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NEET MDS Lessons
Radiology

Fractures of the Zygomatic Arch

  • Structures: Zygomatic arch, zygomatic bone.
  • Best Views:
    • Submento-Vertex View: Provides a clear view of the zygomatic arch and helps assess fractures.
    • Waters View: Useful for visualizing the zygomatic bone and maxillary sinus.
    • Reverse Townes View: Can also be used to visualize the zygomatic arch.

Base of Skull

  • Structures: Base of the skull, cranial fossae.
  • Best Views:
    • Submento-Vertex View: Effective for assessing the base of the skull and related fractures.

Maxillary Sinus

  • Structures: Maxillary sinus, zygomatic bone.
  • Best Views:
    • Waters View: Excellent for visualizing the maxillary sinus and any associated fractures.

Fractures of Zygoma

  • Structures: Zygomatic bone, zygomatic arch.
  • Best Views:
    • Waters View: Good for assessing zygomatic fractures.
    • PA View: Provides a frontal view of the zygomatic bone.
    • Reverse Townes View: Useful for visualizing the zygomatic arch.

Nasal Septum

  • Structures: Nasal septum, nasal cavity.
  • Best Views:
    • PA View: Useful for assessing the nasal septum and any associated fractures.

Condylar Neck Fractures

  • Structures: Mandibular condyle, neck of the condyle.
  • Best Views:
    • Lateral Oblique View (15°): Good for visualizing condylar neck fractures.
    • Transpharyngeal View: Useful for assessing the condylar region.

Medially Displaced Condylar Fractures

  • Structures: Mandibular condyle.
  • Best Views:
    • Lateral Oblique View (30°): Effective for visualizing medially displaced condylar fractures.

Coronoid Process of Mandible

  • Structures: Coronoid process.
  • Best Views:
    • PA View of Skull: Can help visualize the coronoid process.

Fractures of Ramus and Body of Mandible

  • Structures: Mandibular ramus, body of the mandible.
  • Best Views:
    • Lateral Oblique View (15°): Useful for assessing fractures of the ramus and body of the mandible.

Horizontal Favorable and Unfavorable Fractures of Mandible

  • Structures: Mandible.
  • Best Views:
    • Lateral Oblique View (30°): Effective for evaluating horizontal fractures.

Bony Ankylosis of TMJ

  • Structures: Temporomandibular joint.
  • Best Views:
    • CT Scan: Provides detailed imaging of bony structures and ankylosis.

Fibrous Ankylosis of TMJ

  • Structures: Temporomandibular joint.
  • Best Views:
    • CT Scan: Useful for assessing fibrous ankylosis.

Internal Derangement of the Disk

  • Structures: TMJ disk.
  • Best Views:
    • MRI: The best modality for evaluating soft tissue structures, including the TMJ disk.

Disk Perforation

  • Structures: TMJ disk.
  • Best Views:
    • MRI: Effective for diagnosing disk perforation.

Arthrography

  • Structures: TMJ.
  • Best Views:
    • Arthrography: Can be used to assess the TMJ and visualize the disk and joint space.

General guidelines for vertical angulations for common dental radiographs in children:

Anterior Teeth

  1. Maxillary Central Incisors:
    • Vertical Angulation: +40 to +50 degrees
  2. Maxillary Lateral Incisors:
    • Vertical Angulation: +40 to +50 degrees
  3. Maxillary Canines:
    • Vertical Angulation: +45 to +55 degrees
  4. Mandibular Central Incisors:
    • Vertical Angulation: -10 to -20 degrees
  5. Mandibular Lateral Incisors:
    • Vertical Angulation: -10 to -20 degrees
  6. Mandibular Canines:
    • Vertical Angulation: -15 to -25 degrees

Posterior Teeth

  1. Maxillary Premolars:
    • Vertical Angulation: +30 to +40 degrees
  2. Maxillary Molars:
    • Vertical Angulation: +20 to +30 degrees
  3. Mandibular Premolars:
    • Vertical Angulation: -5 to -10 degrees
  4. Mandibular Molars:
    • Vertical Angulation: -5 to -10 degrees

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