Caries Interpretation: Occlusal Caries Practice 5

5 thoughts on “Caries Interpretation: Occlusal Caries Practice”

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  Granger February 27, 2014 at 9:09 pm

  Hi Dr G. What’s going on at the cervical region of #14 and #24?

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  Granger February 27, 2014 at 9:09 pm

  Of image no.3

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    Dr. Shawneen Gonzalez Post author February 27, 2014 at 11:41 pm

    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. 🙂

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  M. Alagha February 28, 2014 at 11:17 am

  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.

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    Dr. Shawneen Gonzalez Post author March 4, 2014 at 12:54 pm

    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. 🙂

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