With the advancement of technology, X-ray examination has become an important tool for diagnosis in dental clinics. This technology can help dentists understand underlying oral problems, from tooth decay to periodontal disease and even bone loss. So, how are these seemingly mysterious X-ray images generated? In this article, we will explore how dentists can use X-rays to perform effective oral examinations.
X-rays (also known as radiation) can penetrate different tissues of the human body and form images on the photosensitive plate depending on the density of the tissues. Generally speaking, teeth appear lighter because of their higher density, while cavities and other lighter tissues appear darker because they are easier for X-rays to see through. This principle allows dentists to identify many potential problems in images.
The radiation dose of X-ray examination is usually very small, equivalent to several days of natural environmental radiation.
Intraoral X-ray examination is the most common type. This type of examination usually includes images of adjacent teeth, periradicular images, and bitewing images. These images can clearly show the relationship between teeth and surrounding structures, providing dentists with sufficient basis for diagnosis.
Periradicular imaging is mainly used to evaluate the condition of tooth root tips and surrounding bone. This type of examination can help the dentist detect apical infections, cystic changes, and periodontal problems.
Bitewing images are used to show the crowns of posterior teeth and the height of alveolar bone, which is very important for detecting cavities in adjacent teeth and re-cavities under existing restorations.
In addition to intraoral X-ray examinations, dentists sometimes need to perform extraoral imaging examinations. Such images include lateral cephalograms and panoramic X-rays. These images can show the patient's craniofacial proportions and anatomy, which are crucial for orthodontic and maxillofacial surgery planning.
Panoramic imaging can quickly provide a clear view of overall oral health, but in some cases is not as accurate as intraoral imaging.
With the advancement of technology, digital X-rays have gradually replaced traditional X-rays and become the mainstream in dental clinics. The advantages of digital X-ray are that it requires lower radiation dose and the image processing speed is fast. Doctors can view the images instantly for quick diagnosis and treatment.
X-ray examination can reveal problems that are difficult to detect during routine clinical examination, such as tooth decay, infection, and osteoporosis. According to research, some dentists fail to detect extensive tooth decay after multiple exams until an X-ray is taken.
X-ray evaluation plays an important role in a comprehensive oral examination and can provide patients with critical diagnostic information.
Although X-ray examinations are indispensable in dental health diagnosis, they also carry certain risks. Although radiation doses are relatively small, long-term accumulation of radiation may have health effects and must be treated with caution.
The use of lead aprons and hoods to reduce radiation exposure in non-target areas is an important safety measure for dental X-ray examinations.
In summary, X-ray examinations play a vital role in dental diagnosis and can help dentists gain a clear understanding of a patient's oral health. However, as technology progresses, we should also maintain a reflective and questioning attitude towards the use of this technology. Have you ever thought about what other possible technologies can change besides the inspection methods we know? What about dental checkups in the future?