Explain OPG

Joined
Feb 23, 2023
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Hi everyone, can someone explain what is on the OPG?
 

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Dr M

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It shows a lot of decayed teeth with some peri-apical infections on the top left side.You also have a failing root canal underneath a crown, on the bottom left. Is there something specific you want to know?
 

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Joined
Feb 23, 2023
Messages
2
It shows a lot of decayed teeth with some peri-apical infections on the top left side.You also have a failing root canal underneath a crown, on the bottom left. Is there something specific you want to know?
i’m going to threat this patient as a student, i want to prepare for this case, looks so hard, first of all i gonna remove 4.7 and 4.8, there is periostitis
 

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MattKW

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Mar 18, 2018
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18 - poor RCT, no obvious signs of active pathology. Could leave in place and monitor.
17 - hard to see worthiness of RCT, but no signs of active athology. Deep distal subgingival margin, potential area of future decay.
15,14 - unsalveagable; extract.
13 - broken/decayed? Could be salvageable with composite or crown.
12 - reasonable RCT with some paste extrusion at apex, might be OK. Apperas to be bridged to 11.
11-22 - seem reasonable RCTs and crowns. Might be some perio bone loss.
23 - remaining tooth structure appears poor. Might be worth trying to save, may have to be extracted.
24 - hopeless, existing PARL, extract.
27 - deep caries mesial. Hopefully salvageable.
37 - questionable RCT. Unsure
36 - failed RCT at distal apex. Extract
32-42 - incisal erosion fron opposing crowns (with dietary influence? - acidic drinks or fruit?
45, 44 - extract
43 - distal caries? Restore.
42-32 - look OK. May be some bone loss due to perio disease
43 - distal caries. Restore.
44 - don't know if I'm looking at distal decay or an OPG artefact
45, 46 - look reasonable.
47, 48 - hopeless, extract.
  • Check oral hygiene, saliva, and diet for contributing factors.
  • Explore periodontal status and treat as necessary.
  • Pulp vitality tests for 13, 23, 27, 43, 44.
  • Take PA radiographs of 17, 16, 13, 12, 11, 21, 22, 23, 37, 36, 45, 46
  • Probably end up with P/- chrome-cobalt; not sure about a -/P.
 

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