Ghazali, Ahmad Badruddin (2026) A student guide to perfect bitewings. BDJ Student, 33 (October 2026). pp. 90-91. ISSN 2056-4805 E-ISSN 2056-4813
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Abstract
Every dental student will remember the anticipation and mild anxiety when taking their first clinical intraoral bitewing radiograph. You have done your best to manage the patient’s gag reflex, carefully position the image sensor or receptor, run behind the protective barrier, and press the exposure button. When you look at the computer monitor, expecting to have a textbook-quality bitewing radiograph, you are greeted with severe interproximal overlap that hinders the diagnosis of proximal caries or cone cut, with an unexposed white crescent slicing through the premolar or molar area. The standard adult bitewing is done by using a size 2 receptor or sensor on each side of the jaw, while a child bitewing can be done using a size 0 receptor. While this keeps the radiation low according to the ALARA or ALADA principles,1,2 it comes with a unique geometric challenge to capture both premolar and molar areas without overlap. In this article, we will discuss the geometric mechanics of the bitewing errors and practical troubleshooting to improve the image quality.
| Item Type: | Article (Journal) |
|---|---|
| Uncontrolled Keywords: | bitewing, dentistry, radiograph |
| Subjects: | R Medicine > RK Dentistry |
| Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Dentistry Kulliyyah of Dentistry > Department of Oral Maxillofacial Surgery and Oral Diagnosis |
| Depositing User: | Dr Ahmad Badruddin Ghazali |
| Date Deposited: | 05 Nov 2026 09:45 |
| Last Update: | 05 Nov 2026 09:45 |
| Queue Number: | 2026-10-Q6015 |
| URI: | http://irep.iium.edu.my/id/eprint/132425 |
| Indexed In: | Google Scholar |
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