We look at each child on an individual basis. Depending upon their maturity, cooperative nature, spacing between teeth, size and shape of mouth, we generally at least try BWX by age of 4. If it doesn’t work, we continue every six months trying until we get them. Sometimes we get lucky and can take them on 3yr olds, but that takes the exceptional child. Pano exposure usually waits until we are looking for any 6yr molars, centrals or laterals that may be delayed in erupting. So usually by age 7 or 8 dependent upon the child.
It all depends. It’s not an age decision it’s a clinical decision . It depends On the child and wether or not they have molars in contact. I have taken bws on a 2year 10 month old very cooperative child with tight contacts and he had 8 interproximals not clinically visible. I try to get max and mand occlusal X-rays at the first appt that I am taking bws at. I have seen many children with mesioden or ongenially missing anterior teeth.
I decide by what I see looking in the child’s mouth. I recommend a Panorex if under 5 years old with clinical decay starting or missing teeth. I will wait until the child seems ready to handle the sensor so I don’t cause discomfort. If they have decay you want to view they should also be ready to start restorative work . Most children that look pretty healthy can wait until around 5 to 6 to have a good positive experience with a digital traditional sensor to give us the information we need at a reasonable age .
This is definitely a clinical decision. The first films should be taken when the interproximal spaces can no longer be visualized in the molars. These are the recommendations by the American academy of pediatric dentistry. However you must also consider the parent’s preferences, child’s behavior etc.
I take pano or bwx or pa’s when the patient lets me. Do not want to scare them at a too young of an age. My youngest was less than a year old which was an occlusal of maxillary because his maxillary deciduous canines came in first and mom was worried he was missing teeth. Youngest for pano and bwx was 3 years.
Every place I have worked so far it’s a case by case thing. If the child will cooperate @ 5 long enough for a pano then I will attempt, same thing for bwx’s if the child will bite down not spit it out or push it out and not move around or freak our out I usually can get them. I always attempt bwx’s on children 5 yrs + if bwx’s have not been obtained previously. Also when attempt I will not fight or struggle too long to get them because of the fact that I do not want to ruin any future visits for the pt. I don’t worry too much if I just can’t get them when the child is ready we will get them until then I’m not forcing anything on a kid. Ultimately the last thing I want is for the child to see me or the dentist as a bad guy & not want to return.