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Periapical and Bitewing Dental Radiographic Examination (Intraoral X-ray)

Published: August 9, 2026Updated: August 16, 2026

This test involves taking X-ray images of your teeth and surrounding bone structure to check for issues like cavities, bone loss, or other dental problems.

Quick summary

["Dental X-rays help detect early signs of dental issues that may not be visible during a regular exam."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
46386-9
Short code
XR Teeth Views bitewing
Synonyms
XR Teeth Views bitewing
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
xr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Involves

A dental professional will place a specialized sensor inside your mouth to capture detailed images of your teeth and jawbone. These images are used to examine the health of your teeth, gums, and bone structure, including areas not visible during a regular dental checkup.

Why It’s Done

Your dentist or oral health provider may recommend bitewing X-rays to monitor tooth decay between teeth, assess bone levels in the jaw, or check for signs of periodontal disease. Periapical X-rays are used to examine the entire tooth, including the root and surrounding bone, often for root infections or other issues.

Preparation

No special preparation is needed for dental X-rays. You may need to remove any dental appliances or jewelry that could interfere with the images.

What to Expect During the Procedure

The procedure is quick and painless. You’ll sit comfortably while the X-ray sensor is placed in your mouth. You may feel a slight pressure, but no discomfort. The images are taken in seconds.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Dental X-rays play a critical role in diagnosing dental issues early. They help identify cavities, bone loss due to periodontal disease, infections around the tooth roots, and other conditions that may not be apparent during a visual examination. Early detection can lead to timely treatment and better outcomes.

Frequently asked questions

How often should I get bitewing or periapical X-rays?
The frequency depends on your dental health. Typically, bitewing X-rays are recommended every 1–2 years for adults with no signs of periodontal disease, while periapical X-rays may be needed more frequently if you have active dental issues or risk factors like smoking or poor oral hygiene.
Are dental X-rays safe?
Yes, dental X-rays use low levels of radiation. Modern equipment and techniques minimize radiation exposure. Your dentist will use the lowest dose necessary to get clear images while protecting you from unnecessary radiation.
Can I eat or drink before the X-ray?
You can eat and drink normally before the X-ray, as no special preparation is required. However, if you have any dental work scheduled, your dentist may advise against eating or drinking for a short time before the procedure.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy