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Radiographic Anatomy of the Skull
Dr. Meghan Woodland November 25, 2010.
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Patient Preparation: Radiographs should be taken under general anaesthesia In critical cases, lateral and VD views can be obtained with minimal sedation Standard skull series: Lateral VD Nasal, Bulla and Dental series: various oblique and open-mouth views.
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Typical Radiographic View
1. Open mouth VD Direction of X-rays
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This view is used to evaluate the nasal cavity, which is important in animals with nasal discharge.
Joe P. Morgan
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Note the increased opacity in the left nasal passage
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Typical Radiographic View
2. Lateral View
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Can be used to evaluate for nasal or frontal bone fractures in trauma patients
Joe P. Morgan
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Radiograph is oblique as the dog was awake and difficult to keep still.
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Typical Radiographic View
3. Frontal Sinus View Direction of X-rays X-ray film
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Important for evaluating for the presence of sinusitis in patients with nasal discharge.
Joe P. Morgan
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Note the increased opacity within the left frontal sinus
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Normal Appearance DV/VD
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Frontal Bone & Sinus
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Zygomatic Arch
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Maxillary Bone
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Mandible
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Tympanic Bullae
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Horizontal Ear Canal
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Note the decreased amount of air within the right ear canal.
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Note the mineralization of both ear canals
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Temporomandibular Joint
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Normal Appearance Lateral
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Mandible
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Mandibular symphyseal fracture
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Maxillary Bone
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Zygomatic Bone
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Orbital Margin
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Normal cat bulla on lateral or oblique view
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Coronoid Process of the Mandible
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Temporomandibular Joint
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Condylar Process of Mandible
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Retroarticular Process
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Angular Process of the Mandible
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Close up of Skull TMJ Joint Condylar Process Retroarticular Process
Angular Process
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Normal Appearance Open Mouth VD
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Ethmoid Turbinates
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Maxillary Turbinates
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Turbinates Turbinate pattern changes at the level of PM3.
Maxillary turbinates have a linear pattern Ethmoid turbinates have a more coarse pattern
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Vomer Bone Nasal Septum Vomer bone
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Palatine Fissure
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Open Mouth VD and CT Compare
1. Radiograph on the left 2. CT images on the right Note the turbinate patterns at the different levels
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Normal Appearance Frontal Sinus View
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Normal Appearance Lateral View
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Frontal Sinus
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Ethmoid Turbinates
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Nasal Turbinates
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Nasopharynx
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Maxillary Recess
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Tooth Root Abscess
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Normal Dental Formula (Canine)
Maxillary teeth 3 (x2) Incisors 1 (x2) Canine 4 (x2) Premolars 2 (x2) Molars
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Normal Dental Formula (Canine)
Mandibular teeth 3 (x2) Incisors 1 (x2) Canine 4 (x2) Premolars 3 (x2) Molars
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Normal Dental Formula (Feline)
Maxillary teeth 3 (x2) Incisors 1 (x2) Canine 3 (x2) Premolars 1 (x2) Molars
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Normal Dental Formula (Feline)
Mandibular teeth 3 (x2) incisors 1 (x2) canine 2 (x2) Premolars 1 (x2) Molars
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Deciduous Teeth Time of Replacement Incisors 3-5 months
Canines 5-7 months Premolars 5-6 months
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Deciduous Teeth
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Deciduous Teeth Deciduous teeth Permanent teeth Permanent teeth
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Normal Teeth: Age Related Changes
As an animal ages the teeth will: have a decreased pulp cavity closure of the apical foramen regression of alveolar crest sclerosis of alveolar bone
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Age Related Changes As an animal ages the teeth will:
have a decreased pulp cavity closure of the apical foramen regression of alveolar crest sclerosis of alveolar bone
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Age Related Changes As an animal ages the teeth will:
have a decreased pulp cavity closure of the apical foramen regression of alveolar crest sclerosis of alveolar bone
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Age Related Changes As an animal ages the teeth will:
have a decreased pulp cavity closure of the apical foramen regression of alveolar crest sclerosis of alveolar bone
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Age Related Changes Increasing Age
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Age Related Changes Note the decreased size of pulp cavity
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Normal Tooth Structure
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Normal Tooth Structure
Crown - covered with enamel and above gum line
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Normal Tooth Structure
Root - below gum line surrounded by bone
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Normal Tooth Structure
Pulp Cavity - contain blood vessels and nerves radiolucent zone in center to tooth
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Normal Tooth Structure
Periodontal Membrane - radiolucent (black) line surrounding the tooth root
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Normal Tooth Structure
Lamina dura - sclerotic (white) line just outside the periodontal ligament
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The End
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