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DANB's NYR (NYR) Practice Tests & Test Prep by Exam Edge - Related Blogs



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DANB's New York Radiology - Blogs Sample Questions

What is visible in this x-ray?





Correct Answer:
screws used to reconstruct the patient's jaw bones.


the image in question is a panoramic x-ray, commonly used in dental medicine to provide a broad view of the entire dental arch and surrounding structures. this type of x-ray is particularly useful for assessing large areas of the mouth and is often employed in planning and evaluating treatment outcomes.

in this specific x-ray, the primary visible features are screws utilized for the reconstruction of the patient's jaw bones. these screws are typically part of a treatment known as orthognathic surgery, which is performed to correct conditions of the jaw and face related to structure, growth, sleep apnea, tmj disorders, malocclusion problems owing to skeletal disharmonies, or other orthodontic problems that cannot be easily treated with braces. the presence of these screws indicates a surgical intervention aimed at stabilizing the jaw bones, ensuring they heal correctly and maintain the intended structural alignment.

additionally, the x-ray shows ten dental fillings. these fillings are materials used to restore the integrity and function of missing tooth structure, which is typically a result of caries or external trauma. the visibility of such fillings in the x-ray underlines restorative dental work aimed at preserving the patient's oral health and preventing further decay or damage.

moreover, the x-ray reveals five cavities. cavities, or dental caries, are areas of tooth decay where the enamel and possibly deeper structures of the tooth have been permanently damaged. these are common dental issues that arise from poor oral hygiene, sugary diets, and bacteria in the mouth, and they require intervention to prevent further deterioration of oral health.

lastly, the x-ray report notes pain radiating through the patient’s upper right 1st molar. such pain could be indicative of issues like an abscess, crack, or significant decay, particularly in the context of the noted cavities. this symptom underscores the need for further diagnostic and therapeutic measures, possibly including more localized x-rays, to address and treat the root cause of the pain effectively.

in summary, this panoramic x-ray reveals significant details about the patient's dental and orthodontic health, showing both the outcomes of surgical interventions and existing issues that require attention. each feature, from the reconstructive screws to the cavities and pain, contributes to a comprehensive understanding of the patient's current oral health status and the steps necessary for further treatment.