Poorterman J H G
Ned Tijdschr Tandheelkd. 2015 May;122(5):272-8. doi: 10.5177/ntvt.2015.05.14241.
Radiographs are essential in dental practice today. Due to the exposure of patients to X-rays every radiograph has to be justified. The advantages and disadvantages of risks and diagnostic rewards have to be weighed against one another whenever X-ray imaging is considered. An important factor in this respect is the usefulness (in terms of sensitivity and specificity) of a radiograph and along with that, the monitoring of the quality of the entire process, from positioning the photo up to and including the development or scanning of it. Both for children and adults the indication for taking radiographs must be made on an individual basis. The most important considerations are: caries experience, oral hygiene and nutritional habits and exposure to fluorides. Based on these factors an individual risk assessment can be made and the possible benefit of bitewing radiographs for the dental treatment can be determined. European guidelines give advice on the indications and frequency of radiographs in, among other fields, periodontology, endodontology and implantology.
如今，X光片在牙科实践中至关重要。由于患者会接触X射线，每一张X光片都必须有正当理由。每当考虑进行X光成像时，都必须权衡风险和诊断回报的利弊。在这方面，一个重要因素是X光片的有用性（从敏感性和特异性方面而言），以及对整个过程质量的监测，从照片定位到冲洗或扫描。对于儿童和成人，拍摄X光片的指征都必须基于个体情况确定。最重要的考虑因素包括：龋齿经历、口腔卫生和营养习惯以及氟化物接触情况。基于这些因素，可以进行个体风险评估，并确定咬合翼片X光片对牙科治疗可能带来的益处。欧洲指南在牙周病学、牙髓病学和种植学等领域给出了关于X光片指征和拍摄频率的建议。
