radiographic assessment of the pediatric patient
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“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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Presentation Transcript
special considerations
Special considerations
  • Risk assessment
  • Evidence of caries/hx
  • Trauma
  • Anomalies
  • Fluoride status
  • Diet
aapd guidelines for radiographs
AAPD guidelines for radiographs
  • Based on Age and risk assessment
child preparation and management
Child preparation and management
  • Euphemisms
  • Role models
  • Contour film
  • Gag reflex – distraction
  • Parental help
  • Bad taste
film sizes
Film Sizes
  • Sizes 0,1,2, occlusal/lateral
radiographic tools
Radiographic Tools
  • Snap-a-ray
  • Bite wings, periapicals
radiographic techniques
Radiographic techniques
  • Bite wings
  • Periapicals (not p.a.’s)
  • Max/mand occlusals
  • Extraoral/lateral film
  • Soft tissue x-ray
  • Panoramic radiographs
bite wing x ray
Bite wing x-ray
  • Mesial surface of canine to distal surface of 1st permanent molar
bite wing x ray10
Bite wing x-ray
  • Incipient carious lesion.
  • Overlapping – common error
occlusal radiographs12
Occlusal Radiographs
  • Posterior max. occlusal radiograph
extra oral film
Extra Oral film
  • Lateral Film
trauma
Trauma
  • Soft tissue Film
  • Indicated after trauma to locate missing piece(s) of fractured tooth.
anomalies
Anomalies
  • Gemination : unsuccessful attempt of an individual tooth bud to divide into two.
anomalies18
Anomalies
  • Dilaceration
anomalies19
Anomalies
  • Peg lateral
  • Supernumary primary lateral
anomalies20
Anomalies
  • Fusion: dentinal union of two teeth.
  • Supernumary tooth
  • Missing lateral
anomalies21
Anomalies
  • Concrescence: fusion with a cemental union.
anomalies22
Anomalies
  • Amelogenesis Imperfecta
  • Thin enamel
  • Increased dentin
anomalies23
Anomalies
  • Unfavorable resorptive pattern of roots.
pathology
Pathology
  • Retained primary root tips.
pathology25
Pathology
  • Furcation involvement
pathology26
Pathology
  • Furcation involvement with internal root resorption.
pathology27
Pathology
  • Internal resorption with furcation involvement.
artifacts optical illusions
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.
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