Now some time to find occlusal caries.
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Answers can be posted below or wait til tomorrow for answers. Thanks and enjoy!
Caries Interpretation: Occlusal Caries Practice
5 thoughts on “Caries Interpretation: Occlusal Caries Practice”
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Hi Dr G. What’s going on at the cervical region of #14 and #24?
Of image no.3
It appears to be a pseudo-Mach effect due to the rotation of the teeth and crest of the alveolar ridge. All within the range of normal. 🙂
Again and always, Thank you Dr. Shawneen for all of what you are doing.
1st Radiograph:
#16 there is an inter proximal caries on the medial surface. But i can not confirm any occlusal caries on any of the presented teeth.
2nd Radiograph:
There is an obvious occlusal caries on #26
What is the radiolucent area extending to the distal pulp-horn of the 37?
3rd Radiograph (OPG)
as we know that the OPG is not a good diagnostic method for caries detection and that is specially in the premolar region.
Those that are apparent from this radiograph are occlusal caries on (#27, #37). There is also a missing 22 and pegged shaped 21.
There is a very small radiolucent pit of the occlusal surface of 36 but I can not tell if this is a small carious lesion. Bitewing radiograph is needed.
Thanks and nicely done. Yes, pantomographs are not ideal for caries interpretation but this case was a special one that I wanted to share as you could see occlusal decay on some of the teeth. 🙂