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Patient
Categorization
Radiographic Examinations
Periapical Radiographs
Periapical views show all of a tooth and the surrounding bone
Useful for revealing the following:
Caries
Periodontal
Periapical disease
Dental anomalies
Occult disease
Paeriapical radiographs have high resolution
Have limited coverage area
Type of Visit
New
Posterior bite-wing
if proximal
surfaces can not
be visualized
Child with
Transitional
Dentition
After eruption of
first permanent
tooth
Individual
radiographs
Posterior
bitewings
Panoramic exam
Or
Posterior
bitewings and
selected periapical
images
College of Dentistry
Adult
Dentate
Edentulous
Individual radiographs
Posterior bitewings
Panoramic exam
Or
Posterior bitewings and selected periapical
images
A full mouth intraoral radiographic exam is
preferred when the patient has clinical
evidence of generalized dental disease or a
history of extensive dental treatment
No clinical caries
No high- risk factors for caries
Transitional Dentition
After eruption of first permanent tooth
Periodontal disease
History of periodontal treatment
Recall patient
Clinical caries
High- risk factors for caries
Primary Dentition
Prior to eruption of
first permanent tooth
Child with
Transitional
Dentition
After eruption of
first permanent
tooth
Posterior bitewing
examination at 6- to 12
month intervals
Or until no carious lesions
are evident
Adult
Dentate
Edentulous
Posterior bitewing
12- to 18 month
intervals
Not applicable
Periodontal disease
History of periodontal treatment
No clinical caries
No high- risk factors for caries
Posterior bitewing
at 12- to 24
month intervals if
proximal surfaces
of primary teeth
cannot be
visualized or
probed
Adolescent with
Permanent
Dentition
Prior to eruption of third
molars
Primary Dentition
Prior to eruption of
first permanent tooth
Edentulous
Clinical caries
High- risk factors for caries
Primary Dentition
Prior to eruption of first
permanent tooth
Bitewing Radiographs
Adolescent with
Permanent
Dentition
Prior to eruption of third
molars
Adult
Adolescent
Dentate
Radiographic Examinations
New patient
All new patients to assess dental diseases and development
Risk Category
Child
Recall
Prepared by:
Dr Saad Al Bayatti
B.D.S., M.Sc., Oral Radiologist
University of Sharjah
College of Dentistry
Primary Dentition
Prior to eruption of
first permanent tooth
Dental Status
Child with
Transitional
Dentition
After eruption of
first permanent
tooth
Adolescent with
Permanent
Dentition
Prior to eruption of third
molars
Posterior bitewing
at 12- to 24-month
intervals
Posterior bitewing at
18- to 36-month intervals
Primary Dentition
Prior to eruption of
first permanent tooth
Adult
Dentate
Edentulous
Adult
Child with
Transitional
Dentition
After eruption of
first permanent
tooth
Adolescent with
Permanent
Dentition
Prior to eruption of third
molars
Dentate
Edentulous
Posterior bitewing at
24 - to 36 month intervals
Not applicable
Not applicable
Radiographic Examinations
Radiographic Examinations
Occlusal Radiographs
Primary Dentition
Prior to eruption of
first permanent tooth
Child with
Transitional
Dentition
After eruption of
first permanent
tooth
Adolescent with
Permanent
Dentition
Prior to eruption of third
molars
Adult
Dentate
Edentulous
Radiographic Examinations
General Rules in Prescribing a Radiograph
Make radiographs only after reviewing the patients
health history and completing a clinical examination
Radiographs are only indicated when they will provide
information about a disease that is not evident clinically
Order only those radiographs that directly benefit the
patient's diagnosis or treatment plan
Use the least amount of radiation exposure necessary to
generate an acceptable view of the imaged area
Consider previous radiographs
Panoramic radiographs
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Indicated to view:
Jaws
Present teeth
Relative state of teeth development
Presence or absence of dental
abnormalities
Maxillary sinuses
Nasal fossa
TMJs
Traumatic and pathologic lesions in
bone.
The examination of choice for initial
examinations of edentulous patients
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