Author: Dr. Shawneen Gonzalez

DDS, MS, Diplomate ABOMR
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How was that missed? (Trauma)

This week I have a case of trauma to the mandible and its radiographic appearance on 2D images versus 3D images. This is a pantomograph of a patient presenting after trauma to the mandible (can’t remember exact type of trauma – fight, accident, etc.).  Take a look below to see…
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How was that missed? (Impacted teeth)

I recently had a request to show some missed and/or misdiagnosed cases.  I oddly enough came across one of these cases shortly after that request and decided to start with two cases of missed impacted teeth. Case 1 This case was shown to  me of how you can miss things…
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Anatomy on Radiographs: Occlusal Radiographs

This is the last post I have planned for anatomy and it will be on occlusal radiographs. Mandible Short and sweet here with only one anatomical landmark readily visible. The genial tubercles (yellow arrow) appear as a small radiopaque mass(es) extending off the lingual aspect of the mandible. Maxilla The nasal…
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Anatomy on Radiographs: Pantomographs Part 2

Now onto other structures visible on a pantomograph. Midface The orbital rim (green dots) appears as a thick semi –circular radiopaque band superior to the maxillary sinuses. The pterygomaxillary fissure (blue area) appears as an inverted teardrop shaped radiolucent area with a thin radiopaque border. It is directly lateral to…