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Importance of knowing normal
anatomy :
1- correct film mounting requires a good
knowledge of normal radiographic anatomy.
2- To be able to detect abnormal findings.
APPERANCE OF THE TEETH &
SURROUNDING STRUCTURES
Crown
Root
Enamel
Dentin
Pulp
Teeth & Supporting
Structures
Apex
PDLS
Lamina
Dura
DEJ
Pulp
Horn
Chamber
Canal
Alveolar Crest
DEJ
CEJ
The alveolar crest appears flat and smooth bet the
teeth
Alveolar crest appears pointed & sharp bet the teeth
TYPES OF BONE SEEN IN DENTAL RADIOGRAPH:
1- CORTICAL BONE
2- CANCELLOUS BONE
CORTICAL BONE means outer layer
The cortical bone is also referred to as compact bone, is very
dense and contains no marrow space. This bone seen surrounding
the tooth (lamina dura) and carried over the alveolar crest.
Cortical bone resist the passage of the x-ray beam and appears
radiopaque.
CORTICAL BONE
Cancellous bone
Cancellous bone means arranged like a lattice
Cancellous bone is the soft spongy bone that is located between the
two layers of dense cortical bone.
It has a spider web appearance , it’s composed of numerous bony
trabeculae that form a lattice- like network of intercommunicating
spaces filled with marrow spaces
Trabecular Pattern in anterior maxilla
 The trabeculae is thin
& numerous, forming
a fine, granular,dense
pattern& the marrow
space small and
relatively numerous.
Trabecular Pattern in
posterior maxilla
 Similar to anterior
maxilla, the marrow
spaces may be
slightly larger.
Trabecular Pattern in
anterior mandible
 The trabeculae thicker&
fewer than in the
maxilla, with large
marrow spaces.
 Coarser pattern with
trabecular plates
oriented more
horizontally
Trabecular Pattern in
the posterior mandible
 Trabecular plates
oriented more
horizontally.
 Marrow space
comparable to ant.
Mand. But larger.
Follicle
Dental Papilla
Anterior Maxillary Projection
Nasal fossa(nasal cavity)
 A pear-shaped
compartment of bone
superior to maxilla.
Radiographically.
 large radiolucent area
above the maxillary
incisors.
Nasal Septum
 a vertical bony wall that
divides the nasal cavity
into RT & LT fossa, it is
formed by two bones and
cartilage.
Radiographically:
Vertical radiopaque partition
divide the nasal cavity.super
imposed over the median
palatal suture
Floor of Nasal Cavity
 Is a bony wall formed by the
palatal processes of the
maxilla & horizontal portion
of palatine bone,extends
bilaterally away from ANS.
Radiographically:
dense radiopaque band of bone
above the maxillary incisors.
Anterior Nasal Spine
 Is a sharp projection of
the maxilla located at
the anterior & inferior
portion of the nasal
cavity.
Radiographically:
V-shaped Radiopaque area at
the intersection of the floor of
the nasal cavity & the nasal
septum.
Intermaxillary Suture
 Median palatal suture.
 Joint bet the 2 palatine
processes of the maxilla
 Extends from alveolar
crest through ANS,to the
posterior hard palate
Radiographically:
Thin radiolucent line bet the
maxil central incisors, Uniform
width
Soft Tissue Outline of Nose
 The nose can be
seen as a soft tissue
shadow, usually
radiopaque, along the
root of the maxillary
incisors.
Incisive Foramen
 Is opening through
which the
nasopalatine nerve &
vessels pass.
Radiographically:
Radiolucent,oval shaped
Variable size and shape.
Variable position, due to
angulation of x-ray beam
Nasopalatine Canal
 Transmits
nasopalatine nerves
and vessels.
 Terminates in
incisive foramen.
 Not always seen.
Superior Foramina of the
nasopalatine canal
Nasolacrimal Canal
Inferior nasal Conchae
 Concha shell- shaped
thin curved plate of bone
extend from the lateral
wall of the nasal cavity.
Radiographically:
Diffuse radiopaque mass
or projection within the
nasal cavity.
Nasal Mucosa
Lateral fossa(canine fossa)
 Is a smooth
depressed area of the
maxilla bet the canine
& lateral incisor.
Radiographically:
Radiolucency bet canine
and lateral inc.
the appearance varies
depend on the anatomy
Maxillary Premolar & Molar projection
Inverted “Y” of Ennis
 Inverted Y refers to
intersection of nasal
fossa and maxillary
sinus.
Radiographically:
Radiopaque upside-
down “y” above the max
canine
Nasolabial Fold/ Cheek Mass
Maxillary Sinus
 Paired cavities of bone
within the maxilla .
 Located above the max
pre-molar & molar
Radiographically:
Radiolucent area
surrounded by radiopaque
line above the apices of max
pre-molar & molar
Maxillary sinus-septa
Maxillary sinus and Nutrient
canals
 Tube like passageways
through the bone that house
BV & nerve to maxillary teeth.
 Radiographically:
 Narrow radiolucent band
bounded by two thin
radiopaque line representing
the cortical bone
Maxillary Sinus
 Floor of sinus extends
to alveolar crest due
to missing teeth
Floor / Wall of Maxillary Sinus
 Wavy outline of the
sinus
Maxillary Tuberosity
 Is rounded prominence of
bone that extend post to
max 3rd
molar region.
Radiographically:
Radiopaque bulge distal to
3rd
molar region
Hamulus(hamular process)
 Is a small hook-like
projection of bone that
extend from the medial
pterygoid plate
 Posterior to max tuberosity
region
Radiographically:
Radiopaque hook-like
projection.
Varies in length, shape &
density
Zygomatic process of the maxilla
 A bony projection of the
maxilla that articulates
with the zygoma.(dense
bone)
Radiographically:
J or U ahaped radiopacity
superior to max 1st
molar
region
Zygoma(Malar bone)
 It is comprised of dense
cortical bone.
 Articulation of cheek bone
with the zygomatic process
of maxilla
Radiographically:
Diffuse radiopaque band that
extend posteriorly from the
zygomatic process of maxilla
All Those Horizontal Lines!
Alveolar Ridge
Floor / Wall of Maxillary Sinus
Zygomatic Arch (Inf. Border)
Zygomatic Process of Maxilla
Floor of Nasal Cavity
Tuberosity
 Marked prominence of
bone on the ant ramus of
the mand.
Coronoid Process
Radiographically:
Triangular radiopacity
superimposed over,or
inferior to the max
tuberosity region
End of Part I
Anterior Mandible
Anterior mandible
Genial Tubercle
 Tiny bumps of bone that serve
as attachment site for
genioglossus and geniohyoid
muscles.
 Located on the lingual aspect
of the mand.
Radiographically:
Ring-shaped radiopacity
below the apices of the man
incisors
Genial Tubercle
Lingual Foramen
 Tiny opening or hole in bone
located on the internal surface of
mand,near the midline &
surrounded by genial tubercles
Radiographically:
Small radiolucent dot inf to
the apices of man incisore
Nutrient Canals
 Tube-like passageway
through bone that house
nerves & blood vessels
 Seen in area of thin bone
Radiographically:
Vertical radiolucent lines
Mental Ridge
 Is a linear prominence of cortical
bone on the external surface of
the ant portion of the man.
 It extend from the premolar to the
midline & slop upward
Radiographically:
Thick radiopaque band
Superimpose over the mand
ant teeth.
Mental fossa
 Scooped-out, depressed area
of bone on the external
surface of the ant man
Radiographically:
Radiolucent area bet the
alveolar ridge and mental
ridge.
Mandibular Premolar & Molar projection
Mental foramen
 Is an opening located on
the ext surface of the
mand in the mandibular
premolar region.
Radiographically:
Small round or void
radiolucency in the apical
area of premolar
Posteriorly Positioned Foramen
Mandibular Posterior Region
Alveolar Ridge
External Oblique Ridge
 Linear prominence of
bone located on the exter
surface of the body of the
mand
Radiographically:
Radiopaque band extend
downward & forward from the
ant border of the ramus of the
mand,it ends in the mand 3rd
molar area
Mylohyoid Ridge (Internal oblique ridge)
 Linear prominence of bone on
the internal surface of the
mand,it extend from the molar
region downward & forward
toward the lower border of the
mand symphysis
Radiographically:
Dense radiopaque band
Superimposed over root of
mand teeth
Mandibular Canal
 Tube-like passageway through
bone that travels the length of
the mand.
 Extend from mand foramen to
mental foramen& house inferior
alveolar nerve and vessels
Radiographically:
Radiolucent band outlined by two
thin radiopaque lines.
Below or superimposed over the
apices of the molar teeth
Submandibular Fossa
 A scooped-out, depressed
area of bone on the internal
surface of the mand below
mylohyoid ridge
Radiographically:
Radiolucent area in molar
region
Inferior Border of Mandible
 Dense radiopaque
band of bone
 Thin inferior border of
mandible
 Socket outline
The End

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Intra Oral radiographic anatomical landmarks

  • 1.
  • 2. Importance of knowing normal anatomy : 1- correct film mounting requires a good knowledge of normal radiographic anatomy. 2- To be able to detect abnormal findings.
  • 3. APPERANCE OF THE TEETH & SURROUNDING STRUCTURES
  • 6. Alveolar Crest DEJ CEJ The alveolar crest appears flat and smooth bet the teeth
  • 7. Alveolar crest appears pointed & sharp bet the teeth
  • 8. TYPES OF BONE SEEN IN DENTAL RADIOGRAPH: 1- CORTICAL BONE 2- CANCELLOUS BONE
  • 9. CORTICAL BONE means outer layer The cortical bone is also referred to as compact bone, is very dense and contains no marrow space. This bone seen surrounding the tooth (lamina dura) and carried over the alveolar crest. Cortical bone resist the passage of the x-ray beam and appears radiopaque. CORTICAL BONE
  • 10. Cancellous bone Cancellous bone means arranged like a lattice Cancellous bone is the soft spongy bone that is located between the two layers of dense cortical bone. It has a spider web appearance , it’s composed of numerous bony trabeculae that form a lattice- like network of intercommunicating spaces filled with marrow spaces
  • 11. Trabecular Pattern in anterior maxilla  The trabeculae is thin & numerous, forming a fine, granular,dense pattern& the marrow space small and relatively numerous.
  • 12. Trabecular Pattern in posterior maxilla  Similar to anterior maxilla, the marrow spaces may be slightly larger.
  • 13. Trabecular Pattern in anterior mandible  The trabeculae thicker& fewer than in the maxilla, with large marrow spaces.  Coarser pattern with trabecular plates oriented more horizontally
  • 14. Trabecular Pattern in the posterior mandible  Trabecular plates oriented more horizontally.  Marrow space comparable to ant. Mand. But larger.
  • 15.
  • 17.
  • 20. Nasal fossa(nasal cavity)  A pear-shaped compartment of bone superior to maxilla. Radiographically.  large radiolucent area above the maxillary incisors.
  • 21. Nasal Septum  a vertical bony wall that divides the nasal cavity into RT & LT fossa, it is formed by two bones and cartilage. Radiographically: Vertical radiopaque partition divide the nasal cavity.super imposed over the median palatal suture
  • 22. Floor of Nasal Cavity  Is a bony wall formed by the palatal processes of the maxilla & horizontal portion of palatine bone,extends bilaterally away from ANS. Radiographically: dense radiopaque band of bone above the maxillary incisors.
  • 23. Anterior Nasal Spine  Is a sharp projection of the maxilla located at the anterior & inferior portion of the nasal cavity. Radiographically: V-shaped Radiopaque area at the intersection of the floor of the nasal cavity & the nasal septum.
  • 24. Intermaxillary Suture  Median palatal suture.  Joint bet the 2 palatine processes of the maxilla  Extends from alveolar crest through ANS,to the posterior hard palate Radiographically: Thin radiolucent line bet the maxil central incisors, Uniform width
  • 25. Soft Tissue Outline of Nose  The nose can be seen as a soft tissue shadow, usually radiopaque, along the root of the maxillary incisors.
  • 26. Incisive Foramen  Is opening through which the nasopalatine nerve & vessels pass. Radiographically: Radiolucent,oval shaped Variable size and shape. Variable position, due to angulation of x-ray beam
  • 27. Nasopalatine Canal  Transmits nasopalatine nerves and vessels.  Terminates in incisive foramen.  Not always seen.
  • 28. Superior Foramina of the nasopalatine canal
  • 30. Inferior nasal Conchae  Concha shell- shaped thin curved plate of bone extend from the lateral wall of the nasal cavity. Radiographically: Diffuse radiopaque mass or projection within the nasal cavity.
  • 32. Lateral fossa(canine fossa)  Is a smooth depressed area of the maxilla bet the canine & lateral incisor. Radiographically: Radiolucency bet canine and lateral inc. the appearance varies depend on the anatomy
  • 33. Maxillary Premolar & Molar projection
  • 34. Inverted “Y” of Ennis  Inverted Y refers to intersection of nasal fossa and maxillary sinus. Radiographically: Radiopaque upside- down “y” above the max canine
  • 36. Maxillary Sinus  Paired cavities of bone within the maxilla .  Located above the max pre-molar & molar Radiographically: Radiolucent area surrounded by radiopaque line above the apices of max pre-molar & molar
  • 38. Maxillary sinus and Nutrient canals  Tube like passageways through the bone that house BV & nerve to maxillary teeth.  Radiographically:  Narrow radiolucent band bounded by two thin radiopaque line representing the cortical bone
  • 39. Maxillary Sinus  Floor of sinus extends to alveolar crest due to missing teeth
  • 40.
  • 41.
  • 42. Floor / Wall of Maxillary Sinus  Wavy outline of the sinus
  • 43. Maxillary Tuberosity  Is rounded prominence of bone that extend post to max 3rd molar region. Radiographically: Radiopaque bulge distal to 3rd molar region
  • 44. Hamulus(hamular process)  Is a small hook-like projection of bone that extend from the medial pterygoid plate  Posterior to max tuberosity region Radiographically: Radiopaque hook-like projection. Varies in length, shape & density
  • 45. Zygomatic process of the maxilla  A bony projection of the maxilla that articulates with the zygoma.(dense bone) Radiographically: J or U ahaped radiopacity superior to max 1st molar region
  • 46. Zygoma(Malar bone)  It is comprised of dense cortical bone.  Articulation of cheek bone with the zygomatic process of maxilla Radiographically: Diffuse radiopaque band that extend posteriorly from the zygomatic process of maxilla
  • 49. Floor / Wall of Maxillary Sinus
  • 52. Floor of Nasal Cavity
  • 54.  Marked prominence of bone on the ant ramus of the mand. Coronoid Process Radiographically: Triangular radiopacity superimposed over,or inferior to the max tuberosity region
  • 58. Genial Tubercle  Tiny bumps of bone that serve as attachment site for genioglossus and geniohyoid muscles.  Located on the lingual aspect of the mand. Radiographically: Ring-shaped radiopacity below the apices of the man incisors
  • 60.
  • 61.
  • 62. Lingual Foramen  Tiny opening or hole in bone located on the internal surface of mand,near the midline & surrounded by genial tubercles Radiographically: Small radiolucent dot inf to the apices of man incisore
  • 63. Nutrient Canals  Tube-like passageway through bone that house nerves & blood vessels  Seen in area of thin bone Radiographically: Vertical radiolucent lines
  • 64.
  • 65. Mental Ridge  Is a linear prominence of cortical bone on the external surface of the ant portion of the man.  It extend from the premolar to the midline & slop upward Radiographically: Thick radiopaque band Superimpose over the mand ant teeth.
  • 66. Mental fossa  Scooped-out, depressed area of bone on the external surface of the ant man Radiographically: Radiolucent area bet the alveolar ridge and mental ridge.
  • 67. Mandibular Premolar & Molar projection
  • 68. Mental foramen  Is an opening located on the ext surface of the mand in the mandibular premolar region. Radiographically: Small round or void radiolucency in the apical area of premolar
  • 72. External Oblique Ridge  Linear prominence of bone located on the exter surface of the body of the mand Radiographically: Radiopaque band extend downward & forward from the ant border of the ramus of the mand,it ends in the mand 3rd molar area
  • 73. Mylohyoid Ridge (Internal oblique ridge)  Linear prominence of bone on the internal surface of the mand,it extend from the molar region downward & forward toward the lower border of the mand symphysis Radiographically: Dense radiopaque band Superimposed over root of mand teeth
  • 74. Mandibular Canal  Tube-like passageway through bone that travels the length of the mand.  Extend from mand foramen to mental foramen& house inferior alveolar nerve and vessels Radiographically: Radiolucent band outlined by two thin radiopaque lines. Below or superimposed over the apices of the molar teeth
  • 75. Submandibular Fossa  A scooped-out, depressed area of bone on the internal surface of the mand below mylohyoid ridge Radiographically: Radiolucent area in molar region
  • 76. Inferior Border of Mandible  Dense radiopaque band of bone
  • 77.  Thin inferior border of mandible  Socket outline