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Identification of restorations
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Amalgam, gold, stainless steel, porcelain,
composite, and acrylic.
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Metallic restorations
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Absorb x-rays and as a result very little (if
any) radiation comes in contact with the
film and appears radiopaque. Examples
are amalgam and gold.
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Nonmetallic restorations
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May vary in radiographic appearance from radiolucent to slightly opaque depending upon the density of the material. Examples are porcelain, composite, and acrylic. Prcelain is the most dense and least radiolucent and acrylic is the least dense and most radiolucent.
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Amalgam restorations
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Most common restorative material. It absorbs x-ray beam and prevents x-rays from reaching the film and appears completely radiopaque. Can be seen in a variety of shapes, sizes, and locations.
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One-surface amalgam restorations
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Pit amalgams. Appear as distinct, small, round, or ovoid radiopacities. May be seen on buccal, lingual, or occlusal surfaces.
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Two-surface and multisurface amalgam
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Appear radiopaque and are characterized by their irregular outlines or borders. May involve any tooth surface.
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Amalgam overhangs
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Extensions of amalgam seen beyond the crown portion of a tooth in the interproximal region. Results from improper band placement arounda tooth before the condensing of the amalgam restoration. They appear radiopaque and easily visualized. It disrupts the natural cleansing countours, traps food and plaque, and contributes to bone loss. They must be removed to prevent destruction of interproximal bone.
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Amalgam fragments
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Also known as amalgam scraps. Inadvertently embedded in adjacent soft tissue during the restoration of a tooth. They vary in size and shape and appear as dense radiopacities with irregular borders. May be seen in any location where soft tissue is present.
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Gold restorations
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Usually has smoother borders and appear completely radiopaque but can be difficult to differentiate from amalgam. If patient is present, examine the patient for verification.
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Gold crowns and bridges
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Radiopaque restorations with smooth contours and regular borders. Gold inlays and onlays exhibit marginal outlines that appear smooth and regular.
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Gold foil restorations
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Appear as small, round radiopacities and are indistinguishable from the one-surface restorations. A two-surface gold foil restoration may appear similar to the gold inlay with smooth regular marginal outlines, or may exhibit slightly irregular margins and resemble the two-surface amalgam.
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Stainless steel and chrome crowns
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Prefabricated restorations that are usually used as interim or temporary restorations. They are thin and do not absorb dental x-rays and appear radiopaque but not as densely radiopaque as amalgam or gold. Their outlines and margins appear very smooth and regular. They appear see-through on radiographs.
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Post and core restorations
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Seen in endodontically treated teeth. It is cast metal and appears radiodense as amalgam or gold. Appear radiopaque. The core portion resembles the prepared portion of a tooth crown and the post portion extends into the pulp canal.
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Porcelain restoration
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Appear slightly radiopaque and resemble the radiodensity of dentin.
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All-porcelain crowns
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Appear slightly radiopaque. A thin radipaque line outlining the prepared tooth may be evident. This thin line represents cement. The radiodensity appears identical to an all-porcelain bridge.
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