Chapter 33: Interpretation of Dental Caries

Dental Radiography principals and Techniques 5th edition by Joen Iannucci

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Chapter 33: Interpretation of Dental Caries

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. In the practice of dentistry, ___________ is probably the most frequent reason for taking dental images.
a. periodontitis
b. caries
c. impacted teeth
d. orthodontia

 

 

ANS:  B

In the practice of dentistry, caries are probably the most frequent reason for taking dental images.

 

DIF:    Recall             REF:   Page 403        OBJ:   2

TOP:   CDA, RHS, I.C.2.b. Identify anatomical structures, dental materials, and patient information observed on radiographic images

MSC:  NBDHE, 2.4 Recognition of normalities and abnormalities

 

  1. A dental image is most useful for detection of _________ caries.
a. buccal
b. lingual
c. occlusal
d. interproximal

 

 

ANS:  D

A dental image is most useful for detection of interproximal caries.

 

DIF:    Comprehension                               REF:   Page 405        OBJ:   2

TOP:   CDA, RHS, I.C.2.b. Identify anatomical structures, dental materials, and patient information observed on radiographic images

MSC:  NBDHE, 2.4 Recognition of normalities and abnormalities

 

  1. A carious lesion appears _________ on a dental image.
a. radiopaque
b. radiolucent
c. white
d. clear

 

 

ANS:  B

A carious lesion appears radiolucent (dark or black) on a dental image. Demineralization and destruction of the hard tooth structures result in a loss of tooth density in the area of the lesion. Decreased density allows greater penetration of x-rays in the carious area. A radiopaque (light or white) area would be due to increased rather than decreased density.

 

DIF:    Recall             REF:   Page 404        OBJ:   3

TOP:   CDA, RHS, I.C.2.b. Identify anatomical structures, dental materials, and patient information observed on radiographic images

MSC:  NBDHE, 2.4 Recognition of normalities and abnormalities

 

  1. You suspect your patient has caries in the molar regions. Which of the following dental images should you take?
a. Periapical
b. Bite-wing
c. Panoramic
d. Occlusal

 

 

ANS:  B

The bite-wing image is the dental image of choice for the evaluation of caries. A periapical image using the paralleling technique can also be used for evaluation of dental caries; however, day-in and day-out, most practitioners rely on bite-wing images for the evaluation of caries in posterior teeth. Although panoramic images are superior to periapical or bite-wing images for visualization of the entire head and jaws, the resolution is less than that seen with intraoral images. In fact, a panoramic image is typically supplemented with bite-wing images to create a full mouth series. The steep vertical angulation of an occlusal image largely precludes utilization for the detection of caries.

 

DIF:    Application    REF:   Page 404        OBJ:   3

TOP:   CDA, RHS, I.C.2.b. Identify anatomical structures, dental materials, and patient information observed on radiographic images

MSC:  NBDHE, 2.4 Recognition of normalities and abnormalities

 

  1. ____________ caries are found between two teeth.
a. Occlusal
b. Buccal
c. Lingual
d. Interproximal

 

 

ANS:  D

Interproximal caries are found between two teeth. Occlusal caries involve the chewing surface of the posterior teeth. Interproximal caries are found between two teeth. Buccal caries involve the buccal tooth surface. Lingual caries involve the lingual tooth surface.

 

DIF:    Recall             REF:   Page 405        OBJ:   6

TOP:   CDA, RHS, I.C.2.b. Identify anatomical structures, dental materials, and patient information observed on radiographic images

MSC:   NBDHE, 2.4 Recognition of normalities and abnormalities

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