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Dentistry 12 - Analyze a panoramic X-ray
Dentistry 12 - Analyze a panoramic X-ray
Dentistry 12 - Analyze a panoramic X-ray

Dentistry 12 - Analyze a panoramic X-ray - Exercises

Analizar una radiografía panorámica

Exercise 1: Match a word

Instruction: Match the items that have a related meaning.

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La radiografía panorámica — La ortopantomografía (The panoramic radiograph — The orthopantomography)
La mandíbula — El hueso inferior (The mandible — The lower bone)
El maxilar — El hueso superior (The maxilla — The upper bone)
La caries avanzada — Una caries profunda (Advanced tooth decay — A deep cavity)

Exercise 2: Exam preparation (QR: Audio)

Instruction: Read the text, fill in the gaps with the missing words, and answer the questions below

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Informe breve de radiografía panorámica

Fill in the gaps: maxilar, extracción dental, radiografía panorámica, mandíbula, prótesis removible, caries avanzada, lesión periapical, implante, prótesis fija

(Brief panoramic X-ray report)

En la clínica dental hoy se revisa una . Se observan la y el : falta una muela y hay una en otra pieza. En la raíz de una pieza aparece una , compatible con infección.

Plan: evaluar la imagen en consulta y confirmar con exploración. Opciones: tratamiento endodónticoo , según el estado. Para rehabilitación, se puede proponer , o colocarse un .
Today at the dental clinic a panoramic X-ray is being reviewed. The mandible and the maxilla can be seen: one molar is missing and there is advanced decay in another tooth. At the root of a tooth there is a periapical lesion, consistent with infection.

Plan: assess the image in the appointment and confirm with an examination. Options: endodontic (root canal) treatment or tooth extraction, depending on the condition. For rehabilitation, a fixed prosthesis, a removable prosthesis, or placement of an implant can be proposed.

  1. Qué problemas se ven en la radiografía y qué opciones de tratamiento y de prótesis se proponen?

    (What problems are seen in the X-ray and what treatment and prosthesis options are proposed?)

Exercise 3: Listening

Instruction: Listen to the audio and answer the questions.

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(In the appointment I am evaluating a patient’s panoramic X-ray. The mandible and the maxilla can be seen clearly. In the posterior area there is advanced decay and the tooth root seems damaged. I also observe a possible periapical lesion, so there may be an infection. I explain it calmly and propose a tooth extraction if she confirms pain. Then we talk about options: a removable denture or getting an implant.)
True False

(The professional is reviewing a panoramic X-ray in the dental clinic.)

(According to the description, the posterior area has no problems and everything is normal.)

(After explaining the case, the professional proposes as solutions a removable denture or an implant.)

Exercise 4: Multiple Choice

Instruction: Choose the correct solution

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1. En la radiografía panorámica ___ la mandíbula y el maxilar claramente.

(In the panoramic X-ray ___ the mandible and the maxilla clearly.)

2. En esta muela ___ una caries avanzada y por eso le duele.

(In this molar ___ an advanced cavity and that is why it hurts.)

3. Yo le ___ el diagnóstico y el plan de tratamiento con palabras sencillas.

(I ___ the diagnosis and the treatment plan to you in simple words.)

Exercise 5: Dialogue Cards

Instruction: Practice the conversation with your teacher or fellow students.

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1

Dentista muestra la panorámica

Exercise 6: Discussion questions (QR: AI+)

Instruction: Speaking: translate and respond (QR: AI+)

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Useful expressions:

En la radiografía se observa que… / Parece que hay… cerca de… / Le recomiendo… porque…

  1. En esta radiografía panorámica, ¿qué partes puedes identificar (mandíbula, maxilar, dentición) y qué te llama la atención?
    In this panoramic X-ray, which parts can you identify (mandible, maxilla, dentition) and what catches your attention?

    __________________________________________________________________________________________________________

  2. Si observas una caries avanzada o una infección cerca de una raíz, ¿cómo se lo explicarías al paciente y qué tratamiento le propondrías (extracción, endodoncia o implante)?
    If you observe an advanced cavity or an infection near a root, how would you explain it to the patient and what treatment would you propose (extraction, root canal treatment, or implant)?

    __________________________________________________________________________________________________________

Exercise 7: Writing correspondence (QR: AI+)

Instruction: Write a reply to the following message appropriate to the situation

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Show translation

Asunto: Revisión rápida de radiografía panorámica (Sr. López)

Hola, Marta:

¿Puedes mirar la imagen del Sr. López? Dice que le duele al masticar del lado derecho. En la mandíbula derecha veo una muela con caries avanzada y parece que hay una pequeña zona oscura cerca de la raíz dental (posible infección o absceso). El maxilar se ve normal.

¿Qué diagnóstico pondrías y qué plan propones: extracción dental, endodoncia o hablar ya de prótesis / implante?

Gracias,
Laura (higienista)

Subject: Quick review of panoramic X-ray (Mr. López)

Hi, Marta:

Can you look at Mr. López’s image? He says it hurts when chewing on the right side. In the right mandible I see a molar with advanced caries and it looks like there is a small dark area near the tooth root (possible infection or abscess). The maxilla looks normal.

What diagnosis would you give and what plan do you propose: tooth extraction, root canal treatment, or talk already about a prosthesis / implant?

Thanks,
Laura (hygienist)

Useful phrases:

  1. En la radiografía panorámica se observa que…

    (On the panoramic X-ray it can be observed that…)

  2. Creo que el problema puede ser… porque…

    (I think the problem may be… because…)

  3. Podemos explicar al paciente dos opciones:…

    (We can explain two options to the patient:…)

Hola, Laura:

Gracias por el correo. En la radiografía panorámica, en la mandíbula derecha se ve una muela con caries avanzada y una zona radiolúcida cerca de la raíz dental, lo que sugiere una infección periapical posible (absceso).

Yo propondría: 1) Confirmar con exploración clínica y una radiografía periapical pequeña. 2) Si el diente es recuperable, realizar una endodoncia y luego una corona. 3) Si no es recuperable, extracción dental y, más adelante, valorar rehabilitación con implante o prótesis removible según el caso y el presupuesto del paciente.

Un saludo,
Marta
Hi, Laura:

Thanks for the email. On the panoramic X-ray, in the right mandible you can see a molar with advanced caries and a radiolucent area near the tooth root, which suggests a possible periapical infection (abscess).

I would propose: 1) Confirm with a clinical examination and a small periapical X-ray. 2) If the tooth is salvageable, perform a root canal treatment and then a crown. 3) If it is not salvageable, tooth extraction and, later on, consider rehabilitation with an implant or a removable prosthesis depending on the case and the patient’s budget.

Best regards,
Marta