In a molar bitewing radiograph, what should be included at the distal end of the film?

In a molar bitewing radiograph, the ideal technique includes capturing the most distal tooth along with a few millimeters of the bone level behind it. This approach ensures that the entire area of interest is visible, which includes the distal surface of the last molar as well as the proximal contact area of the adjacent tooth.

By incorporating a few millimeters of bone level, the radiograph allows for the evaluation of bone height and any potential periodontal issues that might be present, which could affect diagnosis and treatment planning. It is important to visualize both the teeth and the surrounding structures in order to assess any pathologies fully. This thorough capturing of the anatomy enhances diagnostic accuracy in assessing caries, periodontal health, and other dental conditions.