ABSTRACT Introduction: Accurate diagnosis in oral pathology relies on the integration of patient history and radiographic interpretation. This review summarizes classic radiological signs that are pathognomonic for specific diseases. Methods: A PubMed search was independently conducted by two reviewers to identify articles published between 2005 and 2019 describing classic radiological signs in oral and maxillofacial pathology. Results: Twenty-six entities were identified and organized into a decision tree based on characteristic radiographic appearances. Discussion: Radiographic interpretation remains central to diagnostic precision in oral and maxillofacial pathology. The proposed decision tree serves as a practical aid for clinical diagnosis and treatment planning. However, given the subjectivity and overlap of radiographic features, integration with clinical findings, patient history, and histopathological confirmation is essential. Dental radiographs thus remain valuable tools for helping students and clinicians correlate imaging patterns with specific diseases for accurate diagnosis and management.
Handa et al. (Thu,) studied this question.