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</p> Signup and view all the answers

    What is the most likely dental implication of scleroderma?

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

    Which of the following is a dental implication of hyperparathyroidism?

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

    What is a reliable indicator of bone turnover in hyperparathyroidism?

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

    What is the radiographic similarity in patients without diabetes?

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

    Which condition can cause xerostomia?

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

    Which of the following is related to jaw development abnormalities?

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

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

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

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