FDA-ADA guidelines for prescribing dental radiographs

Question 1

radiographic examination should only be prescribed on basis of what 3 things?

Answer 1

history
clinical examination
lab findings

Question 2

exam for new child with primary dentition

Answer 2

bitewings if clinical exam is not possible or clinical signs of disease

Question 3

exam for new child with transitional dentition

Answer 3

individual periapicals and/or occlusals, bitewings or panoramics and bitewings

Question 4

exam for recall child with caries

Answer 4

bitewings every 6 months until no evidence of caries

Question 5

exam for recall child with no caries

Answer 5

bitewings every 12-24 months

Question 6

exam for recall child with periodontal disease or history

Answer 6

selected periapicals and/or bitewings of clinically positive sites

Question 7

exam for recall child growth and development assessment

Answer 7

selected periapicals, panoramic and occlusal

Question 8

exam for new adolescent

Answer 8

posterior bitewings and selected periapicals
full mouth series when patient presents with clinical evidence of generalized disease
full mouth series when patient presents with history of extensive dental treatment

Question 9

exam for recall adolescent with caries

Answer 9

bitewings every 6-12 months until no evidence of caries

Question 10

exam for recall adolescent without caries

Answer 10

bitewings every 18-36 months

Question 11

exam for recall adolescent with periodontal disease or history of it

Answer 11

selected PA and/or BW of clinically positive sites

Question 12

exam for recall adolescent for growth and development assessment

Answer 12

selected periapicals or panoramic to assess develop 3rd molars

Question 13

exam for adult new patient

Answer 13

posterior BW and selected PA
full mouth series when patient has clinical evidence of generalized disease
full mouth series when patient presents with history of extensive dental treatment

Question 14

exam for recall adult with caries

Answer 14

BW every 12-18 months until no caries evidence

Question 15

exam for recall adult without caries

Answer 15

posterior BW every 24-36 months

Question 16

exam for recall adult with periodontal disease or history

Answer 16

selected PA and/or BW of clinically positive sites

Question 17

exam for new edentulous patient

Answer 17

panoramic

full mouth series

Question 18

exam for recall edentulous patient

Answer 18

no recall radiographic exam needed

selected PA or panoramic when disease suspected

Question 19

pregnancy situation

Answer 19

• exam only if symptomatic using radiographic apron

- postpone exam if asymptomatic

Question 20

what is the fetal exposure for a full mouth series?

Answer 20

1 mGy

Question 21

what is the average skin dose from dental radiography?

Answer 21

3 mGy