Anatomical Landmarks and Teeth Supporting Structures Quiz

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31 Questions

What is the function of lamina dura?

It's the bony wall of the tooth socket and surrounds the PDL

Which structure is composed of cancellous and cortical bone and supports the tooth?

Alveolar bone

What is the typical appearance of nasal fossa in radiographs?

A R-O band that separates the right and left nasal fossa

What does the incisive foramen transmit?

Nasopalatine vessels and nerves

Which anatomical structure forms a complete septa dividing the maxillary sinus into individual compartments in 1-10% of cases?

Maxillary sinus

What causes small elevations into the floor of the maxillary sinus in periapical radiographs?

Root apices

What is the function of genial tubercle?

To visualize it on standard mandibular occlusal film

Which structure extends posteriorly from the inferior border of the zygomatic process of maxilla?

Zygomatic bone

What is frequently apparent on periapical film of the maxillary molars region?

Coronoid process

What does the symphysis suture fuse by the end of the first year of life?

Mental fossa

What is well visualized on standard mandibular occlusal film as one or more projections?

Genial tubercle

What is the apparent location of the mental foramen on radiographs?

At the level of apices of the 2nd premolar

Which structure does the mylohyoid ridge attach to?

Mylohyoid muscle

What is the main characteristic of nutrient canals on radiographs?

Running vertically from the inf. dental canal to the apex of tooth

Where is the submandibular gland fossa located?

Below the mylohyoid ridge

What is a distinguishing feature of an external oblique ridge on radiographs?

Near the alveolar crest in the mandibular 3rd molar region

What is the defining characteristic of an inferior border of the mandible on radiographs?

A dense, broad, R-O band

On panoramic radiographs, what type of image results from a single anatomical structure?

Single Real Image

What causes a ghost image on radiographs?

Dense anatomical structures like the mandible

What is a distinguishing characteristic of a ghost image on radiographs?

Larger and projected higher on film

What does Zone 5 correspond to on panoramic/orthopantomogram (OPG) images?

Inferior border of Mandible

What does Zone 3 correspond to on panoramic/orthopantomogram (OPG) images?

Ramus & spine

What does Zone 4 correspond to on panoramic/orthopantomogram (OPG) images?

Hyoid bone

What is the densest part of the tooth?

Enamel

Which part of the tooth is difficult to see in poor contrast radiographs?

Dentin

What is the function of the PDL (Periodontal Ligament) space?

To attach the tooth to the surrounding bone

Which structure is composed primarily of collagen and forms a radiolucent space between the root and itself?

Periodontal ligament space

What is the purpose of the alveolar crest in supporting dental structures?

To anchor the teeth to the jawbone

What is the primary component of cementum, making it difficult to be seen?

Collagen

Where is the pulp chamber located in relation to the tooth?

In the center of the tooth

Which part of the tooth has a fine edge at the CEJ (Cementoenamel junction)?

Enamel

Study Notes

Bone and Supporting Structures

  • Lamina dura is a thin layer of compact bone that lines the socket and supports the tooth.
  • The alveolar process is composed of cancellous and cortical bone and supports the tooth.
  • The genial tubercle provides attachment sites for muscles and ligaments that support the mandible.
  • The mylohyoid ridge attaches to the mandible.

Sinus and Nasal Fossa

  • Nasal fossa typically appears as a dark, radiolucent area on radiographs.
  • The maxillary sinus is divided into individual compartments by a complete septa in 1-10% of cases.
  • Small elevations into the floor of the maxillary sinus on periapical radiographs are caused by the maxillary sinus mucosa.
  • The incisive foramen transmits the nasopalatine nerve and vessels.

Radiographic Appearance

  • The mental foramen appears as a radiolucent area on radiographs, typically located between the first and second premolars.
  • The submandibular gland fossa is located on the lingual aspect of the mandible, below the mandibular canal.
  • The external oblique ridge appears as a radiopaque, curved line on radiographs.
  • The inferior border of the mandible appears as a radiopaque, continuous line on radiographs.
  • On panoramic radiographs, a single anatomical structure can produce a double image, known as a ghost image.
  • Ghost images are characterized by a less intense, overlapping image of the original structure.

Panoramic/Orthopantomogram (OPG) Images

  • Zone 5 on panoramic/OPG images corresponds to the mandible.
  • Zone 3 on panoramic/OPG images corresponds to the maxillary sinuses.
  • Zone 4 on panoramic/OPG images corresponds to the zygomatic arches.

Tooth Structure

  • The pulp chamber is located in the center of the tooth, above the root canal.
  • Cementum is composed primarily of collagen, making it difficult to see on radiographs.
  • The periodontal ligament (PDL) space is a radiolucent space between the root and surrounding bone.
  • The PDL space allows for tooth movement and provides a pathway for vessels and nerves.
  • The enamel is the densest part of the tooth.
  • The enamel-cementum junction (ECJ) has a fine edge.

Sutures

  • The symphysis suture fuses by the end of the first year of life.

Test your knowledge of anatomical landmarks and teeth supporting structures with this quiz based on the lecture by Dr. Noha El-kersh, a Lecturer of Oral & Maxillofacial Radiology. Questions cover topics such as teeth anatomy, enamel, dentin, cementum, and supporting structures of maxilla and mandible.

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