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Radiology > Dental Radiograph Selection Tool > Flashcards

Dental Radiograph Selection Tool Flashcards

1
Q

Individualized radiographic exam consisting of…

A

selected periapical/occlusal views and posterior bitewings if proximal surfaces cannot be visualized or probed

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2
Q

T/F: Patients without evidence of disease and with open proximal contacts may not require a radiographic exam at this time.

A

True

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3
Q

What is the recommendation for a child (primary denition) with clinical caries or increased caries risk?

A

Posterior bitewing exam at 6-12 month intervals if proximal surfaces cannot be examined visually or with a probe.

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4
Q

What is the recommendation for a child (primary denition) with no caries and low caries risk?

A

Posterior bitewing exam at 12-24 month intervals if proximal surfaces cannot be examined visually or with a probe.

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5
Q

What is the recommendation for a child (primary denition) with periodontal disease?

A
  • Use clinical judgment, regarding the need for and type of images for the evaluation of periodontal disease.
  • Imaging may consist of, but is not limited to, selected BWX and/or PA images of areas where periodontal disease (other than non-specific gingivitis) is demonstrated clinically.
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6
Q

What is the recommendation for a child (primary denition) to assess dental/skeletal relationship?

A

Clinical judgement as to need for and type of radiographic images for evaluation and/or monitoring of dentofacial growth and development or assessment of dental and skeletal relationships.

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7
Q

What is the recommendation for a child (primary denition) thats a new patient?

A

Individualized radiographic exam consisting of posterior bitewings with panoramic exam OR posterior bitewings and selected periapical images

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8
Q

What is the recommendation for an adolescent that is a new patient?

A

Posterior BWXs with panoramic exam. Or, BWXs with selected PAXs.
An FMX exam is preferred when patient has clinical evidence of general dental disease or history of extensive dental treatment.

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9
Q

What is the recommendation for an adolescent with no clinical caries or low caries risk?

A

Posterior BWX exam at 18-36 month intervals.

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9
Q

What is the recommendation for an adolescent with clinical caries or increased caries risk?

A

Posterior BWX exam at 6-12 month intervals, if proximal surfaces cannot be examined visually.

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10
Q

What is the recommendation for an adolescent with periodontal disease?

A
  • Use clinical judgment, regarding the need for and type of images for the evaluation of periodontal disease.
  • Imaging may consist of, but is not limited to, selected BWX and/or PA images of areas where periodontal disease (other than non-specific gingivitis) is demonstrated clinically.
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11
Q

What is the recommendation for an adolescent for assessment of dental/skeletal relationship?

A
  • Clinical judgement as to need for and type of radiographic images for evaluation and/or monitoring of dentofacial growth and development or assessment of dental and skeletal relationships.
  • Panoramic or PA images as needed to assess developing 3rd molars
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12
Q

What is the recommendation for an adult that is a new patient?

A

Posterior BWXs with panoramic exam. Or, BWXs with selected PAXs. FMX exam is preferred when patient has clinical evidence of general dental disease or history of extensive dental treatment.

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13
Q

What is the recommendation for an adult with clinical caries or increased caries risk?

A

Posterior BWX exam at 6-18 month intervals, if proximal surfaces cannot be examined visually

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14
Q

What is the recommendation for an adult with no clinical caries or low caries risk?

A

Posterior BWX exam at 24 -36 month intervals.

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15
Q

What is the recommendation for an adult with periodontal disease?

A
  • Use clinical judgment, regarding the need for and type of images for the evaluation of periodontal disease.
  • Imaging may consist of, but is not limited to, selected BWX and/or PA images of areas where periodontal disease (other than non-specific gingivitis) is demonstrated clinically.
16
Q

What is the recommendation for an adult for assessment of dental/skeletal relationship?

A

Usually not indicated for monitoring of growth and development. Clinical judgement as to the need for and type of radiographic image for evaluation of dental and skeletal relationships.

17
Q

What is the recommendation for an adult (edentulous) that is a new patient?

A

Panoramic radiograph and selected periapicals based on clinical signs and symptoms.

17
Q

What is the recommendation for an adult (edentulous) that is a recall patient?

A

Individualized radiographic exam based on clinical signs and symptoms.

18
Q

What is the recommendation for an adult (edentulous) for assessment of dental/skeletal relationship?

A

Usually not indicated for monitoring of growth and development. Clinical judgement as to the need for and type of radiographic image for evaluation of dental and skeletal relationships

19
Q

What are examples of positive historical findings?

A
  • Previous periodontal treatment
  • Previous endodontic treatment
  • History of pain or trauma
  • Familial history of dental anomalies
  • Postoperative evaluation of healing
  • Monitoring of caries remineralization
  • Presence of implants, previous implant pathosis or evaluation for implant placement
  • Dental and craniofacial pathosis
20
Q

What are examples of positive clinical signs and symptoms?

A
  • Clinical evidence of periodontal disease
  • Evidence of foreign objects
  • Positive neurologic findings in head and neck
  • Pain and/or dysfunction of the temporomandibular joint
  • Deep carious lesions
  • Facial asymmetry
  • Malposed or clinically impacted teeth
  • Abutment teeth for fixed or removable partial prosthesis
  • Swelling
  • Unexplained bleeding
  • Evidence of dental/facial trauma
  • Unexplained sensitivity of teeth
  • Mobility of teeth
  • Unusual eruption, spacing or migration of teeth
  • Sinus tract (fistula)
  • Unusual tooth morphology, calcification or color
  • Clinically suspected sinus pathosis * Unexplained absence of teeth
  • Growth abnormalities
  • Clinical tooth erosion
  • Large or deep restorations
  • Peri-implantitis
    *Oral involvement in known or suspected systemic disease
21
Q

What are examples of positive clinical signs and symptoms for adult edentulous patients?

A
  • Swelling
  • Positive neurologic findings in the head and neck
  • Evidence of facial trauma
  • Evidence of foreign object
  • Sinus tract (fistula)
  • Pain and/or dysfunction of the temporomandibular joint
  • Clinically suspected sinus pathosis
  • Facial asymmetry
  • Growth abnormalities
  • Unexplained bleeding
  • Oral involvement in known or suspected systemic disease
22
Q

What are the treatment planning considerations for adult edentulous patients?

A
  • Teeth that may become abutments for fixed or removable partial prosthesis
  • Large or deep restorations which may require full coverage crown
  • Evaluation of edentulous areas as implant sites
  • Other restorative or endodontic treatment need
23
Q

What are factors that increase the risk for caries?

A

*High level of caries experience/demineralization
* Developmental or acquired enamel defects
*History of recurrent caries
* Developmental or acquired disability
*High titers of cariogenic bacteria
* Xerostomia (objective or subjective)
*Existing restorations of poor quality
* Genetic abnormality of teeth
*Poor oral hygiene
* Many multi-surface restorations
*Inadequate fluoride exposure
* Chemo or radiation therapy
*Prolonged nursing (bottle or breast)
* Eating disorders
*Frequent high sucrose content in diet
* Drug/alcohol abuse
*Poor family dental health
* Irregular dental care

24
Q

What are factors that increase the risk for caries WITHOUT positive clinical findings?

A
  • Acquired disability (e.g., stroke, injury)
  • Taking new xerostomic medication
  • New symptoms of or worsening of xerostomia (objective or subjective)
  • Recent worsening of a medical condition
  • Recent history of chemo or radiation therapy
  • New or worsening eating disorder
  • New or worsening drug/alcohol abuse
  • Change in financial status that leads to a decrease in dental care

Radiology (35 decks)

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