感染及外傷之放射線影像檢查.ppt

Pathologic fracture Rarefaction Expansion Sclerosing Osteomyelitis Focal type Increasing density ( disposition of the bone ) rarefaction Periapical area Thickening of PDL Bone scar Sclerosing Osteomyelitis Diffuse type Border between normal and sclerosis .. poor defined Cotton wool appearance。 Garre’s proliferative periostitis (Osteomyelitis) Subperiosteal reaction: onion skinning﹐ Duplication of the cortical layer of bone ORN ( Osteo-Radio Necrosis ) No remodeling 90.1.18 90.3.12 Bone necrosis due to Arsenic  Tooth germ, nerve damage… 軟組織感染 Infections involving soft tissues are not readily Demonstrated by many imaging techniques Gas producing organism Infratemporal space Submasseteric space Air way MRI of TMJ space abscess Sinusitis Cloudy Air-Fluid level 下 課 condyle fracture Displacement Bilateral condyle fracture Dislocation Bone gap Split fracture Coronoid fracture Chin horizontal fracture Mid-facial trauma Cavity: sinus, hernia of orbital soft tissue Tomography of orbital fracture CT Air-emphysema Middle fracture ( Le Fort I, II, III ) ZMC fracture Basilar skull fracture: air-fluid level in sphenoid sinus Le fort I fracture Air-fluid level Le Fort IIfracture Le Fort III fracture Blow-out fracture Zygomatic arch fracture  Zygomatico-maxillary complex ( ZMC) fracture Classification of dentoalveolar injuries 1. Crown craze or crack 2. Crown fracture 1) Enamel 2) Enamel-Dentin 3) Enamel-Dentin- Pulp 3. Crown and root fracture 1) Pulp involvement 2) No pulp involvement A. Tooth structures B. Supporting structures Classification of dentoalveolar injuries 4. Root fracture 1) Apical third 2) Middle third 3) Cervical third Shift to another angle B. Supporting Structure 1. Sensitivity ( concussion ) * percussion pain * no displacement * no mobility * Image ? widening of PDL space 2. Subluxation * loosening, no displacement, * Image ? portion of PDL widening Classifica