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    BF Periapical Lucency NEL ARI VEN

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    dini
    Mr. A, aged 41, presented with dental issues including panoramic radiograph showing radiographic evidence of dental caries, pulpitis, and periapical lucency around teeth 45 and 47, suggestive of periapical granuloma. Mrs. K, aged 34, also presented with dental problems including panoramic radiograph demonstrating dental caries, gingivitis, and a dental periapical cyst around tooth 35. The document discusses two dental cases presenting with various dental issues like dental caries, pulpitis, gingivitis, and periapical lesions seen on panoramic radiographs, with conclusions made on the possible diagnoses based on the radiographic findings.

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    BF Periapical Lucency NEL ARI VEN

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    dini
    21 views22 pages
    Mr. A, aged 41, presented with dental issues including panoramic radiograph showing radiographic evidence of dental caries, pulpitis, and periapical lucency around teeth 45 and 47, suggestive of periapical granuloma. Mrs. K, aged 34, also presented with dental problems including panoramic radiograph demonstrating dental caries, gingivitis, and a dental periapical cyst around tooth 35. The document discusses two dental cases presenting with various dental issues like dental caries, pulpitis, gingivitis, and periapical lesions seen on panoramic radiographs, with conclusions made on the possible diagnoses based on the radiographic findings.

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    BF periapical lucency NEL ARI VEN

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    Mr. A, aged 41, presented with dental issues including panoramic radiograph showing radiographic evidence of dental caries, pulpitis, and periapical lucency around teeth 45 and 47, suggestive of periapical granuloma. Mrs. K, aged 34, also presented with dental problems including panoramic radiograph demonstrating dental caries, gingivitis, and a dental periapical cyst around tooth 35. The document discusses two dental cases presenting with various dental issues like dental caries, pulpitis, gingivitis, and periapical lesions seen on panoramic radiographs, with conclusions made on the possible diagnoses based on the radiographic findings.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views22 pages

    BF Periapical Lucency NEL ARI VEN

    Uploaded by

    dini
    Mr. A, aged 41, presented with dental issues including panoramic radiograph showing radiographic evidence of dental caries, pulpitis, and periapical lucency around teeth 45 and 47, suggestive of periapical granuloma. Mrs. K, aged 34, also presented with dental problems including panoramic radiograph demonstrating dental caries, gingivitis, and a dental periapical cyst around tooth 35. The document discusses two dental cases presenting with various dental issues like dental caries, pulpitis, gingivitis, and periapical lesions seen on panoramic radiographs, with conclusions made on the possible diagnoses based on the radiographic findings.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 22

    PHOTO READING STATION

    30th November 2021

    SPV ADVISOR:
    dr. Irma Darinafitri, Sp.Rad(K)
    dr. Farah Nurdiana, Sp.Rad(K)

    dr. NEL – dr. ARI - dr. VEN

    1
    CASE 1

    Mr. A/ 41 DENTAL -
    years old Panoramic

    Radix
    11520232 gangrene +
    pulpitis
    CONCLUSION
    • Periapical lucency 45,47 suspected ec periapical granuloma
    • Dental caries 46
    CASE 2

    Mrs. K/ 34 DENTAL -
    years old Panoramic

    dental
    11521581 gangrene +
    gingivitis
    CONCLUSION
    • Dental periapical cyst 35
    THANK YOU
    Theory
    ANATOMY
    Pathology
    Periapical disease is an inflammation of the root originating from a necrotic pulp

    Periodontitis
    apikalis

    Periapical
    granuloma
    Various
    Periapical
    Diseases
    Radicular cyst

    Apical abscess
    Apical periodontitis
    • Apical periodontitis: An inflammation of the periapical tissue, namely the periodontal ligament
    (PDL) and the alveolar bone, causing a lesion in the apical region of the tooth.
     Radiolucency
    of the pulp
    (perforated
    caries),
    widening of
    the PDL
    A. Acute apical periodontitis
    B. Periapical abscess
    Abses Periapikal

    • Ill-defined borders typically


    suggest an acute process
    (abscess), particularly
    when accompanied by pain
    • The presence of
    inflammatory changes in
    the bone marrow and
    adjacent soft tissues
    strongly suggests periapical
    abscess,particularly when
    associated with pain, fever,
    and swelling
    Periapikal Granuloma
     A small round or oval
    lucency surrounding the
    apex of the tooth with a
    clear and indistinct border
    Radicular Cyst
    Is an epithelial sac filled with fluid. Occurs at the site of the periapical granuloma.

    periapical cyst is typically larger A periapical lucency larger than 200 mm3 on
    radiographs is characterized as a cyst. Periapical cysts appear as round or
    pear-shaped and well-defined radiolucent lesions with sclerotic borders
    around the tooth root,
    The various radiographic appearances of infection and inflammation in the apical tissues.
    (A) Normal.
    (B) Early apical change – widening of the radiolucent periodontal ligament space (acute apical periodontitis ) (arrowed).
    (C) Early apical change – loss of the radiopaque lamina dura (early periapical abscess ) (arrowed).
    (D) Extensive destructive acute inflammation – diffuse, ill-defined area of radiolucency at the apex (periapical abscess ).
    (E) Longstanding chronic inflammation – well-defined area of radiolucency surrounded by dense sclerotic bone (periapical granuloma or radicular cyst ).
    (F) Low-grade chronic inflammation – diffuse radiopaque area at the apex (sclerosing osteitis ).
    Periapicals showing examples of inflammatory changes in the periapical tissues.
    (A) Early apical change on showing widening of the periodontal ligament space and thinning of the lamina dura (acute apical periodontitis ) (arrowed).
    (B) Same patient 6 months later – the area of bone destruction at the apex has increased considerably (open arrows) and there is now early apical change associated with the mesial root
    (solid arrows).
    (C) Large, diffuse area of bone destruction associated with and a smaller area associated with (black arrows) (periapical abscess ). shows evidence of a dens-in-dente (invaginated odontome)
    (open white arrow).
    (D) Reasonably well-defined area of bone destruction (arrowed) associated with (periapical abscess, granuloma or cyst ).
    (E) Large area of bone destruction associated with (periapical abscess ). Note: with deciduous molars, bone destruction is typically intra-radicular (arrowed) rather than around the apices
    CASE 1
    CASE 2

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