Tag Archives: hyperostosis

Heat moldable impression tray Part 1

Intra-oral bony growths of all types, present a clinical challenge for the dental team attempting to capture accurate detail for final impressions of crown and bridge, removable prosthetics, oral appliances, accurate opposing models, study models, and whitening trays. Stock impression trays often can’t be seated to depth, because they get hung up on these bony anatomical variants, or the bony protuberances can cause pain during the impressioning procedure, as there is often only a thin membrane of covering tissue which is easily irritated. Lingual tori may also limit the space for the tongue and can result in speech impediment. Even though these bony areas can create a clinical challenge with impressioning, these areas are prime sites for harvesting autogenous bone for bone grafting of dental implants and can be used for multiple reconstructive procedures such as nasal reconstruction. Continue reading

Difference between tooth abscess, cyst, and granuloma

Whenever a lesion is observed on a radiograph, it must first be described in general terms before a differential diagnosis is attempted.  Is the lesion radiolucent, radiopaque, or mixed (combination of radiolucency and radiopacity)?  Where is the lesion located?  The apices of which teeth are involved?  What is the size of the lesion?  Is the margin of the lesion ill-defined, well-defined, or well-defined with a radiopaque border?  Is the appearance of the bone surrounding the lesion: normal, porous, or sclerotic? Continue reading