Guidelines for Prescribing Radiographs Flashcards
ADA guidelines are intended to be a ____ not ______
guide, standards/requirements/regulations/law
______ for asymptomatic patients combined with selected _______ for _____ patients can result in a __ reduction in # of radiographs without missing disease
selection criteria, periapical radiographs, symptomatic, 43%
guidelines stay that you should not do ____ before _____
clinical examination, radiographs
selection criteria based on…
- type of visit (new or recall)
- risk category
- age
selection criteria for recall patient with clinical caries or increased risk (children, transition, adolescent prior to thirds)
posterior bitewings 6-12 month intervals
selection criteria for recall patient with clinical caries or increased risk (adults)
posterior bitewings at 6-18 month invervals
selection criteria for recall patient with no clinical caries and not at increased risk (children,, transition)
posterior bitewings at 12-24 month intervals
selection criteria for recall patient with no clinical caries and not at increased risk (adolescent)
posterior bitewing at 18-36 month interval
selection criteria for recall patient with no clinical caries and not at increased risk (adult)
posterior bitewings at 24-36 month interval
a _______ must order a radiograph
licensed provider
an order for a radiographic procedure must be _____ to _____ at the time of the examination
available, procedure personnel
order of radiographic procedure
- identification of patient
- identification of individual ordering
- clearly stated clinical indication
- exact anatomical part to be examined
- exam to be performed
a licensed ______ may order radiographs if facilities are under a collaborative agreement
DH
standing orders may exist with ____
recall patients
for pediatrics, timing of initial radiographs should not be based on _____
patient’s age
infrequent lesions which present without any signs or symptoms
occult disease
occult disease may include
impacted teeth, retained roots, apical pathoses, cysts, intrabony tumors
radiographs should be made only when there is an expectation that there is a ______
benefit to the patient’s health
recommended guidelines do not need to be altered for a _______
pregnant patient
for those with radiotherapy Hx…
typical dose is 50-60 Gy; FMX is 20 mGy
FMX is a “drop in the bucket” in terms of their total radiation exposure