Metabolic Bone Diseases - Radiographic Diagnosis
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Questions and Answers

What is a characteristic radiographic feature of scleroderma that affects the teeth?

  • Osteolysis of the alveolar bone
  • Generalized widening of the PDL (correct)
  • Localized narrowing of the PDL
  • Presence of radiolucent lesions in the jawbone

What is the significance of intact lamina dura in scleroderma?

  • It is a normal variant in healthy individuals
  • It suggests a lack of bone resorption (correct)
  • It is a characteristic feature of osteoporosis
  • It indicates active periodontal disease

What is the typical width of the PDL in healthy individuals?

  • The same width as the tooth root
  • Unknown without radiographic examination
  • Half the normal width in scleroderma (correct)
  • Half the width of the tooth root

What is the primary role of the lamina dura in the oral cavity?

<p>To anchor the tooth root (B)</p> Signup and view all the answers

What is the most likely dental implication of scleroderma?

<p>Tooth loss due to periodontal disease (A)</p> Signup and view all the answers

What is a characteristic radiographic feature of hyperparathyroidism?

<p>Demineralization of the skeleton with a rugger jersey spine appearance (A)</p> Signup and view all the answers

Which of the following is a dental implication of hyperparathyroidism?

<p>Gradual loosening and drifting of teeth (D)</p> Signup and view all the answers

What is a reliable indicator of bone turnover in hyperparathyroidism?

<p>Serum Alkaline Phosphatase (B)</p> Signup and view all the answers

What is a late radiographic feature of hyperparathyroidism that occurs in about 10% of cases?

<p>Brown tumors (B)</p> Signup and view all the answers

What is the effect of hyperparathyroidism on cortical and trabecular bone?

<p>They are lost and replaced by loose connective tissue (D)</p> Signup and view all the answers

What is the radiographic similarity in patients without diabetes?

<p>Between metabolic bone diseases and periodontal disease (D)</p> Signup and view all the answers

Which condition can cause xerostomia?

<p>Pituitary gland pathology (C)</p> Signup and view all the answers

What is the difficulty in diagnosing dental implications in patients with metabolic bone diseases?

<p>They are radiographically indistinguishable from periodontal disease (A)</p> Signup and view all the answers

Which of the following is related to jaw development abnormalities?

<p>Growth hormone disorder (D)</p> Signup and view all the answers

What is the key to distinguishing between periodontal disease and metabolic bone diseases?

<p>Radiographic diagnosis (B)</p> Signup and view all the answers

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