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Pediatric Bitewing Film Holder: Preschoolers' Acceptance and Radiographs' Diagnostic Quality

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Purpose: The purpose of this study was to evaluate a modified bitewing film holder based on preschoolers' acceptance and the diagnostic quality of radiographic images. Methods: Sixty-six 3- to 5-year-old children were radiographed with the modified device. Acceptance was assessed according to their behavior during the radiographic examination and to their perception of the procedure. In only the 4- and 5-year-olds, the children's perception was assessed using a faces scale. Evaluation of the images' diagnostic quality for each quadrant (considering pairs of radiographs) was based on anatomic structures usually present on bitewing radiographs. Results: During radiographic examination, 73% of the children were cooperative. As to the patients' perceptions (N=43), 74% showed satisfaction with the radiographic examination. The diagnostic quality of radiographic images (N=66) was adequate in more than 90% of the cases for all evaluated parameters, except for the visualization of alveolar bone crests (54%) and the absence of proximal overlapping (86%). Conclusions: The modified bitewing film holder produced adequate radiographs for almost all parameters and was well accepted by preschoolers.
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Keywords: ALVEOLAR PROCESS; BITEWING; CHILD; PRESCHOOL; RADIOGRAPHY

Document Type: Research Article

Publication date: July 1, 2008

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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