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Radiology: Radiology 3 common dental X-rays: Bitewings Periapical Panoramic (Univ.

Manitoba, 2005) Types of Radiographs: Types of Radiographs Intra-oral Extra-oral Other technologies/imaging modalities Intra-oral radiography: Intra-oral radiography Radiographic film/detector is exposed whilst inside the patients mouth Image of a small area - a few teeth and adjacent supporting structures Bitewing:: Bitewing: Indications: baseline examination detection of: - dental caries - non-carious tooth loss - monitoring the progress of any loss of tooth structure - assessing existing restorations (defects, contacts) - assessment of periodontal status. Periapical:: Periapical: Indications: detection of apical infection/inflammation dental trauma (to the tooth and associated alveolar bone) assessment of root morphology endodontic diagnosis, planning, treatment and monitoring Occlusal:: Occlusal: Indications: presence/absence of developing teeth supernumerary teeth impacted teeth pathology not fully demonstrated in an intraoral view contour of buccal and lingual cortical plate localisation technique (used with another film) when unable to take intra-oral radiographs - limited opening of mouth - uncooperative child. Occlusal:: Occlusal: Extra-oral radiography: Extra-oral radiography Radiographic film/detector positioned outside the patients mouth. Can image larger areas of the mandible and maxilla, face, skull. Extra-oral radiography: Extra-oral radiography Skull radiographs: lateral head Extra-oral radiography: Extra-oral radiography anterio-posterior view lateral oblique jaw Extra-oral radiography: Extra-oral radiography TMJ Extra-oral radiography: Extra-oral radiography Tomography Panoramic radiograph orthopantomograph (OPG) TMJ maxillary sinus views Modern OPG machines can do a range of skull views by altering the extent of the tomographic layer used and by altering the shape of the tomographic layer used Indications for traditional OPG: Indications for traditional OPG Assessment of - wisdom teeth - TMJ pathology - maxillary sinus - jaw bone pathologies - orthodontic diagnosis - jaw bone fractures.

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