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INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
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Destructive/expansive lesions affecting
palate, pterygoid region or skull base

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Investigation of sphenoidal sinus

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Assessment of the thickness (medio-lateral) of the
posterior part of the mandible before osteotomy

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Fracture of zygomatic arches
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Lesions such as cysts or tumors in the
posterior 3rd of the body or ramus to note any
medio-lateral expansion

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Mandibular hypoplasia or hyperplasia

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maxillofacial deformities

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Fractures of the mandible involving the

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Posterior 3rd of the body

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Angles

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Ramus

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Low condylar necks
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High fracture of the condylar neck

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Intracapsular fracture of the TMJ

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Investigation of the quality of the
articular surfaces of the condylar head in
TMD

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Condylar hypoplasia or hyperplasia
Visualizes facial bones and in particular the
mid-facial skeleton for investigation of
disease, developmental abnormalities and
trauma.
• Extensive area can be visualized on a single film.

• Relative ease of the procedure.
• Small amount of radiation involved.
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• It’s a 23° variation of the
PA view.
• This angulation will cause
the petrous ridges to be
superimposed on the
maxillary sinuses, thus
allowing for a more accurate
examination of the orbits
and ethmoid air cells.
•This view is used to study the
maxillary, frontal and ethmoidal
sinuses; if the projection is taken
with the mouth open, a good view
of the sphenoidal sinus may also
be achieved.

•In addition , this projection
provides excellent view of the
facial bones, zygomatic
arches, orbital floors and it is used
extensively to evaluate traumatic
injuries to these areas.
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Investigation of maxillary antrum

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Detecting middle facial fractures:

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Le Fort I

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Le Fort II

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Le Fort III

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Zygomatic complex

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Naso-ethomoidal complex

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Orbital blow-out

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Coronoid process fractures

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Investigation of frontal & ethmoidal sinuses

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Investigation of sphenoidal sinus
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Coronoid process fracture
• Shows joint space and lateral aspect of articular surfaces of

condyle.
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Role of imaging techniques in maxillofacial region /certified fixed orthodontic courses by Indian dental academy

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