Injuries to the teeth and facial skeleton are, unfortunately, common. The type and severity of injuries can vary considerably, from minor damage to the teeth to grossly comminuted fractures of the skull.
Whatever the suspected injury, radiography is an essential requirement both in the initial assessment and in the follow-up appraisal. However, the radiographic examination may be restricted and limited by the general state of the patient and the type and severity of other injuries. For example, severe facial injuries are often associated with intracranial damage and/or cervical spine injuries, the importance of which far outweighs any damage to the teeth and their supporting structures. The radiographic investigation must therefore be tailored to each patient’s needs.
Although the type of injury may be evident clinically, radiographic investigation of all traumatized teeth is needed initially, to assess fully the degree of underlying damage. Radiographs are also required later to assess healing and/or the development of post-trauma complications. The ideal radiographic requirements include:
It is for these reasons that a minimum of two views, from two different angles, is essential if small volume CBCT is not available.
Several different views are used to show the various fracture sites. Once again, the ideal minimum requirement in all cases is two views at right angles to one another. When that is not possible, two views at two different angles should be used. In addition, intraoral views (either periapicals or occlusals) are requi/>