Dental Radiograph Interpretation Report

Patient Name: [Patient full name] DOB: [DOB] MRN/Chart ID: [Chart ID]

Report Date: [Report date/time] Study Date: [Acquisition date]

Ordering Provider: [Ordering provider name, credentials] Interpreting Provider: [Interpreting provider name, credentials]

Study Type: [Bitewings / Periapicals / Panoramic / FMX] — [Number of images and laterality/regions covered]

(Standalone radiographic interpretation; not a substitute for clinical examination.)

Clinical Information

Indication: [Reason for imaging] (If not provided, state exactly: "Indication: Not provided.")
Pertinent History: [Relevant prior endodontic treatment, implants, extractions, trauma, or systemic conditions affecting interpretation] (Include only if explicitly provided; otherwise omit this line.)
Comparison: [Prior study type and date(s)] (If none available, state: "No prior images available for comparison.")

Images Reviewed & Quality

Images reviewed: [Modality, number of images, regions covered]
Overall quality: [Diagnostic / Limited / Nondiagnostic]
Limitations: [Specific limitations affecting interpretation, regions/structures affected, and recommended corrective action] (Include only if quality is Limited or Nondiagnostic; otherwise omit this line.)

Findings

(Use complete sentences with Universal tooth numbering and surface abbreviations M/D/O/I/B/L. Integrate observations into a flowing narrative. Include explicit negative statements for the primary indication when no abnormality is seen. Use confidence language such as "consistent with," "suggestive of," or "suspicious for" rather than definitive diagnoses.)

Dentition: [Teeth present, absent, impacted, supernumerary; retained roots; relevant spacing or crowding]

Caries: [Interproximal, occlusal, or root caries by tooth and surface with estimated depth; or explicit negative statement if none identified]

Restorations: [Existing fillings, crowns, bridges, implants; restoration margin integrity; recurrent decay if present]

Periapical/Endodontic: [Periapical radiolucencies, PDL widening, lamina dura status, prior endodontic treatment appearance]

Periodontal: [Bone height relative to CEJ, pattern (horizontal/vertical), distribution (localized/generalized), severity; furcation involvement if visible]

Other osseous findings: [Lesion location, borders, size, effect on adjacent structures] (Include only if present.)

Extra-dental observations: [Maxillary sinuses, TMJ/condyles, airway, soft tissue calcifications] (For panoramic images only. State "Not visualized" or "Nondiagnostic for [structure] due to [reason]" as appropriate.)

Impression

(List 1–5 key findings in order of clinical priority. Use confidence language: "consistent with," "suspicious for," "cannot exclude." If study is Limited/Nondiagnostic, restate the most significant limitation and its impact.)

1. [Primary finding with confidence qualifier]
2. [Additional finding] (Include only as needed.)
3. [Additional finding] (Include only as needed.)

Recommendations

• Clinical correlation: [Pulp vitality testing, periodontal probing, explorer/transillumination as indicated]
• Imaging: [Retake specific views, additional periapicals, or CBCT if indicated] (Include only if applicable.)
• Referral: [Endodontics / Periodontics / Oral Surgery / Oral Medicine / Medical] (Include only if indicated.)

Interpreting Clinician: [Name, credentials]
Signature: _______________________________
Date/Time Finalized: [Date/time]

Addendum #[number] ([date/time]): [Reason for revision and summary of changes] (Include only if an addendum is needed.)