DCA05DR Dental Radiation Health, Safety, and Protection, 3rd Edition _______________________________
RECOMMENDATIONS FOR PRESCRIBING DENTAL RADIOGRAPHSA
Type of Patient Encounter
Child: Primary Dentition
Child: Mixed Dentition
Adolescent: Permanent Dentition
Adult: Dentate or Partially Dentate Individualized exam—BWS and panoramic
Adult: Edentulous
New patient
Individualized exam—selected PAS or occlusals if indicated; BWS if contacts closed BWS at 6- to 12-month intervals if contacts closed BWS at 12- to 24-month intervals if contacts closed Clinical judgment for need and type of images; may include selected PAS and/or BWS as indicated Clinical judgment for need and type of images for assessment.
Individualized exam—BWS and panoramic
Individualized exam— – BWS and panoramic or BWS and selected PAS;
Individualized exam based on clinical signs and symptoms
or BWS and selected PAS
or BWS and selected PAS;
FM when indicated
FM when indicated
Recall patient with clinical caries or increased caries risk
BWS at 6- to 12-month intervals if contacts closed BWS at 12- to 24-month intervals if contacts closed Clinical judgment for need and type of images; may include selected PAS and/or BWS as indicated Clinical judgment for need and type of images for assessment.
BWS at 6- to 12-month intervals if contacts closed BWS at 18- to 36-month intervals Clinical judgment for need and type of images; may include selected PAS and/or BWS as indicated Clinical judgment for need and type of images for assessment; panoramic or PAS for third molars. Clinical judgment for need and type of images for assessment or monitoring
BWS at 6- to 18-month intervals BWS at 24- to 36-month intervals Clinical judgment for need and type of images; may include selected PAS and/or BWS as indicated
NA
Recall patient with no clinical caries or low caries risk
NA
Recall patient with periodontal disease
NA
New or recall patient monitor growth and development/ assess dental/skeletal relationships
Usually not indicated
Usually not indicated
Patient with other circumstances
Clinical judgment for need and type of images for assessment or monitoring
Clinical judgment for need and type of images for assessment or monitoring
Clinical judgment for need and type of images for assessment or monitoring
Clinical judgment for need and type of images for assessment or monitoring
PAS = periapical films; BWS = bitewing films; FM = full mouth set of films; NA = does not apply. a The recommendations in this chart are subject to clinical judgment and may not apply to every patient. They are to be used by dentists only after reviewing the patient’s health history and completing a clinical examination.
Source: Adapted from Johnson et al. (2021).
Table 6
96
EliteLearning.com/Dental
Powered by FlippingBook