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Eopa: An Uncommon Extraoral Approach for Common Oral Problems

Tejas M. Kulkarni, Shweta Dwivedy, Nivedita Tayde

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Indian Journal of Dental Education 18(2):p 81-84, May. Aug 2025. | DOI: https://doi.org/10.21088/ijde.0974.6099.18225.6

How Cite This Article:

Tejas M. Kulkarni, Shweta Dwivedy, Nivedita Tayde. Eopa: An Uncommon Extraoral Approach for Common Oral Problems. Ind J Dent Educ. 2025; 18(2): 81-84.

Timeline

Received : April 17, 2025         Accepted : June 02, 2025          Published : August 15, 2025

Abstract

Newman and Friedman proposed a new technique using extraoral approach to take periapical radiographs in certain patients who can’t tolerate film or sensors inside their mouth. Here we are presenting some cases using extraoral periapical approach for patients with trismus, patient having gag reflex and pediatric apprehensive patients in which use of intraoral periapical radiography is not possible. This technique can be used as alternative to intraoral periapical technique in certain patients with comparable diagnostic value but can’t replace it in routine dental practice. Aims: To evaluate diagnostic importance Extraoral periapical radiographic technique Settings and Design: Observational study. Methods and Material: The study was conducted in oral radiology department using Bio-Dent-1070 D (Biodent Bio medicare Imaging) dental x-ray unit; 70 kvp, 10 mAs, 0.03-0.05 sec, 2mm aluminum filtration. Results: The radiographs obtained by extraoral periapical radiographic method showed satisfactory diagnostic quality as compared to conventional intraoral radiographs. Conclusions: Extraoral periapical technique can be advisable in certain situations where intraoral use of films or sensors are not possible but it can’t replace conventional intraoral periapical technique. More standardization is recommended to get better diagnostic images in this technique


References

  • 1.   Whaites E. Periapical radiography. In: Essentials of dental radiography and radiology. 3rd ed. Edinburgh: Churchill Liv ingstone; 2002. p. 92.
  • 2.   Parks E.T., Williamson GF. Digital radiography: an overview. J Contemp Dent Pract 2002; 3: 23-39.
  • 3.   Newman M.E., Friedman S. Extraoral radiographic technique: an alternative approach. J Endod 2003; 29: 419-21.
  • 4.   Chen C.H., Lin S.H., Chiu H.L., Lin Y.J., Chen Y.K., Lin L.M. An aiming device for an extraoral radiographic technique. J Endod 2007; 33: 758-60.
  • 5.   Fisher D. Extraoral radiographic technique for third molars. Aust Dent J 1974; 19: 306-7.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Tejas M. Kulkarni, Shweta Dwivedy, Nivedita Tayde. Eopa: An Uncommon Extraoral Approach for Common Oral Problems. Ind J Dent Educ. 2025; 18(2): 81-84.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
April 17, 2025 June 02, 2025 August 15, 2025

DOI: https://doi.org/10.21088/ijde.0974.6099.18225.6

Keywords

Periapical RadiographyIOPAEOPAOral radiology

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Received April 17, 2025
Accepted June 02, 2025
Published August 15, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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