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If a patient complains of a possible cracked molar due to biting something hard

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Cassie00

Junior member
Joined
Jul 27, 2019
Messages
4
Location
New York
How many Xrays would be taken of the area? Wouldn't one bite wing, max two be sufficient for assessment on said side of mouth?
Wouldn't more than that be excessive and possibly could cause harm like radiation burn to the patient?
Patient also had full series done a little less than 6 months prior, however went to a dental school facility due to changes in teeth.
 
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Paige2018

Member
Joined
Mar 26, 2018
Messages
80
To diagnose a fracture/crack, the dentist would need at least bitewings and PA’s as PA’s will show the root and the bite wings do not. There is no concern or risk for radiation burn due to the radiation is such a small amount for X-rays. The X-rays done 6 months prior are completely invalid for this issue, as if the fracture was done from biting something recently, the fracture would not show on a previous X-ray.
 
Dr. Daniel

Dr. Daniel

Well-known member
Verified dentist
Joined
Nov 2, 2010
Messages
1,980
Location
The Hague , Holland
Cracks are very difficult to diagnose, so at least two rays from two different angles are needed. The prior x rays done 6 months ago are also important because they serve as a reference for any changes.
What is professionally important that the dentist also examined the tooth in the mouth, not only with x rays.
 
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