Imaging Recommendations for Orthodontic Indications

Panoramic imaging should be used as the initial imaging modality for monitoring tooth eruption prior to initiating orthodontic treatment and associated root alignment.^1,48,75,76

Lateral cephalometric imaging may be used to assess the severity of CII or CIII malocclusion without a vertical component.^1,48,75-77

Periapical radiographs (Figure 8) are the most appropriate imaging method to assess root morphology, root blunting or resorption, and periapical lesions.^1,48,75-79

Low dose CBCT is recommended to assess facial asymmetry but if not available, posterior-anterior (PA) cephalometric imaging may be used.^{1,48,76,77,80}

CBCT can aid site selection for interradicular mini implants and have been found to improve success rate compared to 2D imaging alone.¹ CBCT imaging benefits should be weighed against the increased radiation dose case by case.^1,48,81

Panoramic imaging is recommended for assessment and treatment planning when clinical indicators like suspected pathosis, delayed eruption, or orthodontic concerns, but should be avoided unless justified by substantial changes in clinical status or developmental age.^1,49,82-87