Radiographic examination to assess growth and development of the child patient with a primary dentition prior to eruption of the first permanent tooth is not likely to be productive without identification of clinical signs or symptoms.1 Any clinical findings that infer radiographic evaluation is needed should be determined on an individual basis. Following eruption of the first permanent tooth, a radiographic examination may be conducted for growth and development assessment. Usually it is not necessary to repeat such an examination unless subsequent clinical signs and symptoms are identified. Cephalometric imaging may be useful for growth and development evaluation or assessment of dental and skeletal relationships when indicated.
Clinical judgment should be used to determine the need and type of radiographic imaging to evaluate or monitor dentofacial growth and development or assessment of dental and/or skeletal relationships for the child patient.