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“Radiographic Assessment of the Pediatric Patient”

“Radiographic Assessment of the Pediatric Patient”. S.Lal, DDS. 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

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“Radiographic Assessment of the Pediatric Patient”

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  1. “Radiographic Assessment of the Pediatric Patient” S.Lal, DDS

  2. Special considerations • Risk assessment • Evidence of caries/hx • Trauma • Anomalies • Fluoride status • Diet

  3. AAPD guidelines for radiographs • Based on Age and risk assessment

  4. Child preparation and management • Euphemisms • Role models • Contour film • Gag reflex – distraction • Parental help • Bad taste

  5. Film Sizes • Sizes 0,1,2, occlusal/lateral

  6. Radiographic Tools • Snap-a-ray • Bite wings, periapicals

  7. Radiographic techniques • Bite wings • Periapicals (not p.a.’s) • Max/mand occlusals • Extraoral/lateral film • Soft tissue x-ray • Panoramic radiographs

  8. Bite Tabs

  9. Bite wing x-ray • Mesial surface of canine to distal surface of 1st permanent molar

  10. Bite wing x-ray • Incipient carious lesion. • Overlapping – common error

  11. Occlusal Radiographs

  12. Occlusal Radiographs • Posterior max. occlusal radiograph

  13. Extra Oral film • Lateral Film

  14. Trauma • Soft tissue Film • Indicated after trauma to locate missing piece(s) of fractured tooth.

  15. Panaramic radiograph

  16. Radiographic diagnosis of dental anomalies • Ankylosis

  17. Anomalies • Gemination : unsuccessful attempt of an individual tooth bud to divide into two.

  18. Anomalies • Dilaceration

  19. Anomalies • Peg lateral • Supernumary primary lateral

  20. Anomalies • Fusion: dentinal union of two teeth. • Supernumary tooth • Missing lateral

  21. Anomalies • Concrescence: fusion with a cemental union.

  22. Anomalies • Amelogenesis Imperfecta • Thin enamel • Increased dentin

  23. Anomalies • Unfavorable resorptive pattern of roots.

  24. Pathology • Retained primary root tips.

  25. Pathology • Furcation involvement

  26. Pathology • Furcation involvement with internal root resorption.

  27. Pathology • Internal resorption with furcation involvement.

  28. 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.

  29. THANK YOU!

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