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Trouble getting distal maxillary bone on molar bitewing

Hey guys,
I’m a recent grad and have been having troubles getting the bone distal to the most posterior maxillary molar on my molar bitewings. My doctor mentioned that he really likes having that to evaluate bone levels, and I want to make sure I am doing my very best for him. I have tried moving the pid around, but I still don’t get it every time.

Does anyone have a trick that they use to make sure they’re getting that bone? We use Shick digital sensors, if that makes a difference!

Thanks!



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2 Answers

When you put the sensor in the patients mouth, as they are closing down push the sensor further back. It’s easier to get it with horizontal bitewings as opposed to vertical bitewings. Good luck !

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Taxymom’s comment about pushing the sensor back as they are closing (tell them to close slowly) is a great way to get the sensor back further. If it’s a patient gagging issue, use salt on their tongue to get the sensor back farther. Also, search Youtube for visuals of tips and tricks, there are great videos out there! Practice makes perfect so keep trying, you will find the trick you need that works for you in time!

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