What is the role of radiographs in Direct Access assessment?

• A. They are not used in Direct Access.
• B. They replace clinical examination entirely.
• C. They are optional and rarely used.
• D. They help detect caries, bone levels, and pathology; allowed if the hygienist is trained and state law permits.

Answer: (D)

Radiographs in Direct Access assessments serve as a diagnostic aid that complements a clinical exam. They help uncover problems that aren’t always visible visually, such as interproximal caries, changes in bone levels around teeth (which reflect periodontal health), and various pathologies like lesions or abscesses. In Direct Access, a hygienist may use radiographs when they have appropriate training and the state law allows it, along with proper radiation safety and patient consent. Radiographs do not replace the clinical exam; they add essential information to guide a complete assessment and treatment plan.