Radiographic Examination of the Patient with Active Periodontal Disease or a History of Periodontal Treatment

The determination regarding radiographic examination of the recall child, adolescent or adult patient with clinical evidence of periodontal disease or a history thereof, is based on the expectation that the information obtained will be critical to proper diagnosis and treatment. A clinical examination of the periodontium should be performed as well as documentation of the clinical signs and symptoms of periodontal disease in order to effectively determine the type and frequency of the radiographic examination. Professional judgment and case-by-case evaluation is necessary to determine the appropriate survey. The recommended survey may consist of, but is not limited to, selected periapicals and bitewings where periodontal disease other than nonspecific gingivitis is clinically evident.1 See Table 4 for a summary of the radiographic recommendations.

Table 4. Radiographic Examination of the Recall Patient Based on Periodontal Disease.1
Recall Patient Recommendations Based on Periodontal Disease
Recall Patient Child with Primary Dentition Child with Mixed Dentition Adolescent with Permanent Dentition Adult Dentate Partially Dentate Adult Edentulous
With Periodontal Disease Clinical judgment for need & type of images

May include selected periapicals and/or bitewings as indicated
Clinical judgment for need & type of images

May include selected periapicals and/or bitewings as indicated
Clinical judgment for need & type of images

May include selected periapicals and/or bitewings as indicated
Clinical judgment for need & type of images

May include selected periapicals and/or bitewings as indicated
Not Applicable
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