Dental X-Rays and Their Importance in Correct Diagnosis

X-rays, also known as radiographs, are an essential part of any dental care treatment plan. They are diagnostic, but they can also be preventative, by helping a dentist diagnose potential oral care issues in a patient’s mouth before they become a major problem. An x-ray is a type of energy that passes through soft tissues and is absorbed by dense tissue. Teeth and bone are very dense, so they absorb X-rays, while X-rays pass more easily through gums and cheeks.

X-rays are divided into two main categories, intraoral and extraoral. Intraoral is an X-ray that is taken inside the mouth. An extraoral X-ray is taken outside of the mouth.

Intraoral X-rays are the most common type of radiograph taken in dentistry. They give a high level of detail of the tooth, bone and supporting tissues of the mouth. These X-rays allow dentists to:

• Find cavities
• Look at the tooth roots
• Check the health of the bony area around the tooth
• Determine if periodontal disease is an oral care issue
• See the status of developing teeth
• Otherwise, monitor good tooth health through prevention

X-rays, also called radiographs, are a valuable diagnostic tool. X-rays help the dentist to,

• See how your child's teeth are erupting (coming into the mouth)
• See the number, size and position of teeth that are still inside the gums
• Find out whether there are missing teeth or extra teeth
• Monitor mouth and teeth injuries
• Determine whether the teeth or mouth are infected
• Prepare for braces and other orthodontic treatment
• Detect problems that can't be seen with a visual exam
• Identify bone diseases
• Diagnose cavities in between teeth that are touching each other

There is no standard timetable for when your child's mouth should be X-rayed. The need varies with the child's development and dental health. If your child has had many cavities and fillings or has a high risk of tooth decay, the American Academy of Pediatric Dentistry recommends X-rays every six months. This can help to detect cavities developing between teeth. Whether X-rays are needed also depends on how well your child brushes and flosses, and your child's diet.

Other children may not need X-rays taken as often. If X-rays aren't taken when they are needed, problems can become worse.

Content Excerpts from http://www.colgate.com/

Common Dental Emergencies - DENTAL IMPACTION

Dental emergencies happen when least expected. Although some, like toothache and broken tooth can be managed even after 24 hours, some others such as DENTAL IMPACTION need immediate attention at home before a dentist's visit can be arranged.

Dental impaction is the forceful pushing of the teeth inside or into the jaw bone. This is often what happens by a blunt trauma, when the child falls on their mouth or jaw. When the trauma is mild, the tooth is pushed halfway into the jaw, but in severe cases, the entire tooth gets pushed in, with possible injuries to the tooth's ligament and even fracture to the socket.

Often times in case of trauma or fall, there is plenty of bleeding (disproportionate to the trauma), including visible lip tear or injury, thereby preventing early detection of impaction.

PRIMARY MANAGEMENT

In such a case, it is necessary to manage the initial situation as quickly and conservatively as possible;

• Stop the Bleeding - If the bleeding is from the outer lip or tongue, apply gentle pressure on the area with a clean moist cloth for a while. If inner lip bleeds, press the area gently against the child's teeth/gums.
• Distract the child during cleaning- Sing, talk or soothe the child in whichever way you can. Any treatment needs a child to sit still.
• Keep the area cool - Numbing the pain and reducing the swelling are first priority. Apply an ice pack or frozen veggies on the area. Sucking a popsicle is also a great idea.
• Painkiller - These should be given only when the child is unable to bear the pain for long, usually under advice from the pediatric dentist
• Change diet temporarily - Although often superficial, lip cuts or injuries can be very painful. It is better to change the diet for children to liquid or semi-solid till the wound heals. Softer diets help healing faster and don't tend to irritate. Chilled treats such as popsicle or ice cream, and a mouth rinse after food will take care of dental hygiene too for a while.

Once the bleeding is under control, the injury must be shown to a pediatric dentist at the earliest. Usually it is just to take advice on further course of action and check if there's any damage, tear or cut in the deeper tissues of the mouth.

TREATMENT

Baby teeth that are impacted often come out on their own, depending on the depth they have gone into the jawline. This may take 3 to 7 months and occurs due to the natural growth of the jaw in children. In case the teeth don't come out and if there are chances of damage to the root of the permanent teeth, then extrusion or teeth removal is the only remedial action performed by the pediatric dentist. 

Oral Injuries and their treatment

In case your child needs medical intervention after a fall or a pediatric dentist to look into her teeth, and decide the further course of action, reach out to Dr.Premila. She can be reached at Small Bites Dental Clinic.

Common Dental Emergencies - DENTAL IMPACTION

Dental emergencies happen when least expected. Although some, like toothache and broken tooth can be managed even after 24 hours, some others such as DENTAL IMPACTION need immediate attention at home before a dentist's visit can be arranged.

Dental impaction is the forceful pushing of the teeth inside or into the jaw bone. This is often what happens by a blunt trauma, when the child falls on their mouth or jaw. When the trauma is mild, the tooth is pushed halfway into the jaw, but in severe cases, the entire tooth gets pushed in, with possible injuries to the tooth's ligament and even fracture to the socket.

Often times in case of trauma or fall, there is plenty of bleeding (disproportionate to the trauma), including visible lip tear or injury, thereby preventing early detection of impaction.

PRIMARY MANAGEMENT

In such a case, it is necessary to manage the initial situation as quickly and conservatively as possible;

• Stop the Bleeding - If the bleeding is from the outer lip or tongue, apply gentle pressure on the area with a clean moist cloth for a while. If inner lip bleeds, press the area gently against the child's teeth/gums.
• Distract the child during cleaning- Sing, talk or soothe the child in whichever way you can. Any treatment needs a child to sit still.
• Keep the area cool - Numbing the pain and reducing the swelling are first priority. Apply an ice pack or frozen veggies on the area. Sucking a popsicle is also a great idea.
• Painkiller - These should be given only when the child is unable to bear the pain for long, usually under advice from the pediatric dentist
• Change diet temporarily - Although often superficial, lip cuts or injuries can be very painful. It is better to change the diet for children to liquid or semi-solid till the wound heals. Softer diets help healing faster and don't tend to irritate. Chilled treats such as popsicle or ice cream, and a mouth rinse after food will take care of dental hygiene too for a while.

Once the bleeding is under control, the injury must be shown to a pediatric dentist at the earliest. Usually it is just to take advice on further course of action and check if there's any damage, tear or cut in the deeper tissues of the mouth.

TREATMENT

Baby teeth that are impacted often come out on their own, depending on the depth they have gone into the jawline. This may take 3 to 7 months and occurs due to the natural growth of the jaw in children. In case the teeth don't come out and if there are chances of damage to the root of the permanent teeth, then extrusion or teeth removal is the only remedial action performed by the pediatric dentist. 

Oral Injuries and their treatment

In case your child needs medical intervention after a fall or a pediatric dentist to look into her teeth, and decide the further course of action, reach out to Dr.Premila. She can be reached at Small Bites Dental Clinic.