MARTIN, CHRISTINE JOYE O.

DENT5A
RADIOGRAPHIC INTERPRETATION

As seen in the radiograph, normal landmarks including the shadow of the soft
tissue of the nose, incisive foramen, lateral fossa, and canine fossa can be
located. This suggests that this is a periapical radiograph of the maxillary right
anterior teeth and one premolar. The teeth present are tooth no.s 11,12,13,
and 14.
Tooth no. 11 has a radiolucency on the crown portion up to the cervical 3rd of
the crown with pulpal exposure which is suggestive of irreversible pulpitis.
There is no widening of the periodontal ligament space on the mesial and distal
portions of the root. However, there is slight widening of the periodontal
ligament space on the apical portion of the root suggestive of acute apical
periodontitis. The rest of the supporting alveolar bone shows normal trabecular
pattern. With the broken crown, this can imply that adaptation of forceps no.
150 may be challenging and the need for forceps no. 64 or 69 may be needed.
Tooth no. 12 has a radiolucency involving the incisal angle up to the middle
3rd of the mesial portion of the crown without pulpal involvement. There is no
widening of the periodontal ligament space and the supporting alveolar bone
has a normal trabecular pattern with no break in the lamina dura. With these
findings, extraction of tooth no. 12 may not be necessary as it presents normal
pulp and apical radiographic appearance.
Tooth no. 13 has a radiolucency involving the incisal angle of the distal portion
of the crown extending up to the cervical 3rd of the root with pulpal
involvement which is suggestive of irreversible pulpitis. There is widening of the
periodontal ligament space up to the middle third on the distal portion and
apical portion of the root which is suggestive of acute apical periodontitis. The
mesial portion of the root, on the other hand, does not present widening of the
periodontal ligament space. Furthermore, it can be observed that the root is
dilacerated and it can be seen that it is slightly deviated going to the left. This
suggests that luxation of this tooth may be challenging and potential root
fracture may occur if the tooth is not extracted with caution.
Tooth no. 14 with fused roots is partially shown and there is also presence of
radiolucency on the crown portion up until the cervical 3rd of the tooth. It can
be seen in the radiograph that the pulp is faint and constricted. This is
suggestive of obliteration of the pulp or pulpal necrosis. There is slight
widening of the periodontal ligament space on the mesial portion of the root.
Lamina dura is disrupted and a slight diffused periapical lesion can also be
noted which is suggestive of acute apical periodontitis.