Topic 7. X-Ray, Luminescent and Transilluminating Diagnostics: The Indication To

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Topic 7.

X-ray, luminescent and transilluminating diagnostics: the indication to


use, feature of realization. Diagnostic tests: with an anaesthesia and on the
preparation. Procedure for determining trigger zones and examination of the exit
sites of the trigeminal nerve peripheral branches. Laboratory examination
methods. Interpretation of the results of analyzes of oral liquid, blood, urine, etc.

1. The most informative method for diagnosing periodontal disease are:


X-ray examinations
Transluminescent diagnostics
Test with anesthesia
Congratulatory coloring
Thermal tests

Solution algorithm:
1. Pay attention to the structure of the periodontium, the size of the periodontal
gap.
2. Pay attention to the density of bone tissue surrounding the periodontium.
3. Pay attention to the possibility of visual access to periodontal tissues, especially
at the apex of the root.
4. Pay attention to the possibility of recording on different media changes that
occur inside the bone tissue and the root of the tooth.

2. Radiological signs in chronic fibrous periodontitis:


the periodontal fissure in the apical area is dilated, hypercementosis
destruction of bone tissue in the apical area with blurred contours
periodontal fissure without changes
destruction of bone tissue with clear contours in the apical area
destruction of bone tissue with clear contours in the marginal area

Solution algorithm:
1. Pay attention to the structure of the periodontium, the size of the periodontal
gap.
2. Pay attention to the density of bone tissue surrounding the periodontium, as well
as the periodontal gap at the apex of the root. Prolonged chronic inflammation
leads to enlargement of the periodontal gap.
3. Pay attention to the presence of bone compaction, especially at the apex of the
root (hypercementosis).
3. A method that allows you to assess the shadowing that occurs when passing
through the tooth tissue cold light flux from a halogen lamp:
transillumination
congratulatory coloring
radiological
halogenography
holography
Solution algorithm:
1. Pay attention to the structure of the tooth. Enamel is a light-transmitting
structure.
2. Pay attention to the density of dentin. This tissue is permeated with dentinal
tubules, is not very transparent and can absorb light.
3. Pay attention to the possibility of visualization of tooth tissues after light
penetrates through them.
4. Pay attention to the physical properties of light. Polarized, diffused light is
better delayed in areas of teeth where there are defects.

4. Resistance of enamel to action of acids is defined by means of:


TER test
Green Vermilion index
EOD
buffer capacity of saliva
RMA index

Solution algorithm:

1. Pay attention to the structure of the tooth. Enamel is a structure that is sensitive
to acids.
2. Pay attention to the possibility of penetration into the enamel of dyes.
Especially when damaged.
3. Pay attention to the possibility of visualization of tooth enamel tissues after the
dye penetrates into it.
4. Note the different colors of the standardized tests. The color of the painted
enamel determines its stability

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