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Oral Radiology

CBCT vs OPG vs IOPA: When to Prescribe What?

NEET MDSINI-CET MDSINBDE

This high-yield revision note on CBCT vs OPG vs IOPA: When to Prescribe What? covers everything examiners typically test under Oral Radiology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

ModalityDimensionApprox. Radiation DoseBest Indication
IOPA (intraoral periapical)2DLowest (~1-8 µSv)Individual tooth/periapical pathology, caries diagnosis, endodontic working length
OPG (orthopantomogram)2D panoramic~10-25 µSvScreening, 3rd molar assessment, jaw fractures, overall survey of both jaws, growth evaluation
CBCT3D volumetric~50-1000+ µSv (much higher than 2D imaging, but far lower than a medical CT)Implant planning, complex fractures, precise localization of impacted teeth, root canal/resorption anatomy, TMJ imaging, IAN canal proximity assessment
Mnemonic: "IOPA for a TOOTH, OPG for the JAW, CBCT for the 3D PROBLEM" - matching modality to the clinical question.
HY: Per the ALARA principle, CBCT should be prescribed only when 2D imaging is insufficient for diagnosis or treatment planning (e.g., implant site assessment, precise IAN canal relationship) - it is NOT intended as a routine first-line imaging choice, a frequently tested radiation-safety concept.
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