Archive for March, 2011

Dental x-rays

Wednesday, March 2nd, 2011

One of the most popular questions people ask when calling a new dentist office is, are those x-rays really necessary?  The answer usually is yes, based on several factors; the individual patient, age, risk factor for dental disease, and length of time since last dental visit.  Dr Ligon recommends all  initial patient relationships begin with a complete set of x-rays.   Dr. Ligon always welcomes transferred x-rays from previous dental offices.  These x-rays are more valuable, if they are current.  

Most dental insurance plans cover x-rays at 100% within normal plan benefits. Your insurance may vary depending on the individual plan you have.

The series of x-rays Dr. Ligon’s office performs is called a full mouth series consisting of 18 films taken inside the patients mouth.  A panoramic x-ray is also taken to look at the mouth as a whole.  These x-rays are an excellent tool for most dental diagnoses.

Most dental offices recommends the average patient  have a complete set of x-rays every 3 to 5 years.  There after, a set of decay disclosing x-rays are recommended each year.  These consist of 4 x-rays taken inside your mouth, usually at your cleaning  and oral evaluation appointment.  Children may require more x-rays than an adult, as they are developing and changing dentally.

Dental x-rays are a very important diagnostic tool that allows your dentist to evaluate your oral health.  Declining dental x-rays can be very damaging to your overall dental health.  As time progress so does dental problems.  The following are some of the things that x-rays can diagnosis:

  • Decay that may be under an existing filling or crown
  • Cracks or damage to existing restorations
  • Bone loss associated with periodontal disease
  • Infection in or around the root of a tooth
  • Recurring problems with root canal treated tooth
  • Orthodontic care and recommendations to be treated for crowding
  • Missing teeth/extra teeth
  • Diagnose teeth replacement, with implants, bridges, partial or full dentures.
  • 3rd molar / wisdom teeth health.
  • Reveals pathological abnormalities such as bone discrepancies, cysts, cancer .

Radiation exposure from dental x-rays is minimal. As you can see from this Chart from the American Dental Association, dental radiation exposure is quite low compared to other x-rays in the medical field, and everyday exposure to the atmosphere.

The table below compares our estimated exposure to radiation from dental X-ray with other various sources. As indicated below, a millisievert (mSv) is a unit of measure that allows for some comparison between radiation sources that expose the entire body (such as natural background radiation) and those that only expose a portion of the body (such as X-rays).

Source Estimated Exposure (mSv)
Man MadeDental X-raysBitewing radiographs
Full-mouth series
 0.038
0.150
Medical X-raysLower gastrointestinal tract radiography
Upper gastrointestinal tract radiography
Chest radiograph
 4.060
2.440
0.080
NaturalCosmic (Outer Space) RadiationAverage radiation from outer space In Denver, CO (per year)  0.510
Earth and Atmospheric RadiationAverage radiation in the U.S. from Natural sources (per year)  3.000

 Source: Adapted from Frederiksen NL. X-Rays: What is the Risk? Texas Dental Journal. 1995;112(2):68-72.