Oral and Maxillofacial Radiology

Dental Examination and Consultation

A clinical visit before imaging in which your concerns, an oral examination and any needed imaging steps are planned together; treatment decisions follow the examination.

Dental Examination and Consultation

Dental Examination and Consultation

Purpose of the First Visit

Dental examination and consultation is the first step in which we listen to your concerns, clinically examine the mouth and jaw region and review suitable options with you. This visit is not only to take a radiograph or to direct you to a single procedure; it is so that you understand why, how and in what order treatment may be planned.

During examination, tooth and gum health, chewing pattern, the jaw joint and any traces of previous treatment are assessed. How long pain, swelling, bleeding or aesthetic concerns have lasted, when they increase and what has already been done form the basis of the plan. Consultation may also be sought for a second opinion; bringing previous treatment records speeds the process.

History and Risk Factors

Medicines you use, allergies, chronic diseases and previous operations may directly affect treatment choice. Anticoagulant use, diabetes, cardiovascular disease or pregnancy may change the timing of some procedures. Sharing this information fully is important for safe planning.

Smoking, oral hygiene habits and a history of night-time clenching are also asked about at examination. If you have aesthetic expectations, photographs or previous treatment records may support the assessment. In a radiology consultation, functional movement tests may also be applied especially for implant, impacted-tooth or jaw-joint concerns.

Imaging Decision

A radiograph is not taken at every examination. A panoramic film may be considered for wide-field screening, a periapical film for single-tooth detail, and Cone Beam Computed Tomography (CBCT) when three-dimensional planning is needed. Clinical findings decide which imaging is required; if you already have recent films, the need for a repeat exposure may decrease.

When an imaging decision is made, radiation exposure and clinical benefit are discussed together. Radiation exposure is not zero; if the indication is unclear, deferral or alternative assessment options may be discussed. In children and pregnant patients the protocol is handled with particular care.

Planning and Next Steps

At the end of the examination one or more treatment options are explained; urgency, duration, invasiveness and care needs are discussed together. If there is acute pain or infection, that takes priority. For multi-stage treatments the appointment sequence is summarised; no procedure is started without your consent.

When other specialties are needed, coordination with orthodontics, periodontology or prosthetics may be suggested. The examination fee and an estimated treatment plan may be shared as preliminary information; exact cost and duration are updated as the plan becomes clearer. For procedures that require written consent, the information form is addressed separately after the examination.

FAQ

Frequently asked questions

How long does the examination take? A standard examination usually lasts 20-40 minutes; in complex cases the duration may be longer.
Should I come fasting for the examination? Fasting is not required for a routine examination. Separate instructions are given if sedation is planned.
Should I bring my previous radiographs? Bringing your current images may reduce the need for a repeat exposure.
Is treatment done on the same day? Simple procedures may be possible; plans that require a laboratory proceed with a separate appointment.
Is a child examination different? In paediatric examination, age-appropriate communication and behaviour guidance are used.
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