Case Study
Use the selection criteria guidelines to make a preliminary recommendation and/or to explain to the patient why the dentist has prescribed or has not prescribed radiographs. Consider the following three cases:
1. A 17-year-old patient presents with a healthy oral assessment. No active caries were clinically detected. No periodontal pockets were noted. His record indicates that his last radiographs were bitewings taken 6 months ago. Based on the evidence-based selection criteria guidelines, what would be the most likely recommendation for radiographs for this patient?
2. A 25-year-old female recall patient presents for her 6-month check-up. Although her homecare is good, Class II (multisurface) restorations are present on several molars and premolars. Her last radiographs were bitewings taken 3 years ago. Based on the evidence-based selection criteria guidelines, what would be the most likely recommendation for radiographs for this patient?
3. A 45-year-old male patient, new to your practice, presents with a moderate periodontal condition and evidence of generalized dental disease. He reveals that he has not had professional oral care in several years, but is here today to begin to “take care of his teeth.” Based on the evidence-based selection criteria guidelines, what would be the most likely recommendation for radiographs for this patient?
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