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Radiographic Considerations in Pediatric Patients: Techniques, Anomalies, and Diagnoses

This comprehensive guide focuses on radiographic assessments in pediatric dentistry, covering risk assessment, evidence of caries, trauma, anomalies, and fluoride status. Detailed guidelines based on age and risk assessment are provided, along with child preparation and management strategies. The text explores various radiographic tools and techniques, such as bite wings, periapicals, occlusal radiographs, and panoramic radiographs. It also delves into common errors like overlapping and techniques to avoid them. The diagnosis of dental anomalies, pathology findings, and identification of artifacts or optical illusions are thoroughly discussed. This resource serves as a valuable reference for dental professionals dealing with pediatric patients.

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Radiographic Considerations in Pediatric Patients: Techniques, Anomalies, and Diagnoses

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Presentation Transcript

  1. “Radiographic Assessment of the Pediatric Patient”

  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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