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Program Manual - Saint Louis University

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1/30/09<br />

Guidelines for the Initial Dental Radiographic Examination<br />

Child or Adolescent Orthodontic Patient (1-17 years of age)<br />

Condition Recommended Radiographs<br />

Regular dental<br />

No previous caries<br />

No obvious pathology<br />

History of fluoridation<br />

Previous caries<br />

Obvious caries<br />

Deep caries<br />

Periodontal disease<br />

Tooth trauma<br />

Impacted teeth<br />

TMJ disorders<br />

Cleft palate<br />

Syndromes<br />

Severe skeletal disorder<br />

Instructor prescription<br />

With previous or obvious caries<br />

With deep caries, trauma, or<br />

periodontal disease<br />

Panoramic film<br />

Cephalogram<br />

Panoramic film<br />

Bite-wings<br />

Cephalogram<br />

Panoramic film<br />

Bite-wings<br />

Periapical films (affected area only)<br />

Cephalogram<br />

Cone Beam CT<br />

Add bite-wings<br />

Add periapical films (affected area<br />

only)<br />

A clinical examination should be conducted before radiographs are taken. Subsequently,<br />

it is recommended that a panoramic film (or CBCT) be taken first so that that need for<br />

additional x-rays can be determined.

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