Variants of Normal Radiologic Anatomy that may Simulate Disease on Panoramic Images

Presented by: Dr. Ernest Lam

RCDSO Expiry Date: January 31, 2027

To qualify as a Core Category 1 course, the course certificate must be issued no later than this date.

RCDSO CE Points: 3, Category 1

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  • Dr. Ernest Lam B.Sc. (Hons.), D.M.D. and M.Sc.

    Associate Dean for Graduate Education in the Faculty of Dentistry of the University of Toronto

    Professor Ernest Lam is the Dr. Lloyd & Mrs. Kay Chapman Chair in Clinical Sciences and the Associate Dean for Graduate Education in the Faculty of Dentistry of the University of Toronto. As well, Professor Lam is the Director of the Oral and Maxillofacial Radiology Graduate Program. Dr. Lam completed his B.Sc. (Hons.), D.M.D. and M.Sc. degrees at the University of British Columbia, and spent 2 years in general practice dentistry in Vancouver before attending the University of Iowa, where he completed the Oral and Maxillofacial Radiology specialty program and a Ph.D. in Radiation Biology. Dr. Lam is a fellow of the Royal College of Dentists of Canada in Oral and Maxillofacial Radiology and a Diplomate of the American Board of Oral and Maxillofacial Radiology. Dr. Lam is also currently a member of the University of Toronto’s Governing Council, and has held leadership roles in professional organizations of Oral and Maxillofacial Radiology in both Canada and the United States.

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The assessment of any imaging examination relies on a familiarity with the normal anatomy contained therein. Although students develop competency with the classic radiologic appearances of normal anatomy in dental school, it is only after seeing hundreds, if not thousands of images that the practitioner develops an appreciation for the range of these normal appearances. Even so, normal anatomy may be presented on panoramic images that may be confused with a disease or disease process. This lecture will provide a systematic approach to the investigation of panoramic images, and explore the range of normal appearances that may be misinterpreted as disease.

Learning Objectives:

  1. To develop a systematic approach to panoramic image investigation.
  2. To understand the range of what may be considered normal anatomy on panoramic images.
  3. To identify key areas on the panoramic image where normal anatomy may be confused with disease.