Child and Adolescent Radiology Flashcards

1
Q

Should we take routine radigraphs based on the time between last examinations

A

No this is not supportable and the intervals between radiographic examinations should be reassessed for each new period as individuals can move in and out of caries risk categories over time

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2
Q

How frequently should bite wing radiographs be taken in child patients with mixed dentition depending on their caries risk categories (FGDP guidelines)

A

High caries risk - 6 months
Moderate caries risk - 12months
Low caries risk - 12-18 months

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3
Q

How frequently should bite wing radiographs be taken in child patients with permanent dentition depending on their caries risk categories (FGDP guidelines)

A

High caries risk - 6 months
Moderate caries risk - 12 months
Low caries risk - 24 months

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4
Q

What are the 3 categories of oro-dental trauma

A
  • Crown Fracture
  • Root Fracture
  • Luxation injuries
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5
Q

What categories of luxation injuries are there

A
Concussion
Subluxation
Intrusion
Extrusion
Lateral extrusion
Avulsion
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6
Q

What is a concussion oro-dental trauma injury

A

When the tooth is not loose and not displaced in the socket at all

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7
Q

What is a subluxation oro-dental trauma injury

A

When there is an incomplete/partial dislocation of the tooth

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8
Q

What is an intrusion oro-dental trauma injury

A

This is an inward displacement of the tooth into the socket

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9
Q

What is an extrusion oro-dental trauma injury

A

This is the movement of the tooth out of the socket beyond the natural occlusal plane

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10
Q

What is an avulsion oro-dental trauma injury

A

This is the displacement of the tooth from its alveolar socket completely

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11
Q

When should dental radiographs be taken for management of minor tooth trauma

A
  • Need an initial baseline radiograph
  • Follow ups should be taken 6 months after treatment
  • And then annually until root formation is complete
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12
Q

If tooth trauma in a child affects the pulp what treatments can be done for vital pulp

A

Pulpotomy or Pulpectomy

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13
Q

If tooth trauma in a child affects the pulp what treatments can be done for non-vital pulp

A

Root Canal Treatment

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14
Q

Is a radiograph needed for vital pulp procedures

A

Yes

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15
Q

What radiographs are needed for root canal treatment

A
  • Pre-operative radiograph
  • Workling length radiograph
  • Mid fill radiogrpah
  • Post operative radiograph
  • Follow up radiograph (1 year)
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16
Q

Why should you take a mid fill radiograph for root canal treatment

A

If you are in doubt about the integrity of the apical constriction

17
Q

Why do we need to take x rays in some periodontal disease cases

A

This disease can affect bone destruction and there may be systemic diseases affecting the tooth structure

18
Q

What depth of pocket in periodontal disease gives a score of 3

A

3.5-5.5mm

19
Q

If your BPE score is 3 what radiographs would you need

A

Horizontal bitewings

Supplemented with/out selected anterior peri-apicals

20
Q

What depth of pocket in periodontal disease gives you a score of 4

A

5.5+ mm.

21
Q

If your BPE score is 4 what radiographs might you need

A

Vertical bitewings

Supplemented with/out selected anterior peri-apicals

22
Q

If you have generalised pocketing in your periodontal disease what radiographs can you have

A

Panoramic Radiographs supplemented with/out peri-apicals
OR
A complete series of peri-apical radiographs

23
Q

Why do we need radiographs in orthodontic treatments

A

Problems like impacted teeth, spacing/crowding and malocclusion

24
Q

What radiographs are needed for orthodontic treatments

A

Panoramic and Lateral cephalograms

25
Q

What are some less common problems for taking radiographs in children

A

Cysts
Tumours
Bony lesions

26
Q

What does a cyst look like on a radiograph

A

Shown in the alveolar bone around a root and will appear darker than the surrounding tissue

27
Q

What is a Cone beam CT used for

A

In adolescent patient’s teeth looking for wisdom teeth, implant planning, unerupted teeth etc.