Image: Patient #4, 47 year female
Assignment#1. Describe the clinical image that you had selected. Describe the clinical changes that is showed by the arrow head. State your diagnosis. Based on your diagnosis what morphological changes are associated with the oral condition that you had stated in your diagnosis. [150-200 words]
Read the primary posts made by fellow members of class and choose one person who does not yet have a response and craft an appropriate response. The word limit of your response post must be 50-100.
Patient #2, Question #3 [3. Describe the clinical image that you had selected. Describe the clinical changes that is showed by the arrow head. State your diagnosis. Based on your diagnosis what changes would be observed in the radiograph for the oral condition that you had mentioned in your diagnosis.]
Patient number 2 presented with a deep pit on the palatal aspect of his permanent maxillary lateral incisor. This abnormality is known as Dens invaginatus, and it results from an infolding of the dental papilla during tooth development, therefore creating a pocket of organic material underneath the enamel surface which attracts bacteria thus, predisposing patients to caries.As seen in this patient, there is an infolding of the enamel into the dentine which extends to the level of the gingiva on the mesio-palatal aspect of the tooth. These invaginations can be classified as type I, II, IIIa or IIIb based on severity. With the use of radiographic imaging Dens invaginatus is seen as radiolucent pockets underneath the cingulum and incisal edges of affected teeth. These fissures can be surrounded by radio-opaque enamel and can be coronal or can affect the root canal system sometimes involving the pulp, thus, radiographic imaging is important for assessing the feasibility of endodontic treatment.Communications between the invaginations and the periodontal ligament may be on the lateral aspects or apex of the tooth. If present, a ‘butterfly’ like periapical radiolucency may be seen, corresponding to two sources of inflammation