Guidelines for Prescribing Radiographs Flashcards

1
Q

ADA guidelines are intended to be a ____ not ______

A

guide, standards/requirements/regulations/law

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2
Q

______ for asymptomatic patients combined with selected _______ for _____ patients can result in a __ reduction in # of radiographs without missing disease

A

selection criteria, periapical radiographs, symptomatic, 43%

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3
Q

guidelines stay that you should not do ____ before _____

A

clinical examination, radiographs

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4
Q

selection criteria based on…

A
  • type of visit (new or recall)
  • risk category
  • age
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5
Q

selection criteria for recall patient with clinical caries or increased risk (children, transition, adolescent prior to thirds)

A

posterior bitewings 6-12 month intervals

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6
Q

selection criteria for recall patient with clinical caries or increased risk (adults)

A

posterior bitewings at 6-18 month invervals

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7
Q

selection criteria for recall patient with no clinical caries and not at increased risk (children,, transition)

A

posterior bitewings at 12-24 month intervals

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8
Q

selection criteria for recall patient with no clinical caries and not at increased risk (adolescent)

A

posterior bitewing at 18-36 month interval

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9
Q

selection criteria for recall patient with no clinical caries and not at increased risk (adult)

A

posterior bitewings at 24-36 month interval

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10
Q

a _______ must order a radiograph

A

licensed provider

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11
Q

an order for a radiographic procedure must be _____ to _____ at the time of the examination

A

available, procedure personnel

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12
Q

order of radiographic procedure

A
  1. identification of patient
  2. identification of individual ordering
  3. clearly stated clinical indication
  4. exact anatomical part to be examined
  5. exam to be performed
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13
Q

a licensed ______ may order radiographs if facilities are under a collaborative agreement

A

DH

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14
Q

standing orders may exist with ____

A

recall patients

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15
Q

for pediatrics, timing of initial radiographs should not be based on _____

A

patient’s age

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16
Q

infrequent lesions which present without any signs or symptoms

A

occult disease

17
Q

occult disease may include

A

impacted teeth, retained roots, apical pathoses, cysts, intrabony tumors

18
Q

radiographs should be made only when there is an expectation that there is a ______

A

benefit to the patient’s health

19
Q

recommended guidelines do not need to be altered for a _______

A

pregnant patient

20
Q

for those with radiotherapy Hx…

A

typical dose is 50-60 Gy; FMX is 20 mGy

FMX is a “drop in the bucket” in terms of their total radiation exposure