13 doctors weighed in:

Could you tell me what occulsal X-ray is? And can occulsal X-ray take good picuture of upper palate to detect any fracture at #1? At midline?

13 doctors weighed in
Dr. Gregory LaMorte
Dentistry - Periodontics
5 doctors agree

In brief: Limited utility

For dental issues a come beam or cbct will give a lot more information regarding both your issues.

In brief: Limited utility

For dental issues a come beam or cbct will give a lot more information regarding both your issues.
Dr. Gregory LaMorte
Dr. Gregory LaMorte
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Dr. Brian Dorfman
Surgery - Oral & Maxillofacial
3 doctors agree

In brief: Direction of Bite

An occusal radiograph or "x-ray" is one that is taken in the direction of the biting surface of your teeth.
It can be done on the upper or lower jaw. It may be helpful in determining a fracture at the midline. A cone beam ct will be much more accurate in this case.

In brief: Direction of Bite

An occusal radiograph or "x-ray" is one that is taken in the direction of the biting surface of your teeth.
It can be done on the upper or lower jaw. It may be helpful in determining a fracture at the midline. A cone beam ct will be much more accurate in this case.
Dr. Brian Dorfman
Dr. Brian Dorfman
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Dr. David May
Dentistry
1 doctor agrees

In brief: Occlusal is:

The biting surface.
Thus xray puts the film, or sensor on the biting surface instead of the inner surface of the teeth. The xray tube shoots through the teeth and bone from the top on the upper jaw and from below on the lower jaw. If your #1 is an upper front tooth then yes it would work well to do what you described.

In brief: Occlusal is:

The biting surface.
Thus xray puts the film, or sensor on the biting surface instead of the inner surface of the teeth. The xray tube shoots through the teeth and bone from the top on the upper jaw and from below on the lower jaw. If your #1 is an upper front tooth then yes it would work well to do what you described.
Dr. David May
Dr. David May
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1 comment
Dr. John Scuba
Depending on the numbering system used (most often where #1 is a "wisdom tooth) "#1" could also be the very front tooth. However, unless a "significant' fracture, it may not be picked up on the occlusal film, which is relatively useless in diagnosis and management of a problem like a fracture. The reason for the film is still most important. Is there a problem with the bite, pain, or "loose teeth", etc? In such instances, if a fracture was seen on an occlusal, an argument could be made that the better study would be a "focused" cone beam CT in the first place--to diagnose, and then direct appropriate care.
Dr. John Scuba
Surgery - Oral & Maxillofacial

In brief: Occlusal xray

What caused the consideration of this film? A "fracture at #1" is a most unlikely.
Tooth extraction, maybe, but if trauma like assault, mva, etc, an isolated fracture at #1 would still be a very unlikely result. The occlusal xray has little value- "way back" in your mouth, it's highly unlikely the area could even be captured . No ct is necessary unless a compelling reason exists.

In brief: Occlusal xray

What caused the consideration of this film? A "fracture at #1" is a most unlikely.
Tooth extraction, maybe, but if trauma like assault, mva, etc, an isolated fracture at #1 would still be a very unlikely result. The occlusal xray has little value- "way back" in your mouth, it's highly unlikely the area could even be captured . No ct is necessary unless a compelling reason exists.
Dr. John Scuba
Dr. John Scuba
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Dr. Dinh Bui
Dentistry

In brief: View from the top

Occlusal x-ray is the x-ray taken from the top of the subject being radiograph, as in this case, the top or occlusal surface of the tooth.
An xray can only detect fracture if the fracture line is at an angle to the xray beam. It will not properly diagnose fracture. In fact, high resolution cone beam is a better radiographic diagnosis. Trans illumination is also good to diagnose fracture.

In brief: View from the top

Occlusal x-ray is the x-ray taken from the top of the subject being radiograph, as in this case, the top or occlusal surface of the tooth.
An xray can only detect fracture if the fracture line is at an angle to the xray beam. It will not properly diagnose fracture. In fact, high resolution cone beam is a better radiographic diagnosis. Trans illumination is also good to diagnose fracture.
Dr. Dinh Bui
Dr. Dinh Bui
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