4 - Radiographic Examination Guidelines Flashcards

1
Q

decision to order radiographs should be based on what

A

patient’s history, clinical examination and past and current pathology

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2
Q

when to order radiographs for new or Acute Care patients

A

AFTER clinical examination

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3
Q

considerations in prescribing dental radiographs

A
  1. risk of radiation exposure
  2. cost to patient
  3. diagnostic yield (that is which technique will provide the most information given a certain patient’s condition)
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4
Q

T/F: Clinical judgement is key

A

true

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5
Q

when are radiographs indicated

A
  1. positive historical findings
  2. positive clinical signs and/or symptoms
  3. patient at increased risk for careis
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6
Q

in all cases, the prescription of radiographs by dental practitioner is based on ___ of the practitioner

A

clinical judgement

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7
Q

when are BW covered by insurance

A

once every 12 months

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8
Q

when are panoramic or intraoral complete series covered by insurance

A

once every 5 yearas

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9
Q

when are selected periapicals covered by insurance

A

any time they are deemed necessary

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10
Q

should insurance limitations ever limit the clinical judgement of practitioner

A

NEVER

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11
Q

what is an alternative to anterior PA for patients having periodic exams

A

transillumination

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12
Q

what is acceptable to use for patients with limited clinical signs and/or symptoms and low caries risk for a comprehensive examination in combination with BW and pano

A

transillumination

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13
Q

when are panos indicated

A
  1. patients with low amount clinically evident path
  2. patients contemplating 3rd molar surgery
  3. evaluate patient for fratures, pathologic jaw lesions, developmental abnormalities
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14
Q

*Panoramic radiographs contain ___% more anatomic coverage than FMX, you are responsible for interpreting the entire image

A

40%

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15
Q

are we responsible for 3rd molar radiographs

A

yes they should be taken even if no 3rd molars are indicated

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16
Q

BW indication

A

for detection of interproximal caries

17
Q

in PA radiographs what is needed in the image

A

apex of the tooth

18
Q

what radiograph is mandatory for patient presenting with chief complaint of dental pain or odontogenic facial swelling

A

PA

19
Q

occlusal radiographs indicated for what

A
  1. supernumerary teeth
  2. salivary stones
  3. dental development pre-eruption
  4. boney expansion
20
Q

cephalometric radiographs indicated for what

A

ortho eval and planning orthognathic surgery

21
Q

CBCT indicated for what

A
  1. evaluation of i mplant placement site
  2. pathology
  3. presurgical eval
22
Q

how can you tell between radiolucent composite vs caries

A

radiolucent composite has sharp border, caries doesn’