Radiographic

Assessment of the
Pediatric Patient

Special considerations
1.
n
n
n

S.Lal, DDS

AAPD guidelines for

radiographs

n
n

Risk assessment
Evidence of caries/hx
Trauma
Anomalies
Fluoride status
Diet

Child preparation and

management
Euphemisms
Role models
n Contour film
n Gag reflex distraction
n Parental help
n Bad taste
n
n

Based on Age and risk assessment

Film Sizes

Radiographic Tools
n

Sizes 0,1,2,
occlusal/lateral

n
n

Snap-a-ray
Bite wings,
periapicals

Radiographic techniques
1.
2.
3.
4.
5.
6.

Bite Tabs

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

Incipient carious
lesion.
n Overlapping
common error
n
n

Mesial surface of
canine to distal
surface of 1st
permanent molar

Occlusal Radiographs

Occlusal Radiographs
n

Posterior max.
occlusal radiograph

Extra Oral film

Trauma
n

Lateral Film

n
n

Panaramic radiograph

Anomalies

Soft tissue Film

Indicated after
trauma to locate
missing piece(s) of
fractured tooth.

Radiographic diagnosis of
dental anomalies
n

Ankylosis

Dilaceration

Anomalies
n

Gemination :
unsuccessful
attempt of an
individual tooth bud
to divide into two.

Anomalies

Anomalies
n
n

Peg lateral
Supernumary
primary lateral

Anomalies

Fusion: dentinal
union of two teeth.
b) Supernumary tooth
c) Missing lateral
a)

Anomalies
n

Concrescence:
fusion with a
cemental union.

Anomalies

Amelogenesis
Imperfecta
a) Thin enamel
b) Increased dentin
n

Pathology
n

Unfavorable
resorptive pattern of
roots.

Retained primary
root tips.

Pathology

Pathology
n
n

Furcation
involvement

Pathology

Artifacts/optical illusions
1.
n

Internal resorption
with furcation
involvement.

2.

Furcation
involvement with
internal root
resorption.

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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