr> <th> Other lucencies or opacities </th> <td> Location: L Mx (22-26 region)<br>Periphery: ill-defined<br>Internal: ground-glass bony architecture<br>Surrounding: elevation of L Mx sinus floor; 22-26 root resorption.<br>DDx: fibrous dysplasia<br>Tx plan: if known; already being monitored by OMFS; if unknown $\rightarrow$ MSCT/OMFS? </td> </tr> <tr> <th> TMJs </th> <td> NAD </td> </tr> <tr> <th> Mx sinuses </th> <td> L Mx sinus opacification? </td> </tr> <tr> <th> Other structures (e.g. airways, C-spine, etc.) </th> <td> NAD </td> </tr> </table> **FINDINGS:** No evidence of 28. Microdontic 18 coronal appearances likely relate to hypoplasia. Mesioangularly impacted 38 and 48 roots likely contact the mandibular canals. Follicular spaces are within normal limits. There are a few sites of mild periodontal bone loss. There is restorative therapy. Lucency adjacent to the 26 restoration likely reflects secondary caries. Lucencies adjacent to several restorations, notably 23 and 47, may be artefactual though it is difficult to fully exclude deficiency/caries from OPGs. There is attrition. 26 apical periodontal ligament space widening likely reflects an inflammatory lesion. There is ill-defined, ground glass bony architecture within the left maxilla, extending from the maxillary midline to the 26 region. Superior elevation of the left antral floor is noted. There is blunting of the 22-26 roots. The periodontal ligament spaces remain preserved. Appearances likely reflect fibrous dysplasia. Condylar appearances likely relate to the oblique view. Opacification of the remaining left maxillary sinus may relate to the projection, although it is difficult to fully exclude sinus pathology from OPGs. ```  ```html <table border="1" cellspacing="0"> <tr> <th> Technical errors </th> <td> Nil </td> </tr> <tr> <th> Appliances/ Hardware </th> <td> Nil </td> </tr> <tr> <th> Counting teeth </th> <td> Absent: 28 </td> </tr> <tr> <th> Impacted/Ectopic teeth </th> <td> 38, 48: mesioangular; roots contact IAC; follicular spaces NAD </td> </tr> <tr> <th> Dental anomalies </th> <td> 18: microdontic. Loss of enamel $\rightarrow$ hypoplasia? </td> </tr> <tr> <th> Periodontal status (inc. calculus) </th> <td> Mild </td> </tr> <tr> <th> Restorative status </th> <td> There is restorative therapy. </td> </tr> <tr> <th> Caries </th> <td> 26D, 23M(?), 47Occ(?) </td> </tr> <tr> <th> NCTSL </th> <td> Attrition </td> </tr> <tr> <th> Endodontic status (inc. periapical lesions) </th> <td> 26 apical PDL widening $\rightarrow$ inflammatory lesion </td> </tr> <tr> <th> Other lucencies or opacities </th> <td> Location: L Mx (22-26 region)<br>Periphery: ill-defined<br>Internal: ground-glass bony architecture<br>Surrounding: elevation of L Mx sinus floor; 22-26 root resorption.<br>DDx: fibrous dysplasia<br>Tx plan: if known; already being monitored by OMFS; if unknown $\rightarrow$ MSCT/OMFS? </td> </tr> <tr> <th> TMJs </th> <td> NAD </td> </tr> <tr> <th> Mx sinuses </th> <td> L Mx sinus opacification? </td> </tr> <tr> <th> Other structures (e.g. airways, C-spine, etc.) </th> <td> NAD </td> </tr> </table> No evidence of 28. Microdontic 18 coronal appearances likely relate to hypoplasia. Mesioangularly impacted 38 and 48 roots likely contact the mandibular canals. Follicular spaces are within normal limits. There are a few sites of mild periodontal bone loss. There is restorative therapy. Lucency adjacent to the 26 restoration likely reflects secondary caries. Lucencies adjacent to several restorations, notably 23 and 47, may be artefactual though it is difficult to fully exclude deficiency/caries from OPGs. There is attrition. 26 apical periodontal ligament space widening likely reflects an inflammatory lesion. There is ill-defined, ground glass bony architecture within the left maxilla, extending from the maxillary midline to the 26 region. Superior elevation of the left antral floor is noted. There is blunting of the 22-26 roots. The periodontal ligament spaces remain preserved. Appearances likely reflect fibrous dysplasia. Condylar appearances likely relate to the oblique view. Opacification of the remaining left maxillary sinus may relate to the projection, although it is difficult to fully exclude sinus pathology from OPGs. ``` A structured table summarizing a dental radiographic report. The table contains two columns: the left column lists categories such as 'Technical errors', 'Appliances/Hardware', 'Counting teeth', 'Impacted/Ectopic teeth', 'Dental anomalies', 'Periodontal status', 'Restorative status', 'Caries', 'NCTSL', 'Endodontic status', 'Other lucencies or opacities', 'TMJs', 'Mx sinuses', and 'Other structures'. The right column provides specific findings for each category, including details like 'Absent: 28', '38, 48: mesioangular; roots contact IAC', '18: microdontic', 'Mild' periodontal status, caries locations (e.g., '26D, 23M(?), 47Occ(?)'), endodontic issues ('26 apical PDL widening'), and detailed descriptions of other lucencies/opacities (location, periphery, internal features, surrounding structures, differential diagnosis, treatment plan). Some cells contain mathematical symbols (→) indicating implications or relationships.  Clinical radiograph (orthopantomogram) showing a panoramic view of the maxillofacial region. The image displays both the upper and lower dental arches with multiple teeth exhibiting restorations including crowns and fillings. Several posterior teeth appear missing or extracted, particularly in the mandibular left quadrant. Bone structure is visible around the roots of remaining teeth, and anatomical landmarks such as the mandible, maxilla, and temporomandibular joints are discernible. <html><body> <table border="1"> <tr> <td><strong>Technical errors</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Appliances/Hardware</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Counting teeth</strong></td> <td>Absent: 16-14, 27, 37-34, 47, and all third molars.</td> </tr> <tr> <td><strong>Impacted/Ectopic teeth</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Dental anomalies</strong></td> <td>NAD</td> </tr> <tr> <td><strong>Periodontal status (inc. calculus)</strong></td> <td>Moderate to severe.<br/>Bony furcation defects: 17, 26, 46,<br/>17 perioendo?</td> </tr> <tr> <td><strong>Restorative status</strong></td> <td>There is restorative therapy.</td> </tr> <tr> <td><strong>Caries</strong></td> <td>33D</td> </tr> <tr> <td><strong>NCTSL</strong></td> <td>Attrition/erosion (moderate)</td> </tr> <tr> <td><strong>Endodontic status (inc. periapical lesions)</strong></td> <td>17 perioendo? (previously mentioned)<br/>Endodontically treated: 26</td> </tr> <tr> <td><strong>Other lucencies or opacities</strong></td> <td>NAD</td> </tr> <tr> <td><strong>TMJs</strong></td> <td>NAD</td> </tr> <tr> <td><strong>Mx sinuses</strong></td> <td>L Mx sinus mucosal thickening</td> </tr> <tr> <td><strong>Other structures (e.g. airways, C-spine, etc.)</strong></td> <td><strong>Location:</strong>L neck<br/><strong>Periphery:</strong>well-defined, irregular<br/><strong>Internal:</strong>totally radiopaque<br/><strong>Surrounding:</strong>N/A<br/><strong>DDx:</strong>STC – carotid atheromatous plaque calcification<br/><strong>Tx:</strong>if pt unaware, may need GP review +/- Doppler US</td> </tr> </table> **FINDINGS:** There is ill-defined bone loss in the 37 region, extending inferiorly and involving the left mandibular canal. Extensive adjacent sclerosis in the mandibular body, with loss of definition of the inferior cortical-medullary border. Appearances likely reflect infected osteonecrosis. **OTHER FINDINGS:** 16-14, 27, 37-34, 47, and all third molars are absent. There are a few sites of moderate to severe periodontal bone loss, with likely 17, 26 and 46 bony furcation defects. Bone loss extends to the 17 mesiobuccal root apex, in continuity with the widened apical periodontal ligament space, where early development of a perioendo lesion can be fully excluded. There is restorative therapy. 33 disto-cervical lucency likely reflects caries. There is attrition/erosion. 26 is endodontically treated. Condylar appearances likely relate to the oblique view. Arthropathy is less likely. There is likely mucosal thickening within the left maxillary sinus. Curvilinear opacity within the left neck likely reflects carotid atheromatous plaque calcification. If clinically indicated, Doppler ultrasound could be considered for further evaluation.  <html><body> <table border="1"> <tr> <td><strong>Technical errors</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Appliances/Hardware</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Counting teeth</strong></td> <td>Absent: 16-14, 27, 37-34, 47, and all third molars.</td> </tr> <tr> <td><strong>Impacted/Ectopic teeth</strong></td> <td>Nil</td> </tr> <tr> <td><strong>Dental anomalies</strong></td> <td>NAD</td> </tr> <tr> <td><strong>Periodontal status (inc. calculus)</strong></td> <td>Moderate to severe.<br/>Bony furcation defects: 17, 26, 46,<br/>17 perioendo?</td> </tr> <tr> <td><strong>Restorative status</strong></td> <td>There is restorative therapy.</td> </tr> <tr> <td><strong>Caries</strong></td> <td>33D</td> </tr> <tr> <td><strong>NCTSL</strong></td> <td>Attrition/erosion (moderate)</td> </tr> <tr> <td><strong>Endodontic status (inc. periapical lesions)</strong></td> <td>17 perioendo? (previously mentioned)<br/>Endodontically treated: 26</td> </tr> <tr> <td><strong>Other lucencies or opacities</strong></td> <td>NAD</td> </tr> <tr> <td><strong>TMJs</strong></td> <td>NAD</td> </tr> <tr> <td><strong>Mx sinuses</strong></td> <td>L Mx sinus mucosal thickening</td> </tr> <tr> <td><strong>Other structures (e.g. airways, C-spine, etc.)</strong></td> <td><strong>Location:</strong>L neck<br/><strong>Periphery:</strong>well-defined, irregular<br/><strong>Internal:</strong>totally radiopaque<br/><strong>Surrounding:</strong>N/A<br/><strong>DDx:</strong>STC – carotid atheromatous plaque calcification<br/><strong>Tx:</strong>if pt unaware, may need GP review +/- Doppler US</td> </tr> </table> **FINDINGS:** There is ill-defined bone loss in the 37 region, extending inferiorly and involving the left mandibular canal. Extensive adjacent sclerosis in the mandibular body, with loss of definition of the inferior cortical-medullary border. Appearances likely reflect infected osteonecrosis. **OTHER FINDINGS:** 16-14, 27, 37-34, 47, and all third molars are absent. There are a few sites of moderate to severe periodontal bone loss, with likely 17, 26 and 46 bony furcation defects. Bone loss extends to the 17 mesiobuccal root apex, in continuity with the widened apical periodontal ligament space, where early development of a perioendo lesion can be fully excluded. There is restorative therapy. 33 disto-cervical lucency likely reflects caries. There is attrition/erosion. 26 is endodontically treated. Condylar appearances likely relate to the oblique view. Arthropathy is less likely. There is likely mucosal thickening within the left maxillary sinus. Curvilinear opacity within the left neck likely reflects carotid atheromatous plaque calcification. If clinically indicated, Doppler ultrasound could be considered for further evaluation. A structured table summarizing clinical findings. It lists categories in the left column (e.g., 'Technical errors', 'Counting teeth', 'Periodontal status') and corresponding details in the right column (e.g., 'Nil', 'Absent: 16-14...', 'Moderate to severe...'). The final row, 'Other structures', contains a detailed breakdown of a carotid calcification finding including location, periphery, internal characteristics, differential diagnosis, and treatment suggestions.  Clinical panoramic radiograph (OPG) of the maxillofacial region. The image displays the upper and lower dental arches with multiple restorations including amalgam fillings and crowns. There are missing teeth in both arches. A unerupted tooth is visible in the right mandibular molar region. ## **FINDINGS:** There is a perio-endo defect associated with 37. Appearances likely reflect incomplete endodontic therapy. Shortened distal root appearances likely relate to previous resorption. There is moderate to severe periodontal bone loss elsewhere with likely 17 and 27 distal bony furcation defects. Dental calculus deposits noted. There is restorative therapy. No definite caries seen although it is difficult to exclude with this technique. There is attrition. Hypodense appearances at the 16 apical aspect likely reflect inflammatory lesions. Premaxillary midline appearances likely reflect the incisive canal/foramen. Appearances of the condyles likely relate to the oblique view, although arthropathy cannot be fully excluded from OPGs. There is mild mucosal thickening at the floor of the maxillary sinuses. Opacity projected over the inferior aspect of the left posterior body of mandible, with an estimated maximal dimension of approximately 22mm, likely reflects a sialolith. **COMMENT:** 1. 37 perio-endo lesion and the other dentoalveolar findings are described. 2. Premaxillary midline appearances likely relate to magnification of the incisive canal/foramen related to the limitations of tomography. If there is clinical concern or suspicion for a nasopalatine duct cyst, multislice CT could be considered in further evaluation. 3. Opacity projected over the posterior aspect of the left mandible described likely reflects a sialolith within the proximal duct of the left submandibular salivary gland. Clinical correlation is suggested. If indicated, Ultrasound or Multislice CT could be considered for further evaluation. | | | | :--- | :--- | | Technical errors | Slightly chin up | | Appliances/Hardware | Nil | | Counting teeth | Absent: 24, 25, 36, 47, all 3rd molars | | Impacted/Ectopic teeth | Nil | | Dental anomalies | Nil | | Periodontal status (inc. calculus) | Moderate to severe.<br>37 perioendo with distal root resorption.<br>17, 27 bony furcation defects.<br>Dental calculus noted. | | Restorative status | There is restorative therapy. | | Caries | NAD | | NCTSL | Attrition (moderate) | | Endodontic status (inc. periapical lesions) | 16 apical hypodense appearance inflammatory lesion? | | Other lucencies or opacities | Location: Mx midline<br>Periphery: well-defined, corticated<br>Internal: lucent<br>Surrounding: NAD<br>DDx: large incisive canal; cyst (nasopalatine duct cyst)<br>Tx: radiographic review; CT | | TMJs | NAD | | Mx sinuses | Mild mucosal thickening | | Other structures (e.g. airways, C-spine, etc.) | Location: centred inferior to L posterior Md<br>Periphery: well-defined<br>Internal: opaque, laminated<br>Surrounding: NAD<br>DDx: STC (sialolith)<br>Tx: OMFS |  There is a perio-endo defect associated with 37. Appearances likely reflect incomplete endodontic therapy. Shortened distal root appearances likely relate to previous resorption. There is moderate to severe periodontal bone loss elsewhere with likely 17 and 27 distal bony furcation defects. Dental calculus deposits noted. There is restorative therapy. No definite caries seen although it is difficult to exclude with this technique. There is attrition. Hypodense appearances at the 16 apical aspect likely reflect inflammatory lesions. Premaxillary midline appearances likely reflect the incisive canal/foramen. Appearances of the condyles likely relate to the oblique view, although arthropathy cannot be fully excluded from OPGs. There is mild mucosal thickening at the floor of the maxillary sinuses. Opacity projected over the inferior aspect of the left posterior body of mandible, with an estimated maximal dimension of approximately 22mm, likely reflects a sialolith. **COMMENT:** 1. 37 perio-endo lesion and the other dentoalveolar findings are described. 2. Premaxillary midline appearances likely relate to magnification of the incisive canal/foramen related to the limitations of tomography. If there is clinical concern or suspicion for a nasopalatine duct cyst, multislice CT could be considered in further evaluation. 3. Opacity projected over the posterior aspect of the left mandible described likely reflects a sialolith within the proximal duct of the left submandibular salivary gland. Clinical correlation is suggested. If indicated, Ultrasound or Multislice CT could be considered for further evaluation. | | | | :--- | :--- | | Technical errors | Slightly chin up | | Appliances/Hardware | Nil | | Counting teeth | Absent: 24, 25, 36, 47, all 3rd molars | | Impacted/Ectopic teeth | Nil | | Dental anomalies | Nil | | Periodontal status (inc. calculus) | Moderate to severe.<br>37 perioendo with distal root resorption.<br>17, 27 bony furcation defects.<br>Dental calculus noted. | | Restorative status | There is restorative therapy. | | Caries | NAD | | NCTSL | Attrition (moderate) | | Endodontic status (inc. periapical lesions) | 16 apical hypodense appearance inflammatory lesion? | | Other lucencies or opacities | Location: Mx midline<br>Periphery: well-defined, corticated<br>Internal: lucent<br>Surrounding: NAD<br>DDx: large incisive canal; cyst (nasopalatine duct cyst)<br>Tx: radiographic review; CT | | TMJs | NAD | | Mx sinuses | Mild mucosal thickening | | Other structures (e.g. airways, C-spine, etc.) | Location: centred inferior to L posterior Md<br>Periphery: well-defined<br>Internal: opaque, laminated<br>Surrounding: NAD<br>DDx: STC (sialolith)<br>Tx: OMFS | Table: A structured summary of dental radiographic findings. The table lists categories such as Technical errors, Appliances/Hardware, Counting teeth, Periodontal status, Restorative status, Caries, NCTSL, Endodontic status, Other lucencies or opacities, TMJs, Mx sinuses, and Other structures. It details specific clinical observations for each category, including 'Absent: 24, 25, 36, 47', 'Moderate to severe' periodontal status with furcation defects, and descriptions of a potential sialolith.  Panoramic dental radiograph (orthopantomogram) of the maxilla and mandible. The image displays the full dentition with several restorative treatments visible, including multiple radiopaque crowns on posterior teeth in both arches and what appears to be a root canal treatment or post-and-core restoration in the lower left quadrant. Anatomical landmarks such as the mandibular condyles, rami, and cervical spine are faintly visible in the background. | Technical errors | Nil | | --- | --- | | Appliances/Hardware | Nil | | Counting teeth | Absent: 28, 48 | | Impacted/Ectopic teeth | Nil | | Dental anomalies | Nil | | Periodontal status (inc. calculus) | Mild to moderate.<br>46 bony furcation defect? | | Restorative status | There is restorative therapy. | | Caries | Lost restoration: 17<br>Lucent restorative material/caries: 11, 21 | | NCTSL | NAD | | Endodontic status (inc. periapical lesions) | 36D root, 46 M root PDL widening $\rightarrow$ inflammatory?<br>No visible RCF in 46 mesial root. | | Other lucencies or opacities | Absence of 25-27 alveolar bone; Mx tuberosity; Mx sinus floor; posterolateral wall of Mx sinus; zygomatic process of Mx. Adjacent soft tissue density. 25-27 “pencil sharpened’ root resorption $\rightarrow$ **AGGRESSIVE FEATURE!**<br>37 opacity apical aspect $\rightarrow$ bone island | | TMJs | NAD | | Mx sinuses | R Mx sinus dome shaped opacity $\rightarrow$ mucous retention cyst | | Other structures (e.g., airways, C-spine, etc.) | C-spine: degenerative changes. | **FINDINGS:** 28 and 48 are absent. There a few sites of mild to moderate periodontal bone loss, although 46 appearances likely reflect bony furcation defects. There is restorative therapy. 17 coronal lucency likely reflects loss restoration. 11/21 mesial lucencies likely reflect lucent restorative material/caries. 36 distal root and 46 mesial root widened apical periodontal ligament spaces raise the possibility of inflammatory lesions. Endodontic material within the 46 mesial root is not visualised. Opacity at the apical aspect of 37 likely reflects a bone island. There is absence of the alveolar bone and left maxillary sinus floor in the 25-27 region, as well as absence of the maxillary tuberosity, posterior lateral wall of the maxillary sinus, and process of maxilla. There is potential sharpening root resorption associated with 25-27. Soft tissue density within the left maxillary sinus is noted. Large dome shaped soft tissue density within the right maxillary sinus likely reflects a mucus retention cyst. Condylar appearances likely relate to the oblique view. Arthropathy is less likely. Degenerative changes of the visualised cervical spine are noted. **COMMENT:** There is absence of the left alveolar bone and maxillary sinus floor in the 25-27 region, as well as absence of the tuberosity, posterolateral wall of the maxillary sinus and zygomatic process of maxilla, with adjacent soft tissue density. “Pencil-sharpened” root resorption pattern noted. These features are highly suspicious for an aggressive lesion. Prompt surgical opinion and MSCT is recommended.  | Technical errors | Nil | | --- | --- | | Appliances/Hardware | Nil | | Counting teeth | Absent: 28, 48 | | Impacted/Ectopic teeth | Nil | | Dental anomalies | Nil | | Periodontal status (inc. calculus) | Mild to moderate.<br>46 bony furcation defect? | | Restorative status | There is restorative therapy. | | Caries | Lost restoration: 17<br>Lucent restorative material/caries: 11, 21 | | NCTSL | NAD | | Endodontic status (inc. periapical lesions) | 36D root, 46 M root PDL widening $\rightarrow$ inflammatory?<br>No visible RCF in 46 mesial root. | | Other lucencies or opacities | Absence of 25-27 alveolar bone; Mx tuberosity; Mx sinus floor; posterolateral wall of Mx sinus; zygomatic process of Mx. Adjacent soft tissue density. 25-27 “pencil sharpened’ root resorption $\rightarrow$ **AGGRESSIVE FEATURE!**<br>37 opacity apical aspect $\rightarrow$ bone island | | TMJs | NAD | | Mx sinuses | R Mx sinus dome shaped opacity $\rightarrow$ mucous retention cyst | | Other structures (e.g., airways, C-spine, etc.) | C-spine: degenerative changes. | 28 and 48 are absent. There a few sites of mild to moderate periodontal bone loss, although 46 appearances likely reflect bony furcation defects. There is restorative therapy. 17 coronal lucency likely reflects loss restoration. 11/21 mesial lucencies likely reflect lucent restorative material/caries. 36 distal root and 46 mesial root widened apical periodontal ligament spaces raise the possibility of inflammatory lesions. Endodontic material within the 46 mesial root is not visualised. Opacity at the apical aspect of 37 likely reflects a bone island. There is absence of the alveolar bone and left maxillary sinus floor in the 25-27 region, as well as absence of the maxillary tuberosity, posterior lateral wall of the maxillary sinus, and process of maxilla. There is potential sharpening root resorption associated with 25-27. Soft tissue density within the left maxillary sinus is noted. Large dome shaped soft tissue density within the right maxillary sinus likely reflects a mucus retention cyst. Condylar appearances likely relate to the oblique view. Arthropathy is less likely. Degenerative changes of the visualised cervical spine are noted. **COMMENT:** There is absence of the left alveolar bone and maxillary sinus floor in the 25-27 region, as well as absence of the tuberosity, posterolateral wall of the maxillary sinus and zygomatic process of maxilla, with adjacent soft tissue density. “Pencil-sharpened” root resorption pattern noted. These features are highly suspicious for an aggressive lesion. Prompt surgical opinion and MSCT is recommended. A summary table listing dental findings categorized by type. The columns are 'Category' and 'Finding'. Key entries include: 'Counting teeth' with 'Absent: 28, 48'; 'Periodontal status' noting 'Mild to moderate' and a potential '46 bony furcation defect?'; 'Caries' showing 'Lost restoration: 17'; 'Endodontic status' mentioning 'PDL widening -> inflammatory?' for root 46; 'Other lucencies or opacities' highlighting an 'AGGRESSIVE FEATURE!' related to 'pencil sharpened' root resorption in region 25-27; and 'Mx sinuses' indicating a 'mucous retention cyst'.  Clinical radiograph (panoramic dental X-ray) showing the maxilla and mandible. Visible anatomical structures include teeth with fillings in the anterior mandibular region, mandibular ramus, temporomandibular joints, and maxillary sinuses. An 'L' marker is present in the lower right corner indicating the left side of the patient. <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Dental Report</title> <style> body { font-family: sans-serif; margin: 0; padding: 0; background-color: #f4f1f1; /* Light background to make table pop against black */ color: #000; } table { width: 100%; border-collapse: collapse; margin: 20px; max-width: 800px; font-size: 14px; box-shadow: 0 0 10px rgba(0,0,0,0.1); /* Slight shadow for visibility */ } th, td { padding: 10px; border: 1px solid #ddd; text-align: left; vertical-align: top; } /* Mimicking the striping effect */ tr:nth-child(odd) td { background-color: #e8d6d6; /* Lighter dusty pink */ } tr:nth-child(even) td { background-color: #f4e0e0; /* Lighter beige/pink */ } th { background-color: #d3b5b5; /* Darker dusty pink */ color: black; font-weight: bold; } h2 { color: white; margin-top: 20px; } p { color: white; line-height: 1.6; max-width: 800px; margin: 10px auto; } </style> </head> <body> <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/<br>Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Present: 33-42</td> </tr> <tr> <th>Impacted/Ectopic<br>teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>NAD</td> </tr> <tr> <th>Periodontal status<br>(inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>Decoronated: 33-42</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status<br>(inc. periapical<br>lesions)</th> <td>33-42 apical PDL widening $\rightarrow$ inflammatory lesions</td> </tr> <tr> <th>Other lucencies or<br>opacities</th> <td><i>Location</i>: throughout Md<br> <i>Periphery</i>: well-defined, non-corticated<br> <i>Internal</i>: lucent<br> <i>Surrounding</i>: thinning of inferior cortex of Md<br> <b>DDx</b>: aggressive (multiple myeloma)<br> <b>Tx</b>: may already be under tx – check med hx. Otherwise, needs prompt medical review. </td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>R Mx sinus mucosal thickening</td> </tr> <tr> <th>Other structures<br>(e.g. airways, C-<br>spine, etc.)</th> <td>NAD</td> </tr> </table> <h2>FINDINGS:</h2> <p>There are multifocal well-defined non-corticated lucencies within the mandible. There is thinning of the inferior cortex of mandible where these lesions contact this cortical border. These lesions demonstrate aggressive features and multiple myeloma is suspected. Correlation with the medical history and if indicated, medical review is suggested.</p> <h2>OTHER FINDINGS:</h2> <p>Decoronated 33-42 are present. Apical periodontal ligament space widening likely reflects inflammatory lesions.</p> <p>Allowing for the oblique view, condylar appearances are within normal limits.</p> <p>There is likely mucosal thickening within the right maxillary sinus.</p> </body> </html>  <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Dental Report</title> <style> body { font-family: sans-serif; margin: 0; padding: 0; background-color: #f4f1f1; /* Light background to make table pop against black */ color: #000; } table { width: 100%; border-collapse: collapse; margin: 20px; max-width: 800px; font-size: 14px; box-shadow: 0 0 10px rgba(0,0,0,0.1); /* Slight shadow for visibility */ } th, td { padding: 10px; border: 1px solid #ddd; text-align: left; vertical-align: top; } /* Mimicking the striping effect */ tr:nth-child(odd) td { background-color: #e8d6d6; /* Lighter dusty pink */ } tr:nth-child(even) td { background-color: #f4e0e0; /* Lighter beige/pink */ } th { background-color: #d3b5b5; /* Darker dusty pink */ color: black; font-weight: bold; } h2 { color: white; margin-top: 20px; } p { color: white; line-height: 1.6; max-width: 800px; margin: 10px auto; } </style> </head> <body> <table> <tr> <th>Technical errors</th> <td>Nil</td> </tr> <tr> <th>Appliances/<br>Hardware</th> <td>Nil</td> </tr> <tr> <th>Counting teeth</th> <td>Present: 33-42</td> </tr> <tr> <th>Impacted/Ectopic<br>teeth</th> <td>Nil</td> </tr> <tr> <th>Dental anomalies</th> <td>NAD</td> </tr> <tr> <th>Periodontal status<br>(inc. calculus)</th> <td>NAD</td> </tr> <tr> <th>Restorative status</th> <td>Nil</td> </tr> <tr> <th>Caries</th> <td>Decoronated: 33-42</td> </tr> <tr> <th>NCTSL</th> <td>NAD</td> </tr> <tr> <th>Endodontic status<br>(inc. periapical<br>lesions)</th> <td>33-42 apical PDL widening $\rightarrow$ inflammatory lesions</td> </tr> <tr> <th>Other lucencies or<br>opacities</th> <td><i>Location</i>: throughout Md<br> <i>Periphery</i>: well-defined, non-corticated<br> <i>Internal</i>: lucent<br> <i>Surrounding</i>: thinning of inferior cortex of Md<br> <b>DDx</b>: aggressive (multiple myeloma)<br> <b>Tx</b>: may already be under tx – check med hx. Otherwise, needs prompt medical review. </td> </tr> <tr> <th>TMJs</th> <td>NAD</td> </tr> <tr> <th>Mx sinuses</th> <td>R Mx sinus mucosal thickening</td> </tr> <tr> <th>Other structures<br>(e.g. airways, C-<br>spine, etc.)</th> <td>NAD</td> </tr> </table> <h2>FINDINGS:</h2> <p>There are multifocal well-defined non-corticated lucencies within the mandible. There is thinning of the inferior cortex of mandible where these lesions contact this cortical border. These lesions demonstrate aggressive features and multiple myeloma is suspected. Correlation with the medical history and if indicated, medical review is suggested.</p> <h2>OTHER FINDINGS:</h2> <p>Decoronated 33-42 are present. Apical periodontal ligament space widening likely reflects inflammatory lesions.</p> <p>Allowing for the oblique view, condylar appearances are within normal limits.</p> <p>There is likely mucosal thickening within the right maxillary sinus.</p> </body> </html> A structured table with a striped row background (alternating dusty pink and beige) containing dental examination data. The columns are 'Category' and 'Findings'. Key rows include: 'Counting teeth' (Present: 33-42), 'Caries' (Decoronated: 33-42), 'Endodontic status' (33-42 apical PDL widening -> inflammatory lesions), and 'Other lucencies or opacities' (DDx: aggressive multiple myeloma; Tx: check med hx). Thank you Thank you [^1]: Original PDF page 1: [[L15 OPGT.pdf#page=1|L15 OPGT, p.1]] [^2]: Original PDF page 2: [[L15 OPGT.pdf#page=2|L15 OPGT, p.2]] [^3]: Original PDF page 3: [[L15 OPGT.pdf#page=3|L15 OPGT, p.3]] [^4]: Original PDF page 4: [[L15 OPGT.pdf#page=4|L15 OPGT, p.4]] [^5]: Original PDF page 5: [[L15 OPGT.pdf#page=5|L15 OPGT, p.5]] [^6]: Original PDF page 6: [[L15 OPGT.pdf#page=6|L15 OPGT, p.6]] [^7]: Original PDF page 7: [[L15 OPGT.pdf#page=7|L15 OPGT, p.7]] [^8]: Original PDF page 8: [[L15 OPGT.pdf#page=8|L15 OPGT, p.8]] [^9]: Original PDF page 9: [[L15 OPGT.pdf#page=9|L15 OPGT, p.9]] [^10]: Original PDF page 10: [[L15 OPGT.pdf#page=10|L15 OPGT, p.10]] [^11]: Original PDF page 11: [[L15 OPGT.pdf#page=11|L15 OPGT, p.11]] [^12]: Original PDF page 12: [[L15 OPGT.pdf#page=12|L15 OPGT, p.12]] [^13]: Original PDF page 13: [[L15 OPGT.pdf#page=13|L15 OPGT, p.13]] [^14]: Original PDF page 14: [[L15 OPGT.pdf#page=14|L15 OPGT, p.14]] [^15]: Original PDF page 15: [[L15 OPGT.pdf#page=15|L15 OPGT, p.15]] [^16]: Original PDF page 16: [[L15 OPGT.pdf#page=16|L15 OPGT, p.16]] [^17]: Original PDF page 17: [[L15 OPGT.pdf#page=17|L15 OPGT, p.17]] [^18]: Original PDF page 18: [[L15 OPGT.pdf#page=18|L15 OPGT, p.18]] [^19]: Original PDF page 19: [[L15 OPGT.pdf#page=19|L15 OPGT, p.19]] [^20]: Original PDF page 20: [[L15 OPGT.pdf#page=20|L15 OPGT, p.20]] [^21]: Original PDF page 21: [[L15 OPGT.pdf#page=21|L15 OPGT, p.21]] [^22]: Original PDF page 22: [[L15 OPGT.pdf#page=22|L15 OPGT, p.22]] [^23]: Original PDF page 23: [[L15 OPGT.pdf#page=23|L15 OPGT, p.23]] [^24]: Original PDF page 24: [[L15 OPGT.pdf#page=24|L15 OPGT, p.24]] [^25]: Original PDF page 25: [[L15 OPGT.pdf#page=25|L15 OPGT, p.25]] [^26]: Original PDF page 26: [[L15 OPGT.pdf#page=26|L15 OPGT, p.26]] [^27]: Original PDF page 27: [[L15 OPGT.pdf#page=27|L15 OPGT, p.27]] [^28]: Original PDF page 28: [[L15 OPGT.pdf#page=28|L15 OPGT, p.28]] [^29]: Original PDF page 29: [[L15 OPGT.pdf#page=29|L15 OPGT, p.29]] [^30]: Original PDF page 30: [[L15 OPGT.pdf#page=30|L15 OPGT, p.30]] [^31]: Original PDF page 31: [[L15 OPGT.pdf#page=31|L15 OPGT, p.31]] [^32]: Original PDF page 32: [[L15 OPGT.pdf#page=32|L15 OPGT, p.32]] [^33]: Original PDF page 33: [[L15 OPGT.pdf#page=33|L15 OPGT, p.33]] [^34]: Original PDF page 34: [[L15 OPGT.pdf#page=34|L15 OPGT, p.34]] [^35]: Original PDF page 35: [[L15 OPGT.pdf#page=35|L15 OPGT, p.35]] [^36]: Original PDF page 36: [[L15 OPGT.pdf#page=36|L15 OPGT, p.36]] [^37]: Original PDF page 37: [[L15 OPGT.pdf#page=37|L15 OPGT, p.37]] [^38]: Original PDF page 38: [[L15 OPGT.pdf#page=38|L15 OPGT, p.38]] [^39]: Original PDF page 39: [[L15 OPGT.pdf#page=39|L15 OPGT, p.39]] [^40]: Original PDF page 40: [[L15 OPGT.pdf#page=40|L15 OPGT, p.40]] [^41]: Original PDF page 41: [[L15 OPGT.pdf#page=41|L15 OPGT, p.41]] [^42]: Original PDF page 42: [[L15 OPGT.pdf#page=42|L15 OPGT, p.42]] [^43]: Original PDF page 43: [[L15 OPGT.pdf#page=43|L15 OPGT, p.43]] [^44]: Original PDF page 44: [[L15 OPGT.pdf#page=44|L15 OPGT, p.44]]