35 Reasons to go beyond a full mouth series

35 Reasons 35 Reasons

aging results vity.

to go beyond a full mouth series to go beyond a full mouth series

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Viewing

d

Strategy for

Anatomic Structures

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Sigmoid notch. Do not mistake a rarefied medial sigmoid depression for pathosis.

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Mandibular condyle. Evaluate for erosions, emodeling, eburnation, subchondral cysts, osteophyte formation which may signal arthritis. Less commonly, erosions may be caused by neoplastic disease.

not visible on a full mouth series

1

Viewing

Strategy for

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not visible on a full mouth series

Viewing

Strategy for

Anatomic Structures

Coronoid process of the mandible. Begin at the right coronoid process. Examine for coronoid hyperplasia. Tip of coronoid should not be more than 1cm above superior border of zygomatic arch.

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3 Do not mistake Sigmoid notch. a rarefied medial sigmoid depression for pathosis.

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Mandibular condyle. Evaluate for 31 erosions, emodeling, eburnation,2 subchondral cysts, osteophyte formation which may signal arthritis. Less commonly, erosions 8 may be caused by neoplastic disease.

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not visible on a full mouth series © 2010 Instrumentarium Dental Inc. 250-0003j Printed in USA

ion

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Sigmoid notch. Do not mistake a rarefied medial sigmoid depression for pathosis.4

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Mandibular condyle. Evaluate for 2 erosions, emodeling, eburnation, subchondral cysts, osteophyte formation which may signal 8 arthritis. Less commonly, erosions may be caused by neoplastic disease.

9 4 Subcondylar region (condylar neck). Evaluate.

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Subcondylar region (condylar neck). Evaluate.

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17 Ramus of the mandible.

Evaluate.

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Angle of the mandible. Evaluate.

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Inferior border of the mandible.

Evaluate #4 - 7 for cortical integrity. Rule out fractures.

Repeat steps 1 to 6 on the 34 patient’s left side.

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Lingula. Evaluating the precise location in any individual patient assists in determination of where to give inferior alveolarnerve block.

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Lingula. Evaluating the precise location in any individual patient assists in determination of where to give inferior alveolarnerve block.

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L l a t b

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Inferi bund 33 Follow foram 20 anter2 out th visible impac 21 Evalu check

10 Masto Evalu side o

11 Exter Evalu

Inferior alveolar neurovascular bundle (mandibular canal).

Follow from lingula to mental 16 Ramus of the mandible. Evaluate.33 foramen. In some patients the 17 6 anterior extension which exits Angle of the mandible. Evaluate.

18 will be out 22 the lingual 19 foramen 20 visible. Evaluate relationship of Inferior border of the mandible.

24 impacted teeth to the canal.

Evaluate #4 - 7 for cortical 21 Evaluate general bone quality and 28 integrity. Rule out fractures. check for focal osseous defects. 25 15 Repeat steps 1 to 6 on the patient’s left side.

10 Mastoid process.

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Note: printing processes limit image resolution

Anatomic Structures

1

Coronoid process of the mandible. Begin at the right coronoid process. Examine for coronoid hyperplasia. Tip of coronoid should not be more than 1cm above superior border of zygomatic arch.

Coronoid process of the mandible. Begin at the right coronoid process. Examine for coronoid hyperplasia. Tip of coronoid should not be more than 1cm above superior border of zygomatic arch.

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Evaluate structures on the left side of the maxilla first.

11 External auditory meatus.

Evaluate.

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18

on in any individual patient s in determination of where ve inferior alveolarnerve k.

11 External auditory meatus.

Evaluate.

16 Pterygomaxillary fissure. Check for cortical integrity to rule out neoplasia.

patient.

26 Hyoid bone. Evaluate.

27 Cervical vertebrae 1 - 4.

17 Orbit.

Evaluate.

12 Glenoid fossa (temporalwall of the Inferior alveolar neurovascular 24 Posterolateral wall of the Observe for osteophyte 12 Glenoid fossa (temporal 24 Posterolateral component of the TMJ). bundle (mandibular canal). maxillary sinus.

Evaluate the or other formation, loose bodies 18 Inferior orbitalsinus. rim. Evaluate Check forthe component of the TMJ). maxillary Check forintegrity erosions, and Follow from lingula to mental integrity of theofsinus walls to rule evidence osteoarthrosis. cortical integrity to sinus rule out Check for erosions, sclerosis, and ollow from lingula to mental16 of sclerosis, the walls to rule the mandible. Evaluate. other signs arthritis. foramen. In1some patients the developmental, ammatory, 4 fracture.

Subcondylar region Inferior alveolar neurovascular Coronoid process of the Remember theinfl circular other signs of arthritis. oramen. In some patients the outofdevelopmental, inflammatory, 9 out (condylar neck). Evaluate. bundle (mandibular canal). mandible.

Begin at the right anterior extension which exits traumatic or neoplastic 12 radiolucency in C2 is the nterior extension which exits traumatic orLook neoplastic 13 Articular eminence. the mandible.

Evaluate.

19 Infraorbital canal.

The for infra13 coronoid Articular eminence.

Look Follow fromExamine lingula to the mental process. for for out the14 lingual foramen will be Examine processes. content transverse foramen. out the19 lingual18 foramen will be processes.

Examine the content zygomatic air cell defect 5 Ramus of the mandible.

Evaluate. foramen.

In some patients the of hyperplasia. of orbital foramen should not zygomatic airofcell Tip defect 12 Glenoid fossa (temporal ar region 9 Inferior alveolarcoronoid neurovascular 24 Posterolateral wall of the visible.

Evaluate relationship of the sinus for the degree isible.

Evaluate relationship of of the sinus for the degree of (ZACD). order Evaluate. of the mandible. anterior extension which exits coronoid should not be more be viewed if the patient was (ZACD).

24 bundle component of the the TMJ). neck). (mandibular canal). maxillary sinus. Evaluate.

Evaluate theantral 13canal. impacted teeth to the pneumatization.

Check for 6 Angle of mandible.

Evaluate.

28 the Epiglottis. mpacted to the canal. pneumatization.

Check for antral #4 - 7 forteeth cortical out lingual foramen will be than 1cm above superior border properly positioned.

Check for erosions, sclerosis, and 14 Zygomatic arch.

Do not mistake Follow from lingula to mental integrity of the sinus walls to rule Evaluate general bone quality and pseudocysts, chronic mucosal 14 Zygomatic arch.

Do not mistake visible. Evaluate relationship of of zygomatic arch. 11 valuate bone quality and pseudocysts, chronic mucosal Rule out general fractures. the mandible.

Evaluate.

7 Inferior border of the mandible. other signs of arthritis. a wide zygomatico-temporal foramen.

In some patients the out developmental, infl ammatory, 29 Softteeth tissues of the check for focal osseous defects. hypertrophy, polyposis 20 Nasal septum. Evaluate for septal a wide zygomatico-temporal impacted to the canal.neck. Evaluate heck1 for osseous defects. hypertrophy, polyposis 25 eps to 6focal on the 15 Evaluate #4 - 7 for cortical 2 Sigmoid notch.

Do not mistake suture for a fracture.

May alsoEvaluate anterior extension which exits traumatic for general a or wide rangequality of soft mucocele orneoplastic neoplasia.

Evaluate bone andtissue deviation or perforation. suture for a fracture.

May also 13 Articular eminence.

Look for mucocele or neoplasia.

10 eft side. he mandible.

Evaluate. integrity.

Rule out fractures. a rarefied will medial sigmoid contain ZACD in the posterior 10 Mastoid process. out the lingual foramen be processes.

Examine the content check for focal osseous defects. calcifi cations. the nasal fossa for6polyps. contain ZACD in the posterior Mastoid process. zygomatic air steps cell defect Repeat 1 to on the 23 depression forleft pathosis. half of theMalar arch.process. Repeat steps 10 25 ofMalar Evaluate structures the process.

Repeat steps visible.

Evaluate relationship of the sinus for the degree of 10 half on of the arch. valuate on the left 25patient’s (ZACD). left side. valuating the mandible. precise order ofstructures the 21 Inferior turbinate/soft tissue 10 pneumatization.

Mastoid process.

30 Auricle (earlobe).

Evaluate.

30 side of the maxilla fi rst. to 25 on the right side of the impacted teeth to the canal.

Check for antral 3 Mandibular condyle. Evaluate for thecortical maxilla first. toplates.

25 on Evaluate. the right side of the 15 Pterygoid nide patient 4any - of 7 individual for Evaluate structures on the left covering.

Evaluate.

15 erosions, Pterygoid plates.

Evaluate.

14 Zygomatic arch.

Do not mistake patient.

Evaluate general bone quality and eburnation, pseudocysts, chronic mucosal 8 concha Lingula.

Evaluating the precise emodeling, patient. determination of where ule out fractures. side the maxilla first.

31 ofStyloid process. a wide zygomatico-temporal 16 Pterygomaxillary fi ssure.

Check 11 External auditory meatus. location in any individual patient subchondral cysts, osteophyte check for focal osseous defects. fissure. Check hypertrophy, polyposisIf elongated / 22 Medial wall of the maxillary 16 Pterygomaxillary xternal auditory meatus. erior alveolarnerve ps 1 to 6not onvisible the on a full mouth series assists in determination ofout where calcifi edneoplasia. stylohyoid suture forHyoid a Evaluate. fracture. also for cortical integrity toEvaluate. rule Evaluate.

26 Hyoid bone.

Evaluate. formation which may signal or 11 mucocele External auditory meatus. ligament, sinus. for cortical integrity to rule out valuate.

26 bone.May ft side. toZACD give inferior alveolarnerve arthritis. Less commonly, erosions rule out Eagle’s syndrome. contain in the posterior neoplasia.

10 Mastoid process.

Evaluate. neoplasia. block.

23 ofInferior border of the maxillary may on be caused 27 Malar Cervical vertebrae 1 -steps 4. 10 half theCervical arch.

Evaluate structures the leftby neoplastic 27 25 process.

Repeat 27 vertebrae 1 4.

17 Orbit.

Evaluate. aluating the neurovascular precise 12 Glenoid fossa (temporal or alveolar 24 Posterolateral sinus. Evaluate.wall of the 17 disease.

Orbit.

32 Oropharyngeal airspace.

Observe for osteophyte side of the maxilla first. Evaluate. to 25 on the right side of the Observe forEvaluate osteophyte 15 Pterygoid plates.

Evaluate. individual patient component of the TMJ). eany (mandibular canal). maxillary sinus.

Evaluate.

18 Inferior orbital rim.loose Check fortheor other formation, loose bodies or other patient.

18 Inferior orbital rim.

Check for formation, bodies Checkmeatus. for erosions, sclerosis, and wetermination from lingulaoftowhere mental integrity of the sinusout walls to rule 16 Pterygomaxillary fiof ssure.

Check cortical integrity rule evidence of osteoarthrosis.

11 External auditory 16 cortical integrity to rule out evidenceto osteoarthrosis. eriorInalveolarnerve other signs of arthritis. men. some patients the out developmental, infl ammatory, 16 33 Nasal Evaluate. for cortical integrity to rule out fracture.

Remember the circular Evaluate.

26 Hyoid bone.air.

Evaluate.

33 fracture.

Remember the circular ior extension which exits traumatic or neoplastic 17 12 neoplasia.radiolucency in C2 is the radiolucency in C2 32 eminence. Look for 13 Articular 12 12is the 19 Infraorbital canal.

The infra34 Bone of the maxilla. he lingual18 foramen will be processes.

Examine the content 19 Infraorbital canal.

The infra27 Cervical vertebrae 1 - 4. Evaluate. transverse foramen.

14 18not zygomatic air cell29 defect 19 14 22 19 transverse foramen.

14 20 17 Orbit.

Evaluate. orbital foramen should e. Evaluate relationship of of the sinus for the degree of orbital foramen should not Observe for osteophyte (ZACD). be viewed if the patient wasfor antral 24 35 Carotid artery.

24 13 viewed if the patient was 13bodies or other cted teeth to the pneumatization.

Check be 28 formation, Epiglottis.

Evaluate. loose 18 Inferior orbital rim. Evaluate.

Check for 13canal.

28 Epiglottis.

3 properly positioned.

Check for calcification.

14 Zygomatic arch.

Do not mistake ate general bone quality16and mucosal 21 pseudocysts, properly positioned. evidence of osteoarthrosis. cortical integrity tochronic rule out 11 11 a wide zygomatico-temporal 29 Soft tissues of the neck. Evaluate k for focal osseous defects. 11 hypertrophy, polyposis 25 20 fracture.

Nasal29septum.

Evaluate for septal 15 Remember the circular Soft tissues of the neck. Evaluate 25 15 20 Nasal septum.

Evaluate for septal suture for May also 12 a fracture.35 for a wide range mucocele or neoplasia. radiolucency in C2ofissoft the tissue 10 deviation or aperforation.

Evaluate 4 for wide range 10 Evaluate 19 Infraorbital deviation canal.

The infra-of soft tissue 10 ZACDorinperforation. the posterior oid process.

34 1 contain 23 Contributing author: calcifi cations.

18 transverse foramen. the nasal fossa for polyps.

26 14 31 19 calcifications. thethe nasal fossa for polyps. orbital foramen should not steps 10 Laurie Carter, D.D.S., Ph.D. 2 half of arch. ate structures on the left 25 Malar process.

Repeat 30 Associate Professor be viewed if the patient was of the 21 Inferior turbinate/soft tissue 24 13 30 Auricle (earlobe). Evaluate.

30 of the maxilla first. to 25 on the right side 21 Inferior turbinate/soft tissue 28 Epiglottis.

30 Auricle (earlobe). Evaluate.

30 Director of Evaluate.

Oral and Maxillofacial Radiology 15 24 Pterygoid plates. Evaluate.

12 Glenoid fossa (temporal Posterolateral wall of the properly positioned. concha covering.

Evaluate. patient. concha covering. Evaluate.

VCU School of Dentistry component of the TMJ). maxillary sinus.

Evaluate the 11fissure.

31 Soft Styloid process. elongated / 16 Pterygomaxillary Check nal auditory meatus.

29 tissues of theIf neck.

Evaluate 8 31 Styloid process.

If elongated / 20 Nasal septum.

Evaluate for septal 22 Medial wall of the maxillary 25 15 and of the wallsout to rule 22 integrity Medial integrity wall of sinus the maxillary calcifi ed stylohyoid ligament, 5 for cortical to rule ate. Check for erosions, sclerosis, 26 Hyoid bone.

Evaluate. for a wide range of soft tissue calcifi ed stylohyoid ligament, deviation or perforation.

Evaluate sinus. Evaluate.

10ammatory, other signs of arthritis. out developmental, sinus.

Evaluate. infl 27 rule out Eagle’s syndrome. neoplasia. calcifi cations. rule out the nasal fossa for Eagle’s polyps.syndrome. traumatic or neoplastic 23 Inferior border of the maxillary 27 Cervical vertebrae 1 - 4.

27 13 Articular eminence. Look for279 23 Inferior border of the maxillary 17 Orbit.

Evaluate. processes.

Examine the content 21 Inferior turbinate/soft tissue sinus.Observe Evaluate.

32 Auricle Oropharyngeal for osteophyte 30 (earlobe).airspace.

Evaluate.

30 zygomatic air cell defect sinus. Evaluate.

32 Oropharyngeal airspace. of theorbital sinus for the degree of concha covering.

Evaluate.

Evaluate. formation, loose bodies or other 18 Inferior rim.

Check for (ZACD).

Evaluate. pneumatization.

31 Styloid process.

If elongated / evidence cortical integrity to Check rule outfor antral 22 Medial 32 wall of of theosteoarthrosis. maxillary 14 Zygomatic arch. Do not6mistake 33 calcifi Nasaledair.

Evaluate.ligament, pseudocysts, chronic mucosal stylohyoid Remember the circular fracture.

33 Nasal air.

Evaluate.

29 sinus. Evaluate. a wide zygomatico-temporal 12 rule out Eagle’s syndrome. radiolucency in C2 is the 32 hypertrophy, polyposis 32for a fracture. May also 19 Infraorbital canal. The infra34 Bone of the maxilla.

Evaluate. suture 23 Inferior border of the maxillary mucocele or neoplasia.

34 Bone of the maxilla. Evaluate. transverse foramen.

29 should 27 orbital foramen not contain ZACD in29 the posterior sinus. Evaluate.

32 Oropharyngeal airspace.

35 Evaluate.

Carotid artery. be viewed if the patient was 28 half of13 the arch.

25 Malar process.

Repeat steps 10 35 Carotid artery.

28 Epiglottis.

Evaluate.

Check for calcification. 35 properly to 25 positioned. on the right side of the Check for calcification. 26 15 Pterygoid plates.11 Evaluate.

33 Nasal air. Evaluate.

29 Soft tissues of the neck.

Evaluate patient.

20 Nasal septum. Evaluate for septal 16 Pterygomaxillary fissure. Check 7 for a wide range of soft tissue deviation or perforation.

Evaluate 32 35 35 10 34 Bone ofauthor: the maxilla. Evaluate. for cortical integrity 26 bone.forEvaluate.

Contributing calcifi cations.

26to rule out the Hyoid nasal fossa polyps.

Contributing author: 29 Laurie Carter, D.D.S., Ph.D. neoplasia.

Laurie Carter, D.D.S., Ph.D. Associate Professor 35 Carotid artery.

21 27 Inferior turbinate/soft Cervical vertebrae tissue 1 - 4.

Associate (earlobe).

Professor Evaluate.

30 Auricle 30 Director of Oral and Maxillofacial Radiology 17 Orbit. Evaluate.

Director of Oral and Maxillofacial Radiology Check for calcification. concha covering.

Evaluate.

Observe for osteophyte VCU School of Dentistry VCU School of Dentistry 31 Styloid process.

If elongated / 18 Inferior orbital rim. Check for formation, loose bodies or other 22 Medial wall of the maxillary Instrumentarium calcified stylohyoid ligament, cortical integrity to rule out evidence of osteoarthrosis. sinus.

Evaluate.

35 rule out Eagle’s syndrome. fracture. Soredex Remember the circular Contributing author: 26 23 Inferior border of the maxillary Laurie Carter, D.D.S., Ph.D. radiolucency in C2 is the 27 Panoramic 19 Infraorbital canal. The infra- & Associate Professor sinus.

Evaluate.foramen.

32 Oropharyngeal airspace. transverse Director of Oral and Maxillofacial Radiology orbital foramen should not Cone Beam Evaluate.

VCU School of Dentistry be viewed if the patient offer was Systems 28 Epiglottis. Evaluate. properly positioned.

33 Nasal air. Evaluate. excellent Quality 29 Soft tissues of the neck. Evaluate 20 32 Nasal septum. Evaluate for septal 34 Bone of the maxilla. Evaluate. for a wide range of soft tissue deviation or perforation. Evaluate

ylar region nferior alveolar neurovascular neck).

Evaluate. canal). undle (mandibular

9

Viewing

Strategy for

Note: printing processes limit image resolution

Anatomic Structures

All

& Value!

29

the nasal fossa for polyps.

calcifications.

21 Inferior turbinate/soft tissue concha covering. Evaluate.

30 Auricle (earlobe). Evaluate.

35 Carotid artery.

Check for calcification.

22 Medial wall of the 35maxillary sinus. Evaluate.

31 Styloid process. If elongated / calcified stylohyoid ligament, rule out Eagle’s syndrome.

Contributing author: Laurie Carter, D.D.S., Ph.D.

Dental Explorer | Third Quar ter 2012