“Radiographic Assessment of
the Pediatric Patient”
Special considerations
|
|
|
Risk assessment |
|
Evidence of caries/hx |
|
Trauma |
|
Anomalies |
|
Fluoride status |
|
Diet |
AAPD guidelines for
radiographs
|
|
|
|
|
|
|
Based on Age and risk assessment |
Child preparation and
management
|
|
|
Euphemisms |
|
Role models |
|
Contour film |
|
Gag reflex – distraction |
|
Parental help |
|
Bad taste |
Film Sizes
|
|
|
Sizes 0,1,2, occlusal/lateral |
Radiographic Tools
|
|
|
|
|
Snap-a-ray |
|
Bite wings, periapicals |
Radiographic techniques
|
|
|
Bite wings |
|
Periapicals (not p.a.’s) |
|
Max/mand occlusals |
|
Extraoral/lateral film |
|
Soft tissue x-ray |
|
Panoramic radiographs |
Bite Tabs
Bite wing x-ray
|
|
|
|
|
|
|
Mesial surface of canine to distal
surface of 1st permanent molar |
Bite wing x-ray
|
|
|
Incipient carious lesion. |
|
Overlapping – common error |
Occlusal Radiographs
Occlusal Radiographs
|
|
|
Posterior max. occlusal radiograph |
Extra Oral film
Trauma
|
|
|
Soft tissue Film |
|
Indicated after trauma to locate
missing piece(s) of fractured tooth. |
Panaramic radiograph
Radiographic diagnosis of
dental anomalies
Anomalies
|
|
|
Gemination : unsuccessful attempt of an
individual tooth bud to divide into two. |
|
|
|
|
|
|
|
|
Anomalies
Anomalies
|
|
|
|
|
Peg lateral |
|
Supernumary primary lateral |
Anomalies
|
|
|
|
|
Fusion: dentinal union of two teeth. |
|
Supernumary tooth |
|
Missing lateral |
|
|
Anomalies
|
|
|
|
|
Concrescence: fusion with a cemental
union. |
Anomalies
|
|
|
|
|
Amelogenesis Imperfecta |
|
Thin enamel |
|
Increased dentin |
Anomalies
|
|
|
|
|
Unfavorable resorptive pattern of
roots. |
Pathology
|
|
|
|
|
Retained primary root tips. |
Pathology
Pathology
|
|
|
|
|
Furcation involvement with internal
root resorption. |
Pathology
|
|
|
|
|
Internal resorption with furcation
involvement. |
Artifacts/optical illusions
|
|
|
Cervical burnout |
|
Mach band phenomenon |
|
|
|
It may take 30%-70% demineralisation to
occur before it can be evidenced radiographically. |
|
Radiographs are 2D views of 3D objects. |
"THANK YOU!"