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Exam (elaborations)

TCDHA RAD MIDTERM LATEST EXAM WITH COMPLETE SOLUTIONS (A+)

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TCDHA RAD MIDTERM LATEST EXAM WITH COMPLETE SOLUTIONS (A+)...

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TCDHA RAD
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TCDHA RAD

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Uploaded on
November 22, 2024
Number of pages
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Written in
2024/2025
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TCDHA RAD MIDTERM LATEST EXAM WITH
COMPLETE SOLUTIONS (A+)


xray benefits

- DETECT DISEASE

- minimize & prevent toothaches, surgery

- saves time & money, prevents edentulismlosing all teeth



xray use

- DETECT diseases, lesions, trauma, foreign objects

- bone levels deteriorating, evaluate growth & developement



what can be found xray



missing teeth

- may lead to occlusion problems as a result of drifting or tipping

- orthodontic treatment in the absence of teeth can prevent occlusion problems

- conditions: hereditary ectodermal dysplasia, books syndrome, riegers syndrome*



radiograph

aka radiogram

a picture that is, a visible photographic record on a film produced by the passage of
x-rays through an object or body

- can ONLY be prescribed by DENTISTS

- should never be routine/predetermined

,impacted/embedded teeth

- MOST COMMON development defects

- should be removed surgerically to prevent odontogenic cyst formation, damage of
adjacent teeth and bone resorption which may lead to fractions



impacted tooth

- one tooth is PREVENTED FROM ERUPTING due being wedged up against a
neighbouring tooth

- ALWAYS necessary to extract

- most common: third molars, premolars, max cuspid (canine), supernumerary




embedded tooth

- if a tooth is not breaking though the gum because of being UNDER BONE

- tooth is being blocked by the gum it may lack the force necessary to break thru the
gum




dental caries

- bitewings for interproximal various lesions

- pulse of tooth dies

- if left untreated, can result in destruction of a large amount of tooth structure and pulp
all necrosis

- decay may recur under the margins of existing restorations and may or may not be
seen clinically

- black circular areas on xray

- rampant dental caries, recurrent decay, early root caries



rampant dental caries

,recurrent decay



early root caries



periodontal disease

- disease of the BONE

- CANNOT be diagnosed wo xray

- xrays enable to identify predisposing factors (calculus faulty restorations, bony
changes including furcation involvement)

- provide baseline info concerning periodontist, can be used as pretreatment reference
source



furcation involvement

- generally seen in MOLARS

- bone has come down, created a SPACE/HOLE between the bone and gums



dilacerated roots

- SHARP BEND of the roots or a sharp bend bw the crown and root

- caused by some traumatic episode during tooth formation

- produces CHALLENGES IF EXTRACTION IS NECESSARY



retained root tips

- root tips or fragments are sometimes left behind following a complicated tooth
extraction

- retained root tips are usually asympomatic

- ONLY discovered by xrays

- usually dont require extraction, should PERIODICALLY be re-evaluted

, periapical lesions

- the MOST COMMON radiographic appearance of a periapical lesion is the
RADIOLUCENCY (dark) area at root apex

- a diagnosis of periodical cyst, granuloma or abcesses cant be made based on xray
findings alone

other lesions

- numerous dental anomalies, cysts, tumours & diseases affect the jaws

- lesions may persist for years before signs & symptoms develop

- xray play VITAL role in the detection

- the importance of EARLY detection & diagnosis cannot be OVERSTATED

interpretation

- ablity to read whats revealed by an xray

- an EXPLANATION of what's viewed

- dental hygienist prepares a preliminary interpretation & presents the findings to
dentist

- dh must be confident w the identification (normal anatomy, caries, disease, traumatic
injuries, lesions.)



diagnosis

- dh is RESTRICTED by law from rendering a diagnosis

- "TO KNOW", "to DISTINGUISH"



disclosure

- the process of informing the the pt about the particulars of exposing dental xrays

- easy language,

- explain: value & purpose, the client exam: limtiation wo xray



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