Name of the Procedure:

Vertical Bitewings - 7 to 8 Films (D0277)

Common names: Vertical bitewing X-rays, cavity detection X-rays

Technical/medical terms: Dental radiographs, intraoral X-rays

Summary

Vertical bitewing X-rays are a type of dental radiograph that captures detailed images of the upper and lower back teeth and their surrounding bone structure. This procedure involves taking 7 to 8 images to provide a comprehensive view of the mouth for early detection of dental issues such as cavities and bone loss.

Purpose

Vertical bitewing X-rays are used primarily to:

• Detect cavities between teeth that are not visible to the naked eye.
• Monitor bone levels around the teeth to check for bone loss due to gum disease.
• Evaluate the fit of dental restorations like crowns and fillings.
• Identify dental problems before they become painful or more difficult to treat.

Indications

The procedure is indicated for patients who:

• Have signs of cavities (tooth decay) or a history of frequent cavities.
• Show symptoms of gum disease, such as bleeding gums or loose teeth.
• Are undergoing dental treatments that require precise evaluation of tooth and bone structure.
• Have experienced recent dental trauma or injury.

Preparation

• No special preparation is usually required for this procedure.
• Patients may be asked to remove any jewelry or metal objects from the head and neck region to avoid interference with the images.
• Women who are pregnant or suspect they may be pregnant should inform their dentist before the X-rays are taken.

Procedure Description

1. The patient is seated in the dental chair and a lead apron is placed over their torso to protect against radiation.
2. A small sensor or film holder is placed inside the mouth.
3. The patient bites down on the holder to keep it in place.
4. The X-ray machine is positioned next to the patient's face.
5. Multiple X-ray images (7 to 8) are taken from different angles, each capturing a specific section of the teeth and gums.
6. The images are then reviewed by the dentist for any potential issues.

Tools and equipment: X-ray machine, sensor or film holder, lead apron.

Anesthesia or sedation: Usually not required for this procedure.

Duration

The procedure typically takes about 10 to 15 minutes.

Setting

Vertical bitewing X-rays are usually performed in a dental office or outpatient clinic equipped with radiographic technology.

Personnel

The procedure is carried out by a:

• Dentist or
• Dental hygienist, often under the supervision of a dentist.

Risks and Complications

• Common risks: Minor exposure to radiation, kept minimal with protective measures.
• Rare risks: Potential discomfort from holding the sensor or film holder in the mouth.

Benefits

• Early detection of cavities and gum disease.
• Precise evaluation of dental restorations.
• Helps in planning effective dental treatments.
• Improved long-term oral health.

Recovery

• No specific recovery time is needed.
• Patients can resume normal activities immediately following the procedure.
• Follow-up appointments as needed, based on the X-ray findings.

Alternatives

• Alternative imaging: Panoramic X-rays, periapical X-rays, or cone-beam computed tomography (CBCT).
• Advantages of alternatives: May provide different views or more comprehensive images.
• Disadvantages of alternatives: Can be more expensive, involve more radiation, or require specialized equipment not available in all dental offices.

Patient Experience

• The procedure is generally quick and painless.
• Patients might feel slight discomfort from the sensor or film holder.
• No pain management is typically needed, but patients can discuss concerns with their dentist beforehand for additional reassurance.