48
RECOMMENDATION FOR EXAMS
The radiographs must be performed only when there's a diagnosis expectation that
will affect the treatment of the patient. The dentist shall consider the benefits of getting
radiographs against the risk of exposing the patient to radiation.
Due to the effects of radiation accumulation over time, all efforts must be done to
minimize the patient exposure.
Use lead apron and thyroid collar,
Use pediatric profile or low usage and select the lowest permissible time of
exposure.
There may be clinical circumstances for which a radiography is indicated, but a
diagnosis image can't be obtained. For example, the patient may not be able to
cooperate with the dentist.
TYPE OF
CONSULTATION
PATIENT AGE AND STAGE OF DENTAL DEVELOPMENT
1
Children
with
primary
dentition
(before
the
eruption of the
first permanent
tooth)
Children
with
transitory
dentition
(after
the eruption of
the
first
permanent tooth)
Teenager with
permanent
dentition
(before
the
eruption of the
third molars)
Adult
toothed
or
partially
edentulous
Adult,
Edentulous
New Patient *
being evaluated for oral
diseases
Individualized
radiographic
exam
which
consists
of
periapical
/
Occlusal
view
and/or posterior
bitewings if the
proximal surface
can't be viewed
or
probed.
Patients with no
indication of the
disease and with
open
proximal
contacts
may
not
require a
radiography
Individualized
radiographic
exam
which
consists
of
posterior
bitewings
with
panoramical
exam or posterior
bitewings
and
selected
periapical
images.
Individualized radiographic exam
which
consists
of
posterior
bitewings
with
panoramical
exam or posterior bitewings and
selected periapical images. A
complete intraoral radiography
exam
from
the
mouth
is
preferable when the patient has
clinical evidence of generalized
oral disease or an extensive
record of dental treatment.
Individualizes
radiography
exam, based on
signs and clinical
symptoms.
Patient follow-up*
with decay or increased
risk of decay**
Posterior bitewing exam in intervals of 6-12 months if the
proximal surfaces can't be visually examined or with a
probe
Posterior
bitewing
exam
in
intervals
of
6-18 months
Non-applicable
Patient follow-up*
without decay or
increased risk of decay**
Posterior bitewing exam in intervals
of 12-24 months if the proximal
surfaces can't be visually examined
or with a probe
Posterior
bitewing exam in
intervals of 18-
36 months
Posterior
bitewing
exam
in
intervals
of
24-36
months
Non-applicable
Patient follow-up*
with periodontal disease
Clinical judgment related to the need and type of radiographic images for
the evaluation of the periodontal disease. The image can consist, but not
be limited to, bitewing and/or periapical images from areas where the
periodontal disease (except non-specific gingivitis) can be clinically
demonstrated.
Non-applicable
Patient (New and Return)
A clinical judgment about the need A
clinical It is usually not indicated for
