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Radiologic examination, teeth; complete, full mouth

CPT4 code

Name of the Procedure:

Radiologic Examination, Teeth; Complete, Full Mouth
Common name(s): Full Mouth X-rays, Full Mouth Series (FMS), Complete Radiographic Examination of the Teeth

Summary

A radiologic examination of the teeth that involves taking a series of X-ray images to capture the complete set of teeth, including the roots and surrounding bone structures. This procedure helps dentists and oral healthcare providers diagnose dental issues comprehensively.

Purpose

This procedure addresses dental conditions such as cavities, gum disease, bone loss, abscesses, impacted teeth, and other abnormalities in the teeth and jawbone. The goal is to obtain a full picture of the patient's oral health, enabling effective diagnosis and treatment planning.

Indications

  • Persistent dental pain or discomfort
  • Visible tooth decay or damage
  • Gum disease or periodontal issues
  • Pre-orthodontic assessment
  • Trauma to the teeth or jaw
  • Unexplained changes in oral health

Preparation

  • No specific fasting or medication adjustments are usually required.
  • Remove any metal objects, jewelry, or dentures that could interfere with the X-rays.
  • Inform the dentist if you are pregnant or might be pregnant.

Procedure Description

  1. The patient sits in a dental chair and wears a protective lead apron to shield the body from radiation.
  2. The dental technician positions small X-ray films or digital sensors inside the mouth.
  3. The X-ray machine is adjusted to capture images from various angles.
  4. The patient may need to bite down on a holder to keep the sensor in place.
  5. Multiple images are taken to cover the entire mouth, including periapical, bitewing, and panoramic X-rays.
  6. The process is repeated until all necessary views are captured.

No anesthesia or sedation is typically required for this procedure.

Duration

The procedure usually takes about 15 to 30 minutes to complete.

Setting

The procedure is performed in a dental office or clinic equipped with radiologic imaging technology.

Personnel

  • Dentist or Oral Radiologist
  • Dental Technician or Hygienist

Risks and Complications

  • Low-level exposure to radiation, minimized by protective measures
  • Slight discomfort from holding X-ray films or sensors in the mouth

Benefits

  • Comprehensive assessment of dental and oral health
  • Early detection of cavities, infections, or bone loss
  • Improved accuracy in treatment planning

Recovery

  • No specific recovery time is needed.
  • Normal activities can be resumed immediately.
  • Follow-up appointments may be scheduled to discuss results and treatment options.

Alternatives

  • Partial mouth X-rays, which provide a less comprehensive view
  • Visual and physical examination by the dentist
  • Cone beam computed tomography (CBCT) for 3D imaging in complex cases

Patient Experience

Patients might experience slight discomfort or a gag reflex from the X-ray sensor, but the procedure is generally quick and painless. The dental team may use comfort measures to make the experience as pleasant as possible. Pain management is rarely necessary.


This markdown description provides a concise, informative overview of a complete full mouth radiologic examination, helping patients understand what to expect from the procedure.

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