Name of the Procedure:

BITEWINGS-FOUR FILMS (D0274) Common name: Bitewing X-rays
Technical/medical term: Dental radiographic exam - Bitewings

Summary

Bitewing X-rays are a dental imaging technique that captures detailed images of the upper and lower back teeth and surrounding bone in one shot. This particular procedure uses four films to provide a comprehensive view.

Purpose

Bitewing X-rays help dentists identify issues such as cavities between the teeth, bone loss, and the condition of dental restorations (e.g., fillings, crowns). The goal is to catch dental problems early to allow for more effective treatment.

Indications

• Tooth decay or cavities
• Periodontal (gum) disease
• Evaluation of existing dental restorations
• Unexplained dental pain
• Routine dental check-ups

Preparation

• No specific preparation is required.
• Patients should inform their dentist about any recent dental work.

Procedure Description

1. The patient will be seated in a dental chair and provided with a lead apron to protect against radiation.
2. The dental hygienist or dentist will place a small X-ray film or sensor inside the patient’s mouth, positioned to capture the necessary teeth.
3. The patient will be asked to bite down on a plastic tab to keep the film or sensor in place.
4. The X-ray machine will be positioned adjacent to the cheek.
5. Four separate X-rays are taken, usually two on each side of the mouth.
   • The process involves minimal discomfort and no anesthesia is needed.

Duration

The entire procedure typically takes about 10-15 minutes.

Setting

This procedure is performed in a dental office.

Personnel

• Dentist
• Dental hygienist or dental assistant

Risks and Complications

• Exposure to a small amount of radiation (minimized with protective measures).
• Slight discomfort from the film or sensor placement.

Benefits

• Early detection of dental issues.
• Accurate assessment of dental restorations.
• Helps in planning effective dental treatments.
• Benefits are often realized immediately with the interpretation of the X-rays.

Recovery

• No recovery time is required.
• Patients can resume normal activities immediately after the procedure.

Alternatives

• Panoramic X-rays: Provide a broad view of the entire mouth but less detailed for specific teeth.
• Dental Cone Beam CT: Offers 3D images but involves higher radiation exposure.
• Visual or Physical Examination: Less precise for diagnosing hidden cavities or bone issues compared to X-rays.

Patient Experience

• The patient may experience mild discomfort due to the placement of the X-ray film or sensor in their mouth.
• There is no pain associated with the X-ray process itself.
• No discomfort after the procedure, and patients can continue with their day as usual.