Dental Imaging Techniques - Chapter 41
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Questions and Answers

The ___ is an intraoral technique of exposing periapical images in which the teeth and the image receptor are parallel to each other.

paralleling technique

The ___ is an intraoral technique of exposing periapical images in which the film and the teeth create an angle that is bisected by the beam.

bisection of the angle technique

Dental images with the proper landmarks and optimum density, contrast, definition, and detail have good?

diagnostic quality

___ is the term that is used to describe a space between two adjacent surfaces.

<p>interproximal</p> Signup and view all the answers

A ___ is the type of image used for the interproximal examination.

<p>bitewing</p> Signup and view all the answers

The bone that supports and encases the roots of the teeth is the?

<p>alveolar bone</p> Signup and view all the answers

The ___ is the coronal portion of alveolar bone found between the teeth.

<p>crestal bone</p> Signup and view all the answers

An area of a tooth that touches an adjacent tooth in the same arch is the?

<p>contact area</p> Signup and view all the answers

An object is ___ if it is moving or lying in the same plane and is always separated by the same distance.

<p>parallel</p> Signup and view all the answers

___ means cutting across or through.

<p>intersecting</p> Signup and view all the answers

Two things are ___ if they intersect or form a right angle.

<p>perpendicular</p> Signup and view all the answers

A 90-degree angle formed by two lines perpendicular to each other is a?

<p>right angle</p> Signup and view all the answers

The ___ is an imaginary line that divides the tooth longitudinally into two equal halves.

<p>long axis of the tooth</p> Signup and view all the answers

The ___ is the central portion of the primary beam of radiation.

<p>central ray</p> Signup and view all the answers

What technique is used for exposing dental images?

<p>parallel and bisection of angle</p> Signup and view all the answers

Which exposure technique do the American Academy of Oral and Maxillofacial Radiology and the American Dental Education Association recommend?

<p>parallel</p> Signup and view all the answers

Why is an exposure sequence important?

<p>So all areas of the mouth are included and images do not have to be retaken</p> Signup and view all the answers

When you are exposing images, in which area of the mouth should you begin?

<p>maxillary anterior</p> Signup and view all the answers

Which exposure should be the first for the posterior regions?

<p>mandibular premolar</p> Signup and view all the answers

Why is it not recommended to have the patient hold the image receptor during exposure?

<p>the patient receives unnecessary radiation</p> Signup and view all the answers

What type of film holder can be used in the bisecting angle technique?

<p>BAI, EeZee grip, Stabe</p> Signup and view all the answers

What error occurs when the horizontal angulation is incorrect?

<p>overlapping</p> Signup and view all the answers

Which of the following can occur when the vertical angulation is incorrect?

<p>elongation &amp; foreshortening</p> Signup and view all the answers

In the bisecting angle technique, how is the image receptor placed in relation to the teeth?

<p>close to the teeth</p> Signup and view all the answers

What is the purpose of bitewing images?

<p>to view the interproximal surfaces</p> Signup and view all the answers

What vertical angulation should be used for bitewing images?

<p>+10</p> Signup and view all the answers

What film size is used in the occlusal technique for an adult?

<p>4</p> Signup and view all the answers

When are occlusal radiographs indicated?

<p>to show a wide view of the arch</p> Signup and view all the answers

For partially edentulous patients, how can you modify the technique for using a bite-block?

<p>use a cotton roll</p> Signup and view all the answers

When you are exposing films for a pediatric patient, what analogy can you use to describe the tubehead?

<p>camera</p> Signup and view all the answers

What changes must be made in the exposure factors when dental images from a pediatric patient are exposed?

<p>exposure factors must be reduced</p> Signup and view all the answers

What film size is recommended for a pediatric patient with all primary dentition?

<p>0</p> Signup and view all the answers

Where would you begin making exposures for a patient with severe gag reflex?

<p>mandibular anterior</p> Signup and view all the answers

What is a good diagnostic quality image for endodontics?

<p>one that allows you to see 5mm beyond the apex</p> Signup and view all the answers

When radiographs are mounted using the labial mounting method, where is the dot placed?

<p>facing up</p> Signup and view all the answers

Why is it important for the dental assistant to recognize normal anatomic landmarks?

<p>for mounting of x-ray films</p> Signup and view all the answers

Why is it important to avoid retakes?

<p>to avoid unnecessary radiation exposure</p> Signup and view all the answers

Study Notes

Intraoral Imaging Techniques

  • Paralleling Technique: Involves positioning the teeth and image receptor parallel to each other for periapical images.
  • Bisection of the Angle Technique: Film and teeth create an angle bisected by the X-ray beam for periapical imaging.
  • Exposure Techniques: Both paralleling and bisection techniques are used for dental image exposure.

Image Quality

  • Diagnostic Quality: Refers to dental images that display proper landmarks, density, contrast, definition, and detail.

Anatomy and Terminology

  • Interproximal: Space between two adjacent tooth surfaces.
  • Bitewing Image: Utilized for interproximal examinations.
  • Alveolar Bone: Supports and encases the roots of teeth.
  • Crestal Bone: Coronal portion of the alveolar bone located between teeth.
  • Contact Area: Specific area of a tooth that touches an adjacent tooth in the same arch.

Geometric Relationships

  • Parallel Objects: Items moving or lying in the same plane, maintaining consistent distance.
  • Intersecting: The act of cutting across or through.
  • Perpendicular: Two lines that intersect at a right angle.
  • Right Angle: A 90-degree angle formed by two perpendicular lines.
  • Long Axis of the Tooth: Imaginary line that divides a tooth longitudinally into equal halves.
  • Central Ray: Central portion of the primary beam of radiation.

Exposure Protocols

  • Importance of Exposure Sequence: Ensures comprehensive coverage of the mouth, reducing the need for retakes.
  • Initial Exposure Areas: Begin with maxillary anterior, followed by mandibular premolar for posterior regions.
  • Patient Holder Use: Avoid having the patient hold the image receptor to minimize unnecessary radiation exposure.

Tools and Techniques

  • Film Holders in Bisecting Angle Technique: Options include BAI, EeZee grip, and Stabe.
  • Horizontal Angulation Error: Incorrect angles result in overlapping images.
  • Vertical Angulation Issues: Errors can lead to elongation or foreshortening of images.

Specialized Techniques

  • Bitewing Image Purpose: Aimed at viewing the interproximal surfaces of teeth with a recommended vertical angulation of +10 degrees.
  • Adult Occlusal Technique Film Size: Size 4 film used for adult occlusal radiographs.
  • Indications for Occlusal Radiographs: Necessary for showing a wide view of the arch, assisting in dental evaluations.

Pediatric Considerations

  • Bite-Block Modifications: Employ cotton rolls for partially edentulous patients.
  • Film Size for Primary Dentition: Size 0 is recommended for children with all primary teeth.
  • Exposure Factor Adjustments: Must be reduced for pediatric patients during imaging.

Managing Patient Discomfort

  • Gag Reflex Consideration: Start exposures at the mandibular anterior region for patients with a severe gag reflex.

Endodontic Imaging

  • Diagnostic Quality in Endodontics: An image must show 5mm beyond the apex for optimal assessment.

Film Mounting and Anatomic Awareness

  • Labial Mounting Method: Dot on the radiograph should face up when mounted.
  • Recognition of Anatomical Landmarks: Crucial for accurate X-ray film mounting and interpretation, helping prevent retakes and minimizing radiation exposure.

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Test your knowledge on intraoral imaging techniques with these flashcards from Chapter 41. Learn about methods such as the paralleling technique and the bisection of the angle technique. Perfect for dental students and professionals alike!

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