Incidental Radiographic Findings in Pediatric Dental Practice
This chapter contains a myriad of examples of incidental radiographic findings, and it also illustrates that good diagnostic skills are essential and paramount in distinguishing normal from abnormal or aberrant anatomy and the latter from pathology. Forei
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Incidental Radiographic Findings in Pediatric Dental Practice
This chapter contains a myriad of examples of incidental radiographic findings, and it also illustrates that good diagnostic skills are essential and paramount in distinguishing normal from abnormal or aberrant anatomy and the latter from pathology. Foreign objects can be another challenge, especially if they are not radiopaque. Often endoscopic nasal investigations by ear, nose, and throat specialists result in incidental findings of pieces of toys or a coin or an earring being stuck in the nasal cavity. Sometimes they have been there for months or years. As pediatric dentist, one should keep an open mind as to what children can push into their ears, noses, and mouth. Our greatest fear is when objects are being aspirated and cause stridor or even worse asphyxiation. A good clinical examination and a justified radiographic examination can answer most clinical complaints or issues. Names of distinguished colleagues who supplied the images for this chapter are mentioned with the radiographs. If there is no name mentioned with the radiographs, the radiographs were taken by the author of this book or collected from the different university clinics he has worked in (Ghent University in Belgium, University of Washington in Seattle, USA, and University of Western Australia in Perth, Australia). Figures 6.1 through 6.16 are illustrations of incidental findings with or without a significant impact on the treatment plan or therapy.
© Springer Nature Switzerland AG 2019 J. Aps, Imaging in Pediatric Dental Practice, https://doi.org/10.1007/978-3-030-12354-3_6
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6 Incidental Radiographic Findings in Pediatric Dental Practice
Fig. 6.1 Inverted right-hand-side second maxillary premolar. Notice the chin-down positioning error, rendering a “smiling” panoramic radiographic image (courtesy of Dr. Hilde Beyls, Belgium)
Fig. 6.2 Supernumerary mandibular premolar on the right-hand side and a mesiodens (Fig. 6.3)
6 Incidental Radiographic Findings in Pediatric Dental Practice Fig. 6.3 Cropped image from the panoramic radiograph (courtesy of Dr. Hilde Beyls, Belgium)
Fig. 6.4 Congenitally missing maxillary lateral incisors and generalized occlusal wear (courtesy of Dr. Marc Jeannin, Belgium)
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6 Incidental Radiographic Findings in Pediatric Dental Practice
Fig. 6.5 Impaction of left-hand-side mandibular canine and congenitally missing maxillary lateral incisors and mandibular third molars. Notice the root dilacerations on the right-hand-side mandibular canine and the unusual spacing between the right-hand-side mandibular molars, which may indicate a small dentigerous cyst. Also notice the ghostlike appearance of the deciduous maxillary canines. Since the impacted mandibular canine is not magnified, it is likely to be positioned in the same plane or slightly anterior to the erupted incisors and premolar (courtesy of Dr. Veronique Noens, Belgium)
Fig. 6.6 Preeruptive intracoronal resorption in the left-hand-side second permanent maxillary molar wa
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