Informazioni
Non ci sono recensioni
Punto di Riferimento
per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Orthopantomography
Pandolfo, Mazziotti
Anno
2013
Pagine
202
ISBN
9788847052888
100,00 €
- Ideal guide to routine interpretation and reporting of OPTs
- Provides both technical and clinical information
- Suggests solutions for all of the most common diagnostic and methodological problems
- Richly illustrated
Although orthopantomography (OPT) is a very frequently employed radiological examination, even the expert radiologist can encounter difficulty in reporting the findings owing to the specific terminology, the nature of the diagnostic queries, and the need to describe precisely the clinical implications for the dentist. Additionally, artifacts are a frequent occurrence, and many radiologists and dentists are unfamiliar with their causes and solutions. Methodological inaccuracies during the execution of OPTs also have important clinical implications. For all of these reasons, this richly illustrated monograph on OPT sets out to describe in detail diverse technical and methodological aspects of the examination, from image acquisition through to artifact generation due to lack of experience or malfunctioning. Possible solutions are suggested for all of the most common diagnostic and methodological problems. Emphasis is placed on appropriate terminology and guidance offered on the interpretation of findings in a range of conditions, including the most common odontological problems. This book will be of great value to the radiologist in routine interpretation and reporting of OPTs.
v
Contents
Part I Technique and Normal Anatomy
1 Hints of Technique and Methodology . . . . . . . . . . . . . . . . . . . . . . . . . 3
Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Errors and Artefacts in OPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Patient Preparation Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Patient Instruction Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Cassette Location Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Patient Positioning Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Geometrical Enlargement in OPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
2 Normal Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Concepts of General Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Descriptive and Radiographic Anatomy of the Dental Element . . . . . . . 28
Descriptive and Radiological Anatomy of
the Support Apparatus or Periodontium . . . . . . . . . . . . . . . . . . . . . 30
Descriptive and Radiographic Anatomy of the Mandible
and the Mandibular Canal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Anatomy of the Surrounding Structures . . . . . . . . . . . . . . . . . . . . . . . . . 33
Radiographic Anatomy in Paediatric Age . . . . . . . . . . . . . . . . . . . . . . . . 34
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Part II Elementary Radiographical Semeiotics
and Pathological Terminology
3 Alterations of Number, Orientation, Seat, Morphology,
Width and Structure of the Dental Element . . . . . . . . . . . . . . . . . . . . 53
Number Anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Anomalies of Position, Orientation and Seat . . . . . . . . . . . . . . . . . . . . . 55
Anomalies of Morphology and Dimensions . . . . . . . . . . . . . . . . . . . . . . 55
Alterations of Morphology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Alterations of Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
vi Contents
Alterations of the Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
4 Caries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Caries Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Secondary or Recurrent Caries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
False Caries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
5 Periapical Lesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Nosography of Inflammatory Periapical Lesions . . . . . . . . . . . . . . . . . . 99
Periapical Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Apical Granuloma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Pararadicular Inflammatory Lesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Periapical and Periradicular Sclerosing Lesions . . . . . . . . . . . . . . . . . . . 103
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
6 The Periodontal Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Chronic periodontopathy (or Periodontitis) . . . . . . . . . . . . . . . . . . . . . . 122
Aggressive periodontopathy or Periodontitis . . . . . . . . . . . . . . . . . . . . . 122
Ulcero-necrotic periodontopathy or Periodontitis . . . . . . . . . . . . . . . . . . 122
Elementary Alterations of the Periodontium . . . . . . . . . . . . . . . . . . . . . . 123
Tartar Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Resorption of the Alveolar Bone (Horizontal or Vertical/Angular) . . . . 124
Focal Periodontopathy or Periodontitis . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Periodontopathy Due to Loss of the Occlusal Load . . . . . . . . . . . . . . . . 126
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
7 Cystic Lesions and Maxillary Tumours . . . . . . . . . . . . . . . . . . . . . . . 139
General Considerations on Cystic Lesions . . . . . . . . . . . . . . . . . . . . . . . 139
Lacunar Images of the Mandible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Radicular Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Radicular or Periapical Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Residual Radicular Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Lateral Radicular Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Follicular or Dentigerous Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
The Eruption Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Primordial Cyst and Odontogenic Keratocyst . . . . . . . . . . . . . . . . . 142
Odontogenic Tumours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Odontoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Adenomatoid Odontogenic Tumour
(Ameloblastic Odontogenic Tumour) . . . . . . . . . . . . . . . . . . . 144
Squamous Odontogenic Tumour . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Contents vii
Calcifying Epithelial Odontogenic Tumour. . . . . . . . . . . . . . . . . . . 145
Calcifying Odontogenic Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Ameloblastoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Non-odontogenic Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Fissural Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Non-odontogenic Tumours of the Maxillaries . . . . . . . . . . . . . . . . . 148
Secondary Tumours of the Maxillaries . . . . . . . . . . . . . . . . . . . . . . 148
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
8 OPT in Post-treatment Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
General Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Radiological Findings of the Extractive Treatments . . . . . . . . . . . . . . . . 165
Effects of the Endodontic Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Irregular and Incomplete Canal Filling . . . . . . . . . . . . . . . . . . . . . . 167
Overfilling of the Radicular Canal . . . . . . . . . . . . . . . . . . . . . . . . . . 168
False Routes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
OPT in the Postimplantation Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . 169
Topographic Subdivision of the Maxillary in Implantation
Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Different Typologies of Implantation Devices . . . . . . . . . . . . . . . . . . . . 170
Osseous Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Image Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
