{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

Please confirm that you would like to report this for an admin to review.


Radiograph protocol include anterior PA’s?

Are yearly anterior PA’s standard of care? My office does yearly BWX and a pano every 3 to 5 years. I’ve heard other dental offices alternate BWX and anterior PA’s for 6 month recall patients. Is this ADA approved, and in the best interest of the patient?



Confirm that you would like to Remove Email Alerts for your question. You cant undo this and you will not be able to re-subscribe.


3 Answers

I have worked in an office that dr wanted 4 anteriors pa’ since a yr. I work for corporate dentistry and this was suggested to all the offices at a class we were required to attend called Hygiene Diamonds. The presenter made a good case about how we are always doing X-rays on posterior teeth but what about the anteriors. She suggested we do 4 ant pa’s all 3 on the top and one right in the middle on the mandibular. The office I worked in that did this we actually usually did them the same time as the bwx’s. Typically we would No charge the 4th PA and hit do not bill insurance, after the 1st PA each additional PA fee was changed to $13.00 a piece, and as I said the 4th was no charge. Generally we didn’t have any issues w/ insurance wanting to re-map as an FMX if we did then we just no charged the whole thing.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


My office does 4BW and 3 PA (2 maxillary, 1 mandibular) every year!

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


It makes sense to do anterior pa’s once a year like bwx. Posterior teeth are not the only teeth that get interproximal decay. And if patients aren’t flossing posterior teeth then they aren’t flossing anterior teeth either. If we only take anterior pa’s with an FMX every 3-5 years then we will miss decay when it is still small. Otherwise we only take a pa when the patient presents with pain or has very obvious decay. If insurance covers it I would take the pa’s at the same time as the bwx. If not, alternate it with bwx. My boss started recommending this when he would see decay on the distal of canines on premolar bwx and wanted us to start doing anterior pa’s every 1-2 years. Once we did we found so much anterior interproximal decay on patients!

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


You must be Logged In to Answer this Question

Already a Member, Log In
Not a member yet? Sign Up

Search

Categories

Like Kara RDH on Facebook!