4 - Radiographic Examination Guidelines Flashcards
decision to order radiographs should be based on what
patient’s history, clinical examination and past and current pathology
when to order radiographs for new or Acute Care patients
AFTER clinical examination
considerations in prescribing dental radiographs
- risk of radiation exposure
- cost to patient
- diagnostic yield (that is which technique will provide the most information given a certain patient’s condition)
T/F: Clinical judgement is key
true
when are radiographs indicated
- positive historical findings
- positive clinical signs and/or symptoms
- patient at increased risk for careis
in all cases, the prescription of radiographs by dental practitioner is based on ___ of the practitioner
clinical judgement
when are BW covered by insurance
once every 12 months
when are panoramic or intraoral complete series covered by insurance
once every 5 yearas
when are selected periapicals covered by insurance
any time they are deemed necessary
should insurance limitations ever limit the clinical judgement of practitioner
NEVER
what is an alternative to anterior PA for patients having periodic exams
transillumination
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
transillumination
when are panos indicated
- patients with low amount clinically evident path
- patients contemplating 3rd molar surgery
- evaluate patient for fratures, pathologic jaw lesions, developmental abnormalities
*Panoramic radiographs contain ___% more anatomic coverage than FMX, you are responsible for interpreting the entire image
40%
are we responsible for 3rd molar radiographs
yes they should be taken even if no 3rd molars are indicated