Dental Anomalies: Examinations for Diagnosis in the Dental Office
DOI:
https://doi.org/10.21270/archi.v14i11.6697Keywords:
Dental Anomalies, Panoramic Radiography, Periapical Radiography, Diagnostic Imaging, Treatment PlanningAbstract
This study aimed to analyze a case report integrated with a literature review to answer the following: which imaging examinations effectively enable diagnostic closure in dental anomalies, and why does a methodical combination of panoramic radiography and periapical radiographs yield greater diagnostic value than using a single modality alone? We report a 17-year-old female patient with food impaction and clinical findings of palatal crowding of tooth 25, persistence of tooth 75, and rotation of tooth 44. A two-step imaging sequence was adopted: initial panoramic radiography for global mapping, followed by targeted periapical radiographs. Results showed that the panoramic view confirmed agenesis of tooth 35, revealed the crowding pattern, and guided the prioritization of regions of interest, whereas periapicals documented dilaceration of tooth 25, characterized physiological resorption of tooth 75, and clarified periapical aspects essential for therapeutic decision-making. The comparative analysis supported a practical pattern: begin with panoramic imaging when a broad anomaly is suspected and complement with periapicals when fine morphological confirmation is required. We conclude that an ordered integration of panoramic imaging followed by targeted periapical views constitutes a pragmatic, high-value protocol for diagnosing dental anomalies, reducing uncertainty, and supporting safer, more individualized treatment planning.
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