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INTRODUCTION
RADIOGRAPHIC   FEATURES OF:
      TEETH
      SUPPORTING STRUCTURES
      MAXILLA
      MANDIBLE
      CONCLUSION
      REFERENCES
 Teeth are composed primarily of dentin,with an
 enamel cap over the coronal portion and a thin
 layer of cementum over the root surface.
  Radiographic appearance of
 enamel
 ENAMEL appears more radio-opaque than
  other tissues.
 It is 90% mineral causes greatest attenuation
  of X-ray photons.
RADIOGRAPHIC APPEARANCE
         OF DENTIN
 75% mineral content less radiopaque than enamel.
  Radiopacity similar to bone.
 ENANELODENTINAL JUNCTION appears as a
  distinct interface separating these two structures.
       Radiographic appearance of CEMENTUM
 50%mineral content and it appears as a very thin
  layer on the root surface.
 It is usually not so apparent radiographically.
           CERVICAL BURNUOUT
Radiographs sometimes show diffuse radiolucent areas
 with ill defined borders present on the mesial or distal
 aspects of the teeth in the cervical region.
These appear between the edge of the enamel cap and
 the crest of the alveolar ridge.
        This phenomenon is known as
              “ CERVICAL BURNOUT”
Normal configuration of the affected teeth
 results in decreased X-ray absorption in the areas
 in question.
Perception of these areas is due to contrast with
 the adjacent ,relatively radiopaque enamel and
 alveolar –bone.
It should not be confused with root caries which
 has similar appearance.
It is composed of soft tissues so it appears
 radioluscent.
Pulp chambers and root canals extend from the
 interiors of the chamber till the root apices.
Root canal extends till the apex it is seen
 radiographically also as apical foramen.
In some cases it may exit on the side of the canal.
Lateral canals may end at the apex as a discernible
 foramen or may exit at the side of the root.
The pulp canals of a developing tooth root diverge and
 walls of the root taper to a knife edge.
A radiolucent area is seen surrounding it in the
 trabecular bone.It is surrounded by the hyperostotic
 bone.
        IT IS THE DENTAL PAPILLA WITH ITS BONY CRYPT.
Its radiographic evaluation helps in determining the
 stage of maturation of the developing tooth.
RADIOGRAPHIC FEATURES OF LAMINA DURA
It is a thin radiopaque layer of dense bone
  surrounding the tooth socket.
 Its radiographic appearance is due to attenuation of
  the X-ray beam as it passes tangentially through
  the thickness of the bone.
 It is thicker than the surrounding trabecular bone
  and thickness increases with increase in amount of
  occlusal stress.
RADIOGRAPHIC FEATURES OF
         ALVEOLAR CREST
 It is the radiopaque gingival margin of the alveolar
  process which surrounds the teeth.
 It is considered normal if it is 1.5mm or less from the
  CEJ.
 It shows apical recession with the age or periodontal
  disease.
RADIOGRAPHIC FEATURES OF THE PERIODONTAL
  LIGAMENT SPACE
It is composed of collagen so appears as a
  radiolucent space between the root and lamina
  dura.
It is thinner in the middle of the root and slightly
  wider near the alveolar crest and the apex
  suggesting that the fulcrum of the physiologic
  movements is in the region where PDL is thinnest.
RADIOGRAPHIC FEATURES OF THE CANCELLOUS
 BONE
Also called as the trabecular bone or the spongiosa.
Lies between the cortical plates in both the jaws.
It is composed of thin radiopaque plates and rods
 surrounding many small radioluscent pockets of
 marrow.




In posterior maxilla it is similar to anteruor maxilla
 but marrow spaces are larger.
Also called as median suture.
In IOPA it appears as a thin radioluscent
 line in the midline between the two
 portions of premaxilla.
It extends from the alveolar crest between
 the central inscisors superiorly through the
 anterior nasal spine and continues
 posteriorly between the maxillary palatine
 process to the posterior aspect of the hard
 palate.
Mostly seen on IOPA of maxillary central inscisors.
Located in midline1.5-2cm above the alveolar crest.
It is radiopaque and usually V-shaped.

The nasal cavity shows the hazy shadow of the
 inferior nasal conchae extending from the right and
 left lateral walls
Also called as NASOPALATINE orANTERIOR PALATINE
 FORAMEN.
It is the oral terminatus of the nasopalatine canal.
It transmits the nasopalatine vessels and nerves.
Lies in the midline of palate behind the central incisors
 at the junction of the median palatine and incisive
 sutures.
Radiographic image variability is due to
1.different angles of the X-ray beam.
2.Variability in its anatomic size.
IT IS FREQUENTLY THE POTENTIAL SITE OF CYST
 FORMATION.
Radiographic features of superior foramina of the
 nasopalatine canal
The nasopalatine canal originates at two foramina
 in floor of the nasal cavity.
Radiographically it can be recognized as two
 radioluscent areas above the apices of the central
 incisors in floor of the nasal cavity near its anterior
 border and both the sides of the septum.
Also called as INCISIVE FOSSA.
Appears as depression in the maxilla near the apex
 of the lateral incisor .
Appears diffusely radioluscent in the IOPA.
The soft tissue of the nose is frequently seen in the
 projections of the maxillary central and lateral
 incisors ,superimposed over the roots of these
 teeth.
Image appears uniformly opaque with a sharp
 border.
The nasal and maxillary bones form the
 nasolacrimal canal.
It runs from the medial aspect of the anteroinferior
 border of the orbit inferiorly,to drain under the
 inferior concha into the nasal cavity.
MAXILLARY SINUS is the air containing cavity lined
 by mucous membrane.
DEVELOPMENT BY-invagination of the mucous
 membrane from the nasal cavity.
Appears as the three sided pyramid .
          Base -formed by mesial wall adjacent to
                nasal cavity.
          Apex –extending laterally into the
 zygomatic process of maxilla.
On the IOPA maxillary sinus appears as a thin
 ,delicate , tenuous radiopaque line.




It extends from the distal aspect of the canine to
 the posterior wall of the maxilla above the
 tuberosity.
Around the age of puberty its floor coincides with
 the floor of the nasal cavity.
In older individuals the sinus may extend farther
 into the apical process,and in the posterior region
 of the maxilla its floor appears further below the
 level of the floor.
In response to the loss of function (associated with
 loss of posterior teeth) the sinus may expand
 farther into the alveolar bone , occasionally
 extending to the alveolar ridge.
 Thin radioluscent lines of the uniform width are found within the
  image of the maxillary sinus.
 THESE ARE SHADOWS OF THE NEURO -VASCULAR CANALSTHAT
  ACCOMMODATE THE POSTERIOR SUPERIOR VESSELS AND NERVES.
The zygomatic process of the maxilla is an
 extension of the lateral maxillary surface that
 arises in the region of the apices of the first and
 the second molars and serves as the articulation
 for the zygomatic bone.
Appears as U-shaped radiopaque line with
 rounded end of U projected in the apical region of
 the first and second molars.
An oblique line demarcating a region that
appears to be covered by a veil of slight
radiopacity frequently traverses peri apical
radiographs of the premolar region.
The medial and lateral pterygoid plates lie
 immediately posterior to the tuberosity of
 maxilla.
They cast a single radiopaque shadow without
 any evidence of trabeculation.
Extending inferiorly from the medial
 pterygoid plate, the hamular process may
 be seen which on close inspection show
 trabeculae.
The region of mandibular symphysis in infants
 demonstrate a radiolucent line through the
 midline of the jaw between the images of the
 forming deciduous central incisors.
The suture usually fuses by the end of 1st year
 of life and is no longer radiographically
 apparent.
These are tiny bumps of bone that serve
 as attachment for the genioglossus and
 geniohyoid muscles.
Present on lingual side.
On IOPA appear as ring shaped
 radiopacity below the apices of
 mandibular incisors.
It is a hole or tiny opening located on
 the internal surface of mandible and
 surrounded by the genial tubercles.
Raiographically appears as a radiolucent
 dot inferior to the apices of the
 mandibular incisors.
nutrient canals are tube like passage-
 ways through bone that contains
 nerves and blood vessels that supply
 the teeth.
Radiographically seen as vertical
 radiolucent lines.
More prominent in anterior mandible
 where bone is thin.
It is a linear prominence of cortical
 bone located on the external surface
 extendibg from the premolar region to
 the midline and slopes upward.
Radiographically appears as a
 radiopaque band that extends from the
 premolar region to the incisor region.
Located above the mental ridge.
On peri apical radiograph appears as a
 radiolucent area above the mental ridge.
 Located on the external
  surface of the mandible as
  an opening in the region of
  the mandibular premolars.
 Mental nerves and blood
  vessels exit through it.
 Radiogarphically it appears
  as a small ovoid radiolucent
  area located below the
  apices of the premolars.
 Linear prominence of bone
  located on the internal
  surface of mandible.
 Extends from the molar
  region downward and
  forward towards the lower
  border of mandibular
  symphysis.
 On IOPA appears as
  radiopaque band extending
  downward from molars.
 Tube like passage
  extending from the
  mandibular foramen to
  the mental foramen
  and contains inf.alv.
  Nerves and blood
  vessels.
 Appears as a
  radiolucent band
  outlined by two
  radiopaque lines of
  cortical plate.
Linear prominence of
 bone located on internal
 surface of mandible
 extending downwards
 and forwards from
 ramus.
It appears as a
 radiopaque band
 extending downwards
 from ramus.
 Linear prominence of bone
  located on external surface
  of mandible extending
  downwards and is a
  continuation of anterior
  border of ramus.
 It appears as a radiopaque
  band extending downwards
  and forwards from ant.
  Border of mandible ends in
  3rd molar region.
 Depressed area of bone
  located on the internal
  surface of mandible.
 Submandibular salivary
  gland lies in this fossa.
 It appears as a
  radiolucent area in the
  molar region below the
  mylohyoid ridge.
 It is a marked prominence
  of bone on the ant. Ramus
  of the mandible.
 Not seen on a mandibular
  IOPA but appears on a
  maxillary molars IOPA.
 It is seen as a triangular
  radiopacity superimposed
  over or inferior to maxillary
  tuberosity.
Occassionaly seen
 as a dense broad
 radiopaque band
 of bone.
Vary in their radiographic appearance.
Depend primarily on their thickness,
 density and atomic number.
A variety of restorative materials may be
 recognized on intra oral radiographs.
 normal radiographic anatomy of oral cavity

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normal radiographic anatomy of oral cavity

  • 1. INTRODUCTION RADIOGRAPHIC FEATURES OF:  TEETH  SUPPORTING STRUCTURES  MAXILLA  MANDIBLE  CONCLUSION  REFERENCES
  • 2.  Teeth are composed primarily of dentin,with an enamel cap over the coronal portion and a thin layer of cementum over the root surface. Radiographic appearance of enamel  ENAMEL appears more radio-opaque than other tissues.  It is 90% mineral causes greatest attenuation of X-ray photons.
  • 3. RADIOGRAPHIC APPEARANCE OF DENTIN  75% mineral content less radiopaque than enamel. Radiopacity similar to bone.  ENANELODENTINAL JUNCTION appears as a distinct interface separating these two structures. Radiographic appearance of CEMENTUM  50%mineral content and it appears as a very thin layer on the root surface.  It is usually not so apparent radiographically.
  • 4. CERVICAL BURNUOUT Radiographs sometimes show diffuse radiolucent areas with ill defined borders present on the mesial or distal aspects of the teeth in the cervical region. These appear between the edge of the enamel cap and the crest of the alveolar ridge.  This phenomenon is known as  “ CERVICAL BURNOUT”
  • 5. Normal configuration of the affected teeth results in decreased X-ray absorption in the areas in question. Perception of these areas is due to contrast with the adjacent ,relatively radiopaque enamel and alveolar –bone. It should not be confused with root caries which has similar appearance.
  • 6. It is composed of soft tissues so it appears radioluscent. Pulp chambers and root canals extend from the interiors of the chamber till the root apices. Root canal extends till the apex it is seen radiographically also as apical foramen. In some cases it may exit on the side of the canal. Lateral canals may end at the apex as a discernible foramen or may exit at the side of the root.
  • 7. The pulp canals of a developing tooth root diverge and walls of the root taper to a knife edge. A radiolucent area is seen surrounding it in the trabecular bone.It is surrounded by the hyperostotic bone.  IT IS THE DENTAL PAPILLA WITH ITS BONY CRYPT. Its radiographic evaluation helps in determining the stage of maturation of the developing tooth.
  • 8. RADIOGRAPHIC FEATURES OF LAMINA DURA It is a thin radiopaque layer of dense bone surrounding the tooth socket.  Its radiographic appearance is due to attenuation of the X-ray beam as it passes tangentially through the thickness of the bone. It is thicker than the surrounding trabecular bone and thickness increases with increase in amount of occlusal stress.
  • 9. RADIOGRAPHIC FEATURES OF ALVEOLAR CREST  It is the radiopaque gingival margin of the alveolar process which surrounds the teeth.  It is considered normal if it is 1.5mm or less from the CEJ.  It shows apical recession with the age or periodontal disease.
  • 10. RADIOGRAPHIC FEATURES OF THE PERIODONTAL LIGAMENT SPACE It is composed of collagen so appears as a radiolucent space between the root and lamina dura. It is thinner in the middle of the root and slightly wider near the alveolar crest and the apex suggesting that the fulcrum of the physiologic movements is in the region where PDL is thinnest.
  • 11. RADIOGRAPHIC FEATURES OF THE CANCELLOUS BONE Also called as the trabecular bone or the spongiosa. Lies between the cortical plates in both the jaws. It is composed of thin radiopaque plates and rods surrounding many small radioluscent pockets of marrow. In posterior maxilla it is similar to anteruor maxilla but marrow spaces are larger.
  • 12.
  • 13. Also called as median suture. In IOPA it appears as a thin radioluscent line in the midline between the two portions of premaxilla. It extends from the alveolar crest between the central inscisors superiorly through the anterior nasal spine and continues posteriorly between the maxillary palatine process to the posterior aspect of the hard palate.
  • 14. Mostly seen on IOPA of maxillary central inscisors. Located in midline1.5-2cm above the alveolar crest. It is radiopaque and usually V-shaped.
  • 15.
  • 16.  The nasal cavity shows the hazy shadow of the inferior nasal conchae extending from the right and left lateral walls
  • 17. Also called as NASOPALATINE orANTERIOR PALATINE FORAMEN. It is the oral terminatus of the nasopalatine canal. It transmits the nasopalatine vessels and nerves. Lies in the midline of palate behind the central incisors at the junction of the median palatine and incisive sutures. Radiographic image variability is due to 1.different angles of the X-ray beam. 2.Variability in its anatomic size.
  • 18. IT IS FREQUENTLY THE POTENTIAL SITE OF CYST FORMATION.
  • 19. Radiographic features of superior foramina of the nasopalatine canal The nasopalatine canal originates at two foramina in floor of the nasal cavity. Radiographically it can be recognized as two radioluscent areas above the apices of the central incisors in floor of the nasal cavity near its anterior border and both the sides of the septum.
  • 20. Also called as INCISIVE FOSSA. Appears as depression in the maxilla near the apex of the lateral incisor . Appears diffusely radioluscent in the IOPA.
  • 21. The soft tissue of the nose is frequently seen in the projections of the maxillary central and lateral incisors ,superimposed over the roots of these teeth. Image appears uniformly opaque with a sharp border.
  • 22. The nasal and maxillary bones form the nasolacrimal canal. It runs from the medial aspect of the anteroinferior border of the orbit inferiorly,to drain under the inferior concha into the nasal cavity.
  • 23. MAXILLARY SINUS is the air containing cavity lined by mucous membrane. DEVELOPMENT BY-invagination of the mucous membrane from the nasal cavity. Appears as the three sided pyramid .  Base -formed by mesial wall adjacent to  nasal cavity.  Apex –extending laterally into the zygomatic process of maxilla.
  • 24. On the IOPA maxillary sinus appears as a thin ,delicate , tenuous radiopaque line. It extends from the distal aspect of the canine to the posterior wall of the maxilla above the tuberosity. Around the age of puberty its floor coincides with the floor of the nasal cavity.
  • 25. In older individuals the sinus may extend farther into the apical process,and in the posterior region of the maxilla its floor appears further below the level of the floor.
  • 26. In response to the loss of function (associated with loss of posterior teeth) the sinus may expand farther into the alveolar bone , occasionally extending to the alveolar ridge.
  • 27.  Thin radioluscent lines of the uniform width are found within the image of the maxillary sinus.  THESE ARE SHADOWS OF THE NEURO -VASCULAR CANALSTHAT ACCOMMODATE THE POSTERIOR SUPERIOR VESSELS AND NERVES.
  • 28. The zygomatic process of the maxilla is an extension of the lateral maxillary surface that arises in the region of the apices of the first and the second molars and serves as the articulation for the zygomatic bone. Appears as U-shaped radiopaque line with rounded end of U projected in the apical region of the first and second molars.
  • 29.
  • 30. An oblique line demarcating a region that appears to be covered by a veil of slight radiopacity frequently traverses peri apical radiographs of the premolar region.
  • 31. The medial and lateral pterygoid plates lie immediately posterior to the tuberosity of maxilla. They cast a single radiopaque shadow without any evidence of trabeculation.
  • 32. Extending inferiorly from the medial pterygoid plate, the hamular process may be seen which on close inspection show trabeculae.
  • 33.
  • 34. The region of mandibular symphysis in infants demonstrate a radiolucent line through the midline of the jaw between the images of the forming deciduous central incisors. The suture usually fuses by the end of 1st year of life and is no longer radiographically apparent.
  • 35. These are tiny bumps of bone that serve as attachment for the genioglossus and geniohyoid muscles. Present on lingual side. On IOPA appear as ring shaped radiopacity below the apices of mandibular incisors.
  • 36. It is a hole or tiny opening located on the internal surface of mandible and surrounded by the genial tubercles. Raiographically appears as a radiolucent dot inferior to the apices of the mandibular incisors.
  • 37. nutrient canals are tube like passage- ways through bone that contains nerves and blood vessels that supply the teeth. Radiographically seen as vertical radiolucent lines. More prominent in anterior mandible where bone is thin.
  • 38. It is a linear prominence of cortical bone located on the external surface extendibg from the premolar region to the midline and slopes upward. Radiographically appears as a radiopaque band that extends from the premolar region to the incisor region.
  • 39. Located above the mental ridge. On peri apical radiograph appears as a radiolucent area above the mental ridge.
  • 40.  Located on the external surface of the mandible as an opening in the region of the mandibular premolars.  Mental nerves and blood vessels exit through it.  Radiogarphically it appears as a small ovoid radiolucent area located below the apices of the premolars.
  • 41.  Linear prominence of bone located on the internal surface of mandible.  Extends from the molar region downward and forward towards the lower border of mandibular symphysis.  On IOPA appears as radiopaque band extending downward from molars.
  • 42.  Tube like passage extending from the mandibular foramen to the mental foramen and contains inf.alv. Nerves and blood vessels.  Appears as a radiolucent band outlined by two radiopaque lines of cortical plate.
  • 43. Linear prominence of bone located on internal surface of mandible extending downwards and forwards from ramus. It appears as a radiopaque band extending downwards from ramus.
  • 44.  Linear prominence of bone located on external surface of mandible extending downwards and is a continuation of anterior border of ramus.  It appears as a radiopaque band extending downwards and forwards from ant. Border of mandible ends in 3rd molar region.
  • 45.  Depressed area of bone located on the internal surface of mandible.  Submandibular salivary gland lies in this fossa.  It appears as a radiolucent area in the molar region below the mylohyoid ridge.
  • 46.  It is a marked prominence of bone on the ant. Ramus of the mandible.  Not seen on a mandibular IOPA but appears on a maxillary molars IOPA.  It is seen as a triangular radiopacity superimposed over or inferior to maxillary tuberosity.
  • 47. Occassionaly seen as a dense broad radiopaque band of bone.
  • 48. Vary in their radiographic appearance. Depend primarily on their thickness, density and atomic number. A variety of restorative materials may be recognized on intra oral radiographs.