Intraoral films: 7 compelling reasons for every dental patient - DVM
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Intraoral films: 7 compelling reasons for every dental patient


DVM InFocus



Photo 2a: Fred

Photo 2b: Fractured maxillary right second incisor.













Photo 2c: Fractured maxillary right second incisor apparent near pulp exposure.
Reason 2: During the initial assessment of Fred, a 4-year old Yorkshire Terrier, a right maxillary second incisor fracture was noted. Clinically, pulp exposure was not present. Full-mouth survey films revealed a 3-mm by 3-mm periapical lucency around the right maxillary second incisor extending to the third incisor. The fractured tooth was extracted (Photos 2a, 2b, 2c, 2d and 2e).







Photo 2d: Intraoral radiograph reveals periapical lucency.

Photo 2e: Post extraction intraoral radiograph.

















Photo 3a: Marshmello
Reason 3: Marshmello, a 3-year-old Maltese, presented for an oral ATP visit. Assessment under anesthesia revealed slightly mobile right maxillary second and third premolars. Intraoral radiographs revealed deciduous teeth with greater than 75-percent bone loss. The affected teeth were extracted (Photos 3a, 3b and 3c).







Photo 3b: Right maxillary persistent primary second and third premolars.

Photo 3c: Intraoral radiograph revealing marked bone loss between the overlapping teeth













Photo 4a: Puggles

Photo 4b: Gingival recession left maxillary fourth premolar.













Photo 4c: Radiograph revealing >90 percent bone loss left mesial root of maxillary fourth premolar.
Reason 4: Puggles a 5-year-old Pug presented for halitosis. Physical exam revealed gingival recession approaching the mucogingival line of the left maxillary fourth premolar and rotated second and third premolars. Intraoral radiographs revealed almost complete bone loss rostral to the mesial root of the left maxillary fourth premolar as well as support loss of the second and third premolars. The affected teeth were extracted (Photos 4a 4b and 4c).




Photo 5a: Kody
Reason 5: A 2-year-old Basenji, Kody's physical exam under anesthesia revealed slight inflammation and edema surrounding the right mandibular second molar. Intraoral films confirmed bone loss around the furcation as well as >50-percent bone loss around the mesial root. The mandibular second molar was extracted (Photos 5a, 5b and 5c).








Photo 5b: Right mandibular caudal cheek teeth.

Photo 5c: Radiograph revealing >50 percent bone loss mesial root of the mandibular second molar.


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Source: DVM InFocus,
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