Thursday, January 25, 2024

Buccal object role in dental treatment of maxillary teeth.. MB root appear distal to P if cone is directed M to D



Buccal object role in dental treatment of maxillary teeth:

  • A. MB root appear distal to P if cone is directed M to D.
  • B. DB root appear mesial to P if cone is directed M to D.

Both options A and B describe possible outcomes of the buccal object effect in dental radiographs, but they require additional context for a complete understanding.


- The Buccal Object Effect:

The buccal object effect, also known as the SLOB (Same Lingual, Opposite Buccal) rule, is a radiographic phenomenon that helps dentists determine the relative positions of two objects within the jawbone. It's based on the principle that X-rays travel in straight lines, and objects closer to the X-ray source appear larger and shifted further away on the film compared to objects farther from the source.

- Applying the Effect to Maxillary Teeth:

In your scenario, the description mentions maxillary teeth, which are located in the upper jaw. When taking radiographs of maxillary teeth, the X-ray cone is typically directed from a mesial (front) to distal (back) direction.

Interpretation of Options:

A. MB root appears distal to P if cone is directed M to D:

This statement suggests that if a buccal object (like a filling or crown) is present and the X-ray cone is angled mesiodistally, the MB (mesiolingual) root of a maxillary tooth might appear further distally on the film compared to the palatal (P) aspect of the tooth. This is because the buccal object, being closer to the X-ray source, would be magnified and shifted distally.

B. DB root appears mesial to P if cone is directed M to D:

This statement suggests that if the same scenario is present, the DB (distobuccal) root of the maxillary tooth might appear slightly mesial (closer to the front) on the film compared to the palatal aspect. This is due to the same principle of the buccal object effect causing the DB root to be slightly magnified and shifted mesially.

Important Points to Remember:

  • The buccal object effect is a general principle, and its exact manifestation on the radiograph can vary depending on several factors, such as the size and position of the buccal object, the angle of the X-ray cone, and the specific tooth anatomy.
  • It's crucial to interpret the radiograph considering all available clinical information and not solely rely on the buccal object effect to make diagnoses or treatment decisions.