Periodontal Disease Flashcards
1
Q
What is needed for a periodontal disease radiograph?
A
- Fine detail required
- excellent quality films
- not overexposed
- well processed if film and correct contrast if digital
2
Q
Which film/projection is best?
A
- Bitewings - horizontal & vertical
- Paralleling periapicals
- Dental panoramic radiography - DPT
3
Q
What do the arrows show?
A
Cervical burnout
4
Q
When do you do radiographs for perio disease?
A
- Diagnosis is clinical
- Evidence is sparse
- Radiographs follow full examination and should aid management/alter treatment radiographs taken for other reasons may be helpful
- Radiographs taken for caries diagnosis should always be checked for periodontal disease
5
Q
What type of radiograph would you take for Uniform pocketing <6mm?
A
Uniform pocketing <6mm - horizontal bitewings
6
Q
What type of radiograph would you take for Pockets > 6mm?
A
Vertical bitewings supplemented with parallel periapical views if perio-endo lesion suspected.
7
Q
What are som Radiographic challenges?
A
- Difficult to take paralleling films of mobile teeth.
- Difficult to use film holders & bite blocks if opposing teeth are missing
- Full mouth periapical films have been considered the “Gold Standard” for periodontal disease but –
- What about the dose to the patient?
- Always consider whether the taking of a radiograph is going to change the management of the patient.
