DENTAL XRAYS and RADIOGRAPHS
DENTAL XRAYS
:
More properly known as RADIOGRAPHS. During this discussion, we will use the terms INTERCHANGIBLY.
dental xrays, radiographs
WHY DENTAL RADIOGRAPHS/XRAYS ARE NEEDED:
They are used to show dentists the surfaces BETWEEN the teeth. No matter HOW GOOD your dentist’s eyes are, it is virtually IMPOSSIBLE to see ALL SURFACES without taking RADIOGRAPHS! They are taken to get a COMPLETE view of ALL ASPECTS of BOTH TEETH and GUMS.
Aside from showing CAVITIES, they also show BONE LEVELS, and can help diagnose the degree of
PERIODONTAL DISEASE
present.
They also show the ROOTS of the teeth, and can indicate the presence of any
INFECTIONS
around teeth.
The last very important item that xrays show, is the presence of any PATHOLOGY. This can be anything from CYSTS, EXTRA (SUPERNUMERARY) TEETH, IMPACTED WISDOM TEETH, or other PATHOLOGICAL PROCESSES.
RADIATION EXPOSURE:
Due to modern advances, the amount of radiation that one receives from even a FULL MOUTH set of dental radiographs is VERY MINIMAL. Comparable to the amount of radiation that you’d receive walking around on the street all day, and MUCH LESS than you’d receive from say a CT SCAN or CHEST XRAY in a medical office.

PREGNANT PATIENTS:
Despite the minimal radiation exposure, it is generally recommended to not take radiographs during the FIRST trimester except for in emergent situations. During the SECOND and THIRD trimesters, it is acceptable, however some providers find it prudent to delay any routine dental xrays until after the patient delivers.
SO HOW OFTEN SHOULD I HAVE THEM TAKEN?
It DEPENDS.
At the INITIAL visit, the dentist may take either a FULL MOUTH set of films, or some take a PANOREX and some additional films.
After the initial visit, it is at the DISCRETION of the DENTIST how often they should be taken.
Some general guidelines however.
If you get CAVITIES regularly, you should probably have films taken at least every year.
If you have a HISTORY of cavities, you should probably have dental xrays taken every year.
If you have POOR ORAL HYGIENE, you should probably have films taken every year.
Why else?
If you have NEW CAVITIES at every visit
If you have GINGIVAL (GUM) RECESSION
If you are under 18 YEARS OF AGE
After a patient has a PROVEN TRACK RECORD of not getting NEW CAVITIES, they often can have films taken LESS FREQUENTLY.
Under the age of 18, patients often undergo fairly DRASTIC changes. Such drastic changes may DRAMATICALLY change the outlook in the mouth.
EVEN IF YOU HAVE NEVER HAD A CAVITY IN YOUR LIFE…
It is WISE to have films taken at regular intervals because of all the OTHER items that can show up (i.e, PATHOLOGY, PERIODONTAL DISEASE, and INFECTIONS).
Also, the BACTERIA CAN CHANGE in your mouth, so one of these days you very well MAY GET CAVITIES.
If you have CONCERNS about the frequency in which your dentist takes RADIOGRAPHS, feel free to ask.
Keep in mind however, that the dentist has HAD EXTENSIVE TRAINING, so let him or her DO THEIR JOB.
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