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What Does My Panoramic X-ray Test Report Indicate?
Question: I have three issues right now so here goes:
#1. I have bone coming out of upper left gum/cheekside. Dentist said not to worry.
#2. My dentist took a panoramic xray and found mixed radiopacities present in a trabecular pattern on right mandibular angle. He is concerned and said it could be bad. He has never seen before to tell me what it is but says it is atypical and not good?
#3 Same panoramic xray shows a dark radiolucent area at the apex of tooth #30.
Background. I have never had any extractions. I never got my wisdom teeth and I have some bone loss going on as evident on xray. I do grind my teeth in sleep.
Lastly, I went back to dentist yesterday with nerve pain sensation around #30. He took another kind of xray and said nothing shows up- no decay, no absess nothing but that dark spot???
He isn't worried about #1 but is very concerned about #2 and has no idea about #3. I am very confused and afraid of cancer of my jaw?? He said I can't wait and need to be seen by oral surgeon. I am a 43 year old female.
#1. I have bone coming out of upper left gum/cheekside. Dentist said not to worry.
#2. My dentist took a panoramic xray and found mixed radiopacities present in a trabecular pattern on right mandibular angle. He is concerned and said it could be bad. He has never seen before to tell me what it is but says it is atypical and not good?
#3 Same panoramic xray shows a dark radiolucent area at the apex of tooth #30.
Background. I have never had any extractions. I never got my wisdom teeth and I have some bone loss going on as evident on xray. I do grind my teeth in sleep.
Lastly, I went back to dentist yesterday with nerve pain sensation around #30. He took another kind of xray and said nothing shows up- no decay, no absess nothing but that dark spot???
He isn't worried about #1 but is very concerned about #2 and has no idea about #3. I am very confused and afraid of cancer of my jaw?? He said I can't wait and need to be seen by oral surgeon. I am a 43 year old female.
Brief Answer:
cemental dysplasia, ameloblastoma, periapica cyst, surgical treatment
Detailed Answer:
Thanks for your query, I have gone through your query.
Answer for question no.1.
As far as the exposed bone is concerned, it can be a bone infection (osteomyelitis) or an exposed periapical cemental dysplasia.
Nothing to be panic, consult a good oral physician and get it evaluated. If it is osteomyelitis or cemental dysplasia, it has to treated surgically.
Answer for question no.2.
The mixed radiopaque an dradiolucent near the angle region can be a cemento osseous dysplasia or any benign lesion like ameloblastoma or cyst. consult a good oral physician and get it evaluated. If it is ameloblastoma or any cyst, then it has to be treated by surgical excision or enucleation.
Answer for question no.3
Regarding the radiolucent area around the root apex of tooth number 30, it can be a periapical csyt secondary to an infected tooth. Nothing to worry, confirm the diagnosis by taking an opinion from a good oral physician.
If it is a periapical cyst, the tooth has to be treated with root canal treatment along with the enucleation of the cyst.
Regarding the other tooth no 1, 2 and 3, You need to get it examined clinically by the oral physician and then only we can diagnose what it is.
These are the possible diagnosis and treatment plan based on the description of the lesions. If you can upload the images of the OPG and your teeth, i will be able to give exact diagnosis and treatment plan.
Nothing to worry about, cancer. All the lesions what you described looks like benign lesions, and these can be treated.
I hope my answer will help you, take care.
If any queries are there, reply me back.
cemental dysplasia, ameloblastoma, periapica cyst, surgical treatment
Detailed Answer:
Thanks for your query, I have gone through your query.
Answer for question no.1.
As far as the exposed bone is concerned, it can be a bone infection (osteomyelitis) or an exposed periapical cemental dysplasia.
Nothing to be panic, consult a good oral physician and get it evaluated. If it is osteomyelitis or cemental dysplasia, it has to treated surgically.
Answer for question no.2.
The mixed radiopaque an dradiolucent near the angle region can be a cemento osseous dysplasia or any benign lesion like ameloblastoma or cyst. consult a good oral physician and get it evaluated. If it is ameloblastoma or any cyst, then it has to be treated by surgical excision or enucleation.
Answer for question no.3
Regarding the radiolucent area around the root apex of tooth number 30, it can be a periapical csyt secondary to an infected tooth. Nothing to worry, confirm the diagnosis by taking an opinion from a good oral physician.
If it is a periapical cyst, the tooth has to be treated with root canal treatment along with the enucleation of the cyst.
Regarding the other tooth no 1, 2 and 3, You need to get it examined clinically by the oral physician and then only we can diagnose what it is.
These are the possible diagnosis and treatment plan based on the description of the lesions. If you can upload the images of the OPG and your teeth, i will be able to give exact diagnosis and treatment plan.
Nothing to worry about, cancer. All the lesions what you described looks like benign lesions, and these can be treated.
I hope my answer will help you, take care.
If any queries are there, reply me back.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you very much for your reply.
I would like to upload the image but not sure how. It is a panoramic film the dentist gave me. I took a few pictures but there is a glare and not sure you would see what you need to see?? If you know a way to upload better please advise and I will do so.
#1 I am concerned about mainly it came out of no where but dentist isn't much concerned about.
#2 as I look at film the area is not well defined like actual circles would be rather random shapes of white. He called them multiple radiopacities the first time and then referred to them as mixed as they are not say a solid white or black sphere rather mixed fibrous looking in that area.
I have no swelling and no pain unless you count the "nerve sensations" on the same side but I guess by that tooth #30 that is somewhat near where the radiopacities are but the apex of that tooth appear radiolucent there.
I appreciate your help and information. If you know a way to upload my film I will glady do so.
I would like to upload the image but not sure how. It is a panoramic film the dentist gave me. I took a few pictures but there is a glare and not sure you would see what you need to see?? If you know a way to upload better please advise and I will do so.
#1 I am concerned about mainly it came out of no where but dentist isn't much concerned about.
#2 as I look at film the area is not well defined like actual circles would be rather random shapes of white. He called them multiple radiopacities the first time and then referred to them as mixed as they are not say a solid white or black sphere rather mixed fibrous looking in that area.
I have no swelling and no pain unless you count the "nerve sensations" on the same side but I guess by that tooth #30 that is somewhat near where the radiopacities are but the apex of that tooth appear radiolucent there.
I appreciate your help and information. If you know a way to upload my film I will glady do so.
Brief Answer:
odontome, condensing osteitis, upload images
Detailed Answer:
Thanks for your feed back.
As far as the tooth #1 is concerned, it is a wisdom tooth that might have erupted now. Nothing to be panic. If there are any white areas over the crown portion of #1 in radiograph, then we can think of odontomes.
Regarding #2, it can be condensing osteities secondary to any tooth infection. Nothing to be panic, get this tooth treated with root canal treatment.
In relation to #30, the sensitivity can be secondary to abraded tooth or any decay in the tooth. Consult a good oral physician and get all these diagnosed and get it treated.
Regarding uploading the images, go to a dentist and keep the radiograph over the viewer box(box with a light used to view radiographs) and take the image and upload it along with this question. For further assisstance contact customer care they will help you.
I hope my answer will help you. Take care.
odontome, condensing osteitis, upload images
Detailed Answer:
Thanks for your feed back.
As far as the tooth #1 is concerned, it is a wisdom tooth that might have erupted now. Nothing to be panic. If there are any white areas over the crown portion of #1 in radiograph, then we can think of odontomes.
Regarding #2, it can be condensing osteities secondary to any tooth infection. Nothing to be panic, get this tooth treated with root canal treatment.
In relation to #30, the sensitivity can be secondary to abraded tooth or any decay in the tooth. Consult a good oral physician and get all these diagnosed and get it treated.
Regarding uploading the images, go to a dentist and keep the radiograph over the viewer box(box with a light used to view radiographs) and take the image and upload it along with this question. For further assisstance contact customer care they will help you.
I hope my answer will help you. Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I uploaded 3 images. One of the images has a better look. My thumb is in the left hand corner but you should be able to see the mixed radiopacities that my doctor is referring to in the angle of the right mandible. The dark/radiolucent area on tooth #30 is right there as well. I never got any wisdom teeth (I am 43 years old) and they told me I never will and I also did not get the 3rd molar or whatever so just wanted to let you know that as well.
Let me know if you didn't get the xray. I uploaded 3 images but not sure how it went! thank you again.
Let me know if you didn't get the xray. I uploaded 3 images but not sure how it went! thank you again.
Brief Answer:
exostosis, enostosis, mental foramen
Detailed Answer:
Thanks for your feed back, i have gone through the images which you have sent.
As per the images the tooth number 1(third molar) is not there, so there might be problem with tooth number 2 and 3(second and first molar) has little bone loss, so get the teeth cleaned once.
Regarding the mixed radioopacities you are describing, the image is not clear. As per what i have observed, it can be a enostosis or exostosis(excess bone formation). nothing to be panic, it is a benign lesion and is harmless.
The radiolucent area in #30(lower right first molar), can be a normal variation of the marrow space. if it is in the 2nd premolar area then it is a mental foramen. It is a normal structure.
I hope my answer will help you, take care.
exostosis, enostosis, mental foramen
Detailed Answer:
Thanks for your feed back, i have gone through the images which you have sent.
As per the images the tooth number 1(third molar) is not there, so there might be problem with tooth number 2 and 3(second and first molar) has little bone loss, so get the teeth cleaned once.
Regarding the mixed radioopacities you are describing, the image is not clear. As per what i have observed, it can be a enostosis or exostosis(excess bone formation). nothing to be panic, it is a benign lesion and is harmless.
The radiolucent area in #30(lower right first molar), can be a normal variation of the marrow space. if it is in the 2nd premolar area then it is a mental foramen. It is a normal structure.
I hope my answer will help you, take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you very much. I know the images were not the best. To a layperson like myself the area he is concerned with the radiopacities in the mandible angle don't have a definitive margin like say a circle or shape more like just fibrous looking but his concern of course concerned me and I don't have a MD so I of course don't know what I am looking at.
Yes, you are correct apparently I did not get several teeth. I am 43 years old. When I was 16 I still had some stuborn baby teeth but my point is I never got my wisdom teeth and some of my molars (whatever they are called) so I think that tooth #30 is my last tooth there but on most people would be the second one in and that is where the "nerve" pain is when I eat (not any other time). He took a special xray of that and said there was no decay so he didn't really have a reason as to why it gives me that nerve sensation (like eating foil) He said could have a crack or related to my grinding but not sure but the radiolucent area he does see.
His main concern is what he sees as "atypical" radiopacities in the angle of the right mandible. I think the one picture shows it better than the other two do. Hard to take a good picture.
Again, I really appreciate your time and knowledge. Could tooth grinding cause this? He says all my teeth are flat so very evident I grind at night.
Yes, you are correct apparently I did not get several teeth. I am 43 years old. When I was 16 I still had some stuborn baby teeth but my point is I never got my wisdom teeth and some of my molars (whatever they are called) so I think that tooth #30 is my last tooth there but on most people would be the second one in and that is where the "nerve" pain is when I eat (not any other time). He took a special xray of that and said there was no decay so he didn't really have a reason as to why it gives me that nerve sensation (like eating foil) He said could have a crack or related to my grinding but not sure but the radiolucent area he does see.
His main concern is what he sees as "atypical" radiopacities in the angle of the right mandible. I think the one picture shows it better than the other two do. Hard to take a good picture.
Again, I really appreciate your time and knowledge. Could tooth grinding cause this? He says all my teeth are flat so very evident I grind at night.
Brief Answer:
bruxism, CBCT, consult oral physician
Detailed Answer:
Thanks for your feedback. These are the possible diagnosis what I gave based on the picture what you have uploaded. The pain and sensitivity can be because of an attrited tooth secondary to grinding your teeth during night time. I advise you to get the vitality test done for the teeth which are in problem. If teeth are vital then the pain is not from the teeth.
Another thing regarding the radioopacity, you get a cone beam computed tomography done which gives the clear picture with exact boundaries of the lesion and it shows entire jaw. If you get this done we can confirm the diagnosis.
According to me nothing to worry about these radio opacities, because these are harmless. Nothing to worry. But the radiolucency what you are describing in another tooth, I am extremely sorry I am not able to appreciate in that image. I don't think there is a radiolucency there.
You can consult a good oral physician in an educational institute, where you can get the investigations and treatment done in affordable price or free of cost.
I hope my answer will help you. Take care
bruxism, CBCT, consult oral physician
Detailed Answer:
Thanks for your feedback. These are the possible diagnosis what I gave based on the picture what you have uploaded. The pain and sensitivity can be because of an attrited tooth secondary to grinding your teeth during night time. I advise you to get the vitality test done for the teeth which are in problem. If teeth are vital then the pain is not from the teeth.
Another thing regarding the radioopacity, you get a cone beam computed tomography done which gives the clear picture with exact boundaries of the lesion and it shows entire jaw. If you get this done we can confirm the diagnosis.
According to me nothing to worry about these radio opacities, because these are harmless. Nothing to worry. But the radiolucency what you are describing in another tooth, I am extremely sorry I am not able to appreciate in that image. I don't think there is a radiolucency there.
You can consult a good oral physician in an educational institute, where you can get the investigations and treatment done in affordable price or free of cost.
I hope my answer will help you. Take care
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions
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