Abstract
Background
The development of specialized panoramic radiograph machine software has spawned the
introduction of an innovative and promising dental radiographic examination type:
extraoral bite-wings. But does this unconventional type of imaging belong in the bite-wing
family? Is there any relationship at all to the conventional bite-wing radiograph?
Objectives
The purpose of this article is not to make a case for the diagnostic effectiveness
of one system over the other; this is best left to further clinical evaluation. Instead,
the authors intend to provide an outline of a few key and distinguishing elements
of the intraoral bite-wing radiographic examination followed by those of the extraoral
panoramic substitute and draw attention to the importance of reimagining the increasingly
universal naming convention of this novel radiographic examination, the paradoxical
“extraoral bite-wing radiograph”, based on the fundamental principles of each of these
imaging systems.
Practical Implications
The accuracy of clinical and technical terminology in oral radiography is of paramount
importance to both the profession and patients, especially when considering emerging
technologies.
Key Words
Abbreviation Key:
POP (Proxi-optimized Pan)
To read this article in full you will need to make a payment
References
Nationwide Evaluation of X-Ray Trends (NEXT): Tabulation and Graphical Summary of the 2014-2015 Survey of Dental Facilities. Frankfort, KY: Conference of Radiation Control Program Directors; 2019.
(Available at:)
First dental radiograph (1896).
J Dent Health Oral Disord Ther. 2018; 9: 33-34
H.R. Raper: dental radiology pioneer.
Oral Surg Oral Med Oral Pathol. 1978; 46: 447-448
Accuracy of digital bitewing radiography versus different views of digital panoramic radiography for detection of proximal caries.
J Dent (Tehran). 2015; 12: 290-297
Panoramic radiographs in dental diagnostics. Panoramische röntgenopnamen in de tandheelkundige diagnostiek.
Ned Tijdschr Tandheelkd. 2016; 123: 181-187
Correlation between spatial resolution and ball distortion rate of panoramic radiography.
BMC Med Imaging. 2020; 20: 68
Intraoral versus extraoral bitewing radiography in detection of enamel proximal caries: an ex vivo study.
Dentomaxillofac Radiol. 2016; 45: 20150326
A clinical comparison of extraoral panoramic and intraoral radiographic modalities for detecting proximal caries and visualizing open posterior interproximal contacts.
Dentomaxillofac Radiol. 2016; 45: 20150159
Biography
Mr. Johnson is an assistant professor, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, and the director of predoctoral radiology clinics, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Biography
Dr. Mol is a professor and the lead radiologist, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Biography
Dr. Tyndall is a professor, Division of Diagnostic Sciences, Oral and Maxillofacial Radiology Program, and the head of predoctoral education for oral and maxillofacial radiology, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC.
Article Info
Publication History
Accepted:
February 17,
2021
Received:
January 1,
2021
Footnotes
Disclosures. None of the authors reported any disclosures.
Identification
DOI: https://doi.org/10.1016/j.adaj.2021.02.015
Copyright
© 2021 American Dental Association. All rights reserved.
ScienceDirect
Access this article on ScienceDirect