I. Type of x-rays and what they provide:
Bitewings
- They are called bitewings because the x-ray film holder provides a surface for you to bite down on in order to hold the x-ray securely in place.
- These x-rays are needed only after the teeth in the back of the mouth are contacting each other. This sometimes doesn’t happen until the permanent 6 year molars erupt.
- Bitewings are used to help detect cavities in between the teeth that are not visible by looking in the mouth.
- It is recommended by both the American Dental Association and the American Academy of Pediatric Dentistry to take these x-rays every 6 months.
- We will take 2 bitewings until your child has their 12-year-molars, and then we will take 4 bitewings.

Panelipse
- This is one larger x-ray that provides a full picture of the whole mouth, the complete upper and lower jaws, sinuses and jaw joint.
- It is used to help view general tooth development, trauma, jaw joint pain, wisdom teeth and certain abnormalities.
It will give a broad view but does not provide the fine detail that bitewings or PA’s provide.
-
This x-ray is to be taken every 3-5 years, around ages 6 (for 6 year molars), 11 (for 12 year molars and/or orthodontic evaluations), and 17 (for wisdom teeth).
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This x-ray has to be exposed for about 12 seconds, and the child must be able to hold still the entire exposure.
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In addition, the x-ray does not need to be placed in the patient’s mouth, making it beneficial for patients that gag easily.

Occlusal X-Ray
- These films are less
common and are taken to show the whole bite of the upper or lower
jaw.
- This type of x-ray
is used with children between the ages of 3-8 to show how the primary and
permanent teeth are developing.
- Because we are all
different there is no “standard” frequency interval.

Periapical (PA) X-Ray
-
Are used to provide
images of the entire tooth from crown to root tip.
- They are utilized to
display the root, cysts, abscesses, etc. that are involved with
toothaches.
- This also enables
Dr. Cara to see the permanent teeth growing below the baby teeth.
