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Radiographic Analysis of Intraosseous lesions (Step 4: Analyze the effects…
Radiographic Analysis of Intraosseous lesions
Step 1: Localize the abnormality
Localized or generalized
Unilateral or bilateral
Anatomic position (epicenter)
Single or multifocal
Step 2: Assess the Periphery and Shape
Periphery
Well Defined
Corticated (thin even RO border)
Sclerotic (thick, uneven RO border)
Punched out
Soft tissue capsule (RL surrounding structure)
Ill Defined
Blending
Invasive
Shape
Scalloped
Irregular
Circular
Step 3: Analyze the internal structure
Totally RO
Mixed (describe pattern)
Totally RL
Step 4: Analyze the effects of the lesion on surrounding tissues
IAN canal + mental foramen
Maxillary antrum
Teeth, LD, PDL space
Surrounding bone density + trabecular pattern
Outer cortical bone + periosteal rxns
Step 5: Formulate a radiographic interpretation