BDS12030 Radiographic Interpretation of Inflammatory Lesions of the Jaws
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Questions and Answers

Which of the following is the most common pathologic condition of the jaws?

  • Dental caries
  • Periapical diseases
  • Inflammatory lesions (correct)
  • Periodontal diseases

    • What creates a direct pathway for infectious and inflammatory agents to invade bone?

  • Periapical diseases
  • Periodontal diseases
  • Inflammatory lesions
  • Dental caries (correct)

    • The body responds to any injury with an inflammatory response, that walls off the injurious stimulus and sets up an environment for repair of the damaged tissue. What does this response depend on?

  • Host resistance only
  • Virulence of the micro-organism & tissue resistance (correct)
  • Tissue resistance only
  • Virulence of the micro-organism only

    • Which type of inflammatory lesion involves inflammation around the apex?

    <p>Periapical diseases</p> Signup and view all the answers

    What type of infection extends to overlying soft tissue?

    <p>Pericoronitis</p> Signup and view all the answers

    What is the aim of the tutorial on radiographic interpretation of inflammatory lesions of the jaws?

    <p>To orient the student with clinical and radiographic features</p> Signup and view all the answers

    What are the objectives of the tutorial on radiographic interpretation of inflammatory lesions of the jaws?

    <p>To describe the clinical and radiographic features</p> Signup and view all the answers

    Which type of osteomyelitis is characterized by a moth-eaten appearance radiographically?

    <p>Diffuse sclerosing osteomyelitis</p> Signup and view all the answers

    Which inflammatory condition is more common in the posterior mandibular area and is characterized by intermittent swelling and extraoral drainage?

    <p>Osteoradionecrosis</p> Signup and view all the answers

    Which inflammatory lesion is a focal reaction due to long-standing infection and high tissue resistance?

    <p>Focal sclerosing osteomyelitis</p> Signup and view all the answers

    What is the clinical characteristic of diffuse sclerosing osteomyelitis?

    <p>Mild pain and fever in old females</p> Signup and view all the answers

    Which medication-related condition consists of progressive bone destruction in the maxillofacial region of patients under treatment with antiresorptive and antiangiogenic medications?

    <p>MRONJ</p> Signup and view all the answers

    What is the characteristic radiographic appearance of osteoradionecrosis?

    <p>Scattered regions of radiolucency with sequestra</p> Signup and view all the answers

    Which inflammatory lesion is characterized by formation of new bone seen as a thin radiopaque line parallel to the bone surface, initially, and later as an onion skin appearance?

    <p>Chronic with proliferative periostitis</p> Signup and view all the answers

    What are the clinical symptoms of pericoronitis?

    Signup and view all the answers

    Which of the following is a common sign of acute osteomyelitis?

    <p>Severe pain</p> Signup and view all the answers

    What is the most common gender affected by diffuse sclerosing osteomyelitis?

    <p>Female</p> Signup and view all the answers

    Which condition may predispose an individual to osteomyelitis?

    <p>Paget’s disease of bone</p> Signup and view all the answers

    What are the general features of acute suppurative osteomyelitis?

    <p>Rapid onset with severe pain and generalized symptoms</p> Signup and view all the answers

    What is the main characteristic of chronic dentoalveolar abscess?

    <p>Gradual onset with little or no discomfort</p> Signup and view all the answers

    What is the impact of diffuse sclerosing osteomyelitis on surrounding structures?

    <p>Formation of new bone parallel to the surface</p> Signup and view all the answers

    What are the characteristics of periapical granuloma?

    <p>Localized mass of chronically inflamed granulation tissue at the root apex</p> Signup and view all the answers

    What are the radiographic characteristics of acute apical periodontitis?

    <p>Widening of the periapical ligament space at root apex</p> Signup and view all the answers

    Which disease may lead to cystic degeneration of a long-standing periapical granuloma?

    <p>Osteomyelitis</p> Signup and view all the answers

    What is the primary source of infection for acute dentoalveolar abscess?

    <p>Toxins from the necrotic pulp passing through the root apex</p> Signup and view all the answers

    What are the clinical signs of chronic apical periodontitis?

    <p>Recurrent dull aching pain and mild tenderness on percussion</p> Signup and view all the answers

    What are the radiographic features of chronic suppurative osteomyelitis?

    <p>Periapical radiolucent area with ill-defined borders</p> Signup and view all the answers

    What is the radiographic appearance of osteoradionecrosis?

    <p>Irregular radiolucency with scattered regions of radiolucency and central sequestra (radiopaque).</p> Signup and view all the answers

    Which inflammatory lesion is characterized by formation of new bone seen as a thin radiopaque line parallel to the bone surface, initially, and later as an onion skin appearance?

    <p>Chronic with proliferative periostitis (Garre’s osteomyelitis)</p> Signup and view all the answers

    Which type of osteomyelitis is characterized by a moth-eaten appearance radiographically?

    <p>Chronic sclerosing Osteomyelitis</p> Signup and view all the answers

    What is the characteristic radiographic appearance of MRONJ?

    <p>Scattered regions of radiolucency, with and without central sequestra (radiopaque).</p> Signup and view all the answers

    Which inflammatory lesion involves inflammation around the apex?

    <p>Periapical diseases</p> Signup and view all the answers

    What creates a direct pathway for infectious and inflammatory agents to invade bone?

    <p>Exposure of bone</p> Signup and view all the answers

    What are the clinical symptoms of pericoronitis?

    <p>Pain and swelling, trismus, and ulcerated operculum.</p> Signup and view all the answers

    What is the aim of the tutorial on radiographic interpretation of inflammatory lesions of the jaws?

    <p>To orient the student with the clinical and radiographic features of various inflammatory lesions of the jaws.</p> Signup and view all the answers

    Which inflammatory condition is more common in the posterior mandibular area and is characterized by intermittent swelling and extraoral drainage?

    <p>Chronic sclerosing Osteomyelitis</p> Signup and view all the answers

    What is the clinical characteristic of diffuse sclerosing osteomyelitis?

    <p>Old females, mild pain and fever.</p> Signup and view all the answers

    What are the objectives of the tutorial on radiographic interpretation of inflammatory lesions of the jaws?

    <p>To orient the student with the clinical and radiographic features of various inflammatory lesions of the jaws.</p> Signup and view all the answers

    What does Chronic with proliferative periostitis (Garre’s osteomyelitis) result in?

    <p>Elevation of periosteum leading to formation of new bone.</p> Signup and view all the answers

    Study Notes

    Common Pathologic Conditions of the Jaws

    • The most common pathologic condition of the jaws is dental abscesses.
    • Direct pathways for infectious and inflammatory agents to invade bone include periodontal disease and dental caries.

    Inflammatory Response

    • Injuries stimulate an inflammatory response aimed at isolating the injury and creating an environment conducive to tissue repair.
    • This response depends on factors including the nature and extent of the injury, as well as the individual's immune response.

    Specific Inflammatory Lesions

    • Apical periodontitis involves inflammation specifically around the apex of a tooth.
    • Cellulitis extends to the overlying soft tissue from an infection.
    • Diffuse sclerosing osteomyelitis is common in the posterior mandibular area, characterized by intermittent swelling and extraoral drainage.
    • A periapical granuloma exhibits a focal reaction often due to a long-standing infection paired with high tissue resistance.

    Osteomyelitis and Radiographic Features

    • Chronic osteomyelitis is characterized radiographically by a moth-eaten appearance.
    • The primary clinical symptom of acute osteomyelitis includes localized pain and swelling.
    • Osteoradionecrosis has a radiographic appearance characterized by radiolucency, typically seen post-radiation therapy.
    • Medication-related osteonecrosis of the jaw (MRONJ) results in progressive bone destruction linked to antiresorptive and antiangiogenic treatments.
    • Chronic dentoalveolar abscesses typically feature pus formation and can create a large area of communicate infection.

    Clinical Features and Symptoms

    • Symptoms of pericoronitis include pain, swelling, and difficulty in opening the mouth.
    • Chronic apical periodontitis displays mild pain or may be asymptomatic.

    Radiographic Characteristics

    • Radiographically, chronic suppurative osteomyelitis shows mixed radiolucent and radiopaque areas.
    • In chronic sclerosing osteomyelitis, new bone formation may present initially as a thin radiopaque line parallel to the bone surface, later evolving to an onion skin appearance.

    Aims of Radiographic Interpretation

    • Tutorials on radiographic interpretation of inflammatory lesions aim to develop diagnostic skills and understanding of various lesions' manifestations.
    • Objectives include identifying radiographic features associated with specific inflammatory conditions for accurate diagnosis and management.

    Additional Notes on Conditions

    • Cystic degeneration can complicate long-standing periapical granulomas.
    • Pre-existing periodontal disease may predispose individuals to osteomyelitis.
    • Chronic with proliferative periostitis, also known as Garre’s osteomyelitis, typically leads to new bone formation around the affected area.

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    Related Documents

    BDS12030 Radiographic Interpretation of Inflammatory Jaw Lesions PDF

    Description

    This tutorial aims to familiarize students with the clinical and radiographic features of different inflammatory lesions of the jaws, allowing them to describe these features and differentiate between various inflammatory lesions by the end of the tutorial.

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