“Radiographic Assessment of the Pediatric Patient” S.Lal, DDS.
-
Upload
teagan-patteson -
Category
Documents
-
view
227 -
download
0
Transcript of “Radiographic Assessment of the Pediatric Patient” S.Lal, DDS.
““Radiographic Radiographic Assessment of Assessment of the Pediatric the Pediatric Patient”Patient”
S.Lal, S.Lal, DDSDDS
Special considerationsSpecial considerations
1.1. Risk assessmentRisk assessment Evidence of caries/hxEvidence of caries/hx TraumaTrauma AnomaliesAnomalies Fluoride statusFluoride status DietDiet
AAPD guidelines for AAPD guidelines for radiographsradiographs
Based on Age and risk assessmentBased on Age and risk assessment
Child preparation and Child preparation and managementmanagement
EuphemismsEuphemisms Role modelsRole models Contour filmContour film Gag reflex – distractionGag reflex – distraction Parental helpParental help Bad tasteBad taste
Film SizesFilm Sizes
Sizes 0,1,2, Sizes 0,1,2, occlusal/lateralocclusal/lateral
Radiographic ToolsRadiographic Tools
Snap-a-raySnap-a-ray Bite wings, Bite wings,
periapicalsperiapicals
Radiographic techniquesRadiographic techniques
1.1. Bite wingsBite wings
2.2. Periapicals (not p.a.’s)Periapicals (not p.a.’s)
3.3. Max/mand occlusalsMax/mand occlusals
4.4. Extraoral/lateral filmExtraoral/lateral film
5.5. Soft tissue x-raySoft tissue x-ray
6.6. Panoramic radiographsPanoramic radiographs
Bite TabsBite Tabs
Bite wing x-rayBite wing x-ray
Mesial surface of Mesial surface of canine to distal canine to distal surface of 1surface of 1stst permanent molarpermanent molar
Bite wing x-rayBite wing x-ray
Incipient carious Incipient carious lesion.lesion.
Overlapping – Overlapping – common errorcommon error
Occlusal RadiographsOcclusal Radiographs
Occlusal RadiographsOcclusal Radiographs
Posterior max. Posterior max. occlusal occlusal radiographradiograph
Extra Oral filmExtra Oral film
Lateral FilmLateral Film
TraumaTrauma
Soft tissue FilmSoft tissue Film Indicated after Indicated after
trauma to locate trauma to locate missing piece(s) missing piece(s) of fractured tooth.of fractured tooth.
Panaramic radiographPanaramic radiograph
Radiographic diagnosis of Radiographic diagnosis of dental anomaliesdental anomalies
AnkylosisAnkylosis
AnomaliesAnomalies
Gemination : Gemination : unsuccessful unsuccessful attempt of an attempt of an individual tooth individual tooth bud to divide into bud to divide into two.two.
AnomaliesAnomalies
DilacerationDilaceration
AnomaliesAnomalies
Peg lateralPeg lateral Supernumary Supernumary
primary lateralprimary lateral
AnomaliesAnomalies
a)a) Fusion: dentinal Fusion: dentinal union of two union of two teeth.teeth.
b)b) Supernumary Supernumary toothtooth
c)c) Missing lateralMissing lateral
AnomaliesAnomalies
Concrescence: Concrescence: fusion with a fusion with a cemental union.cemental union.
AnomaliesAnomalies
Amelogenesis Amelogenesis ImperfectaImperfecta
a)a) Thin enamelThin enamel
b)b) Increased dentinIncreased dentin
AnomaliesAnomalies
Unfavorable Unfavorable resorptive pattern resorptive pattern of roots.of roots.
PathologyPathology
Retained primary Retained primary root tips.root tips.
PathologyPathology
Furcation Furcation involvementinvolvement
PathologyPathology
Furcation Furcation involvement with involvement with internal root internal root resorption.resorption.
PathologyPathology
Internal Internal resorption with resorption with furcation furcation involvement.involvement.
Artifacts/optical illusionsArtifacts/optical illusions
1.1. Cervical burnoutCervical burnout2.2. Mach band phenomenonMach band phenomenon
It may take 30%-70% It may take 30%-70% demineralisation to occur before it demineralisation to occur before it can be evidenced radiographically.can be evidenced radiographically.
Radiographs are 2D views of 3D Radiographs are 2D views of 3D objects.objects.
THANK YOU!THANK YOU!