The Panoramic radiograph. You may be surprised to discover the amazing information you can find about a child patient in that x-ray. Can you name five really important findings in a panoramic on an early mixed dentition patient?
Can you name six? Seven? Let’s go for double that figure! (And we won’t include decay, as it’s not the best diagnostic tool of decay. Well, on second thought, maybe we will include some possible decay-related findings at the end of our discussion.)
The panoramic should be taken when any permanent teeth are erupting. Often those first eruptions are the lower incisors, or the six-year molars, but no matter what teeth, take the pano then. (You may find opportunity to change the child’s life because of the secrets that x-ray holds.)
Start by counting/identifying all teeth (Sounds pretty tame and familiar so far!) :
Here’s an important opportunity to do outstanding diagnosis for your patient, and be paid for your care. You’re in dentistry to care for people, and in business to make a living.
Dr Chris Baker
Dr. Chris Baker is Past President of the American Orthodontic Society, a pediatric dentist and teacher of orthodontics, An author, dental practice consultant, mentor, and a current or former faculty member of three U.S. dental schools, Dr Chris is based in glorious Texas, USA. but lectures around the world.
Text and images
© 2019 Dr Chris Baker