Radiation Physics Quiz

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Questions and Answers

Which restorative material is described as completely radiopaque?

  • Porcelain restorations
  • Gold restorations (correct)
  • Composite restorations
  • Stainless steel crowns

Which restorative material is typically radiolucent to radiopaque?

  • Composite restorations (correct)
  • Porcelain-fused-to-metal crowns
  • Amalgam
  • Endodontic materials

What is the radiographic appearance of stainless steel and chrome crowns?

  • Radiolucent
  • Radiopaque, but less dense than amalgam (correct)
  • Slightly radiopaque
  • Completely radiopaque

Which material is described as slightly radiopaque?

<p>Porcelain restorations (A)</p> Signup and view all the answers

Which of the following statements accurately describes post and core restorations?

<p>The core resembles the prepped portion of a tooth. (B)</p> Signup and view all the answers

What is the primary benefit of using intensifying screens in extraoral radiography?

<p>They reduce the amount of radiation the patient receives. (C)</p> Signup and view all the answers

What is the effective distance a dental radiographer should maintain from the x-ray tubehead?

<p>At least 6 feet. (B)</p> Signup and view all the answers

Which positioning angle is recommended for the dental radiographer relative to the x-ray beam?

<p>90-135 degrees. (B)</p> Signup and view all the answers

What does the Maximum Permissible Dose (MPD) for occupational exposure represent?

<p>The maximum dose allowed for a specific time period. (D)</p> Signup and view all the answers

How does the size of the focal spot influence radiographic sharpness?

<p>A smaller focal spot improves sharpness. (C)</p> Signup and view all the answers

What effect does an increase in target-to-film distance have on image magnification?

<p>It decreases the magnification. (B)</p> Signup and view all the answers

What is the goal of the ALARA principle in radiography?

<p>To keep radiation exposure as low as reasonably achievable. (B)</p> Signup and view all the answers

Which of the following must be true to minimize distortion in a radiographic image?

<p>The object and film must be positioned parallel to each other. (C)</p> Signup and view all the answers

What effect does using concentrated developer on film have?

<p>Leads to overdeveloped film appearance (C)</p> Signup and view all the answers

What is the recommended distance for a low wattage bulb used for safelighting in a darkroom?

<p>4 feet (B)</p> Signup and view all the answers

What is a common cause of yellow-brown stains on the film?

<p>Inadequate rinsing (B)</p> Signup and view all the answers

Which imaging error is caused by excessive time in the developer?

<p>Overdeveloped film (C)</p> Signup and view all the answers

What does the presence of static electricity on film typically appear as?

<p>Black lines (B)</p> Signup and view all the answers

What causes film to appear fogged due to a lack of contrast?

<p>Improper safelighting conditions (A)</p> Signup and view all the answers

What appears on the film when the central ray is not in the center?

<p>Cone-cut (C)</p> Signup and view all the answers

What is a likely result of a film being placed backwards in the mouth during exposure?

<p>Herringbone or tire track pattern (C)</p> Signup and view all the answers

What type of processing error can result in elongated roots on teeth images?

<p>Too little vertical angulation (C)</p> Signup and view all the answers

What type of error is identified by dark spots appearing on the film?

<p>Developer spots (B)</p> Signup and view all the answers

What unit is used to measure exposure in air?

<p>Roentgen (C)</p> Signup and view all the answers

What is the minimum aluminum filtration required for dental x-ray machines operating above 70 kVp?

<p>2.5 mm (C)</p> Signup and view all the answers

Which of the following best describes collimation in radiation protection?

<p>Shapes the x-ray beam into a more restricted area (B)</p> Signup and view all the answers

What percentage of scatter radiation does a lead apron typically absorb?

<p>90% (C)</p> Signup and view all the answers

What is the lead equivalent typically used for a lead apron?

<p>0.25 mm (B)</p> Signup and view all the answers

Which film type is considered the fastest and requires the least radiation exposure?

<p>F-speed film (D)</p> Signup and view all the answers

What does the term 'Position Indicating Device' (PID) refer to in radiation protection?

<p>A cone that directs and limits the x-ray beam (C)</p> Signup and view all the answers

What is the primary benefit of using fast film in radiation exposure?

<p>Reduces the amount of radiation needed (A)</p> Signup and view all the answers

What is the result of placing the Frankfort plane too high during a panoramic radiograph?

<p>A radiopaque cone-shaped artifact obscuring the mandible (C)</p> Signup and view all the answers

Which air space is depicted as a horizontal radiolucent band on panoramic radiographs?

<p>Palatoglossal Air Space (C)</p> Signup and view all the answers

How does the appearance of the anterior teeth change if they are positioned anterior to the focal trough?

<p>They appear skinny and out of focus (B)</p> Signup and view all the answers

What does the midsagittal plane do in a panoramic radiograph?

<p>Divides the body into right and left sides (C)</p> Signup and view all the answers

Which error occurs when the cervical spine is positioned incorrectly during a radiograph?

<p>Radiopacity of the cervical spine (C)</p> Signup and view all the answers

What is the effect of placing the Frankfort plane down during a radiograph procedure?

<p>Condyles may not be visible (A)</p> Signup and view all the answers

What causes ghost images on a panoramic radiograph?

<p>Presence of earrings and eyeglasses (B)</p> Signup and view all the answers

How can an exaggerated smile line appear on a panoramic radiograph?

<p>Chin positioned too high (A)</p> Signup and view all the answers

Where do the maxillary tuberosity and the mental foramen appear, and to which landmark are they associated?

<p>Both associated with the maxilla (C)</p> Signup and view all the answers

What results from a tongue not positioned against the hard palate during a panoramic radiograph?

<p>A dark radiolucent shadow obscuring teeth apices (A)</p> Signup and view all the answers

What role does the anode play in an X-ray tube?

<p>It converts bombarding electrons into X-ray photons. (A)</p> Signup and view all the answers

How does increasing the kilovoltage peak (kVp) affect the X-ray beam?

<p>It results in darker film density due to increased energy of the beam. (B)</p> Signup and view all the answers

Which material is used in the focal spot of the anode?

<p>Tungsten (D)</p> Signup and view all the answers

What is the effect of lowering the kVp on film contrast?

<p>It leads to a low contrast film with fewer black and white areas. (B)</p> Signup and view all the answers

What happens to the intensity of X-rays as the distance from the source increases?

<p>Intensity decreases as distance increases. (C)</p> Signup and view all the answers

What is the primary purpose of the cathode in the X-ray tube?

<p>To supply electrons necessary for X-ray production. (D)</p> Signup and view all the answers

What is a characteristic of an X-ray beam produced with a high kilovoltage peak (kVp)?

<p>It generates harder X-rays. (D)</p> Signup and view all the answers

Which statement is true regarding the structure of the X-ray tube?

<p>There is no air in the tube enclosure to prevent electron loss. (B)</p> Signup and view all the answers

Flashcards

Kilovoltage Peak (kVp)

The measurement of the electrical pressure or potential difference between two electrical charges in an x-ray machine. It determines the speed of electrons traveling from the cathode to the anode, and influences the penetrating power of the x-ray beam.

X-rays

A type of radiation that is emitted when electrons bombard the anode of an x-ray tube. These photons have a high penetrating power and are used in dental radiography for imaging.

Cathode

The negative electrode of an x-ray tube, made of a tungsten filament and molybdenum cup. It's responsible for releasing a stream of electrons towards the anode when heated.

Anode

The positive electrode of an x-ray tube made of a copper arm and a focal spot. The focal spot, made of tungsten, converts bombarded electrons into x-ray photons.

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Density

The overall darkness or blackness of a radiographic image. It's influenced by factors like kVp and exposure time.

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Contrast

The sharpness of the contrast between dark and light areas on a radiographic image. It's influenced by factors like kVp and the type of film used.

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Penetrating power

The ability of x-rays to penetrate through matter. Higher energy x-rays have a higher penetrating power.

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Focal Spot

The point on the anode where electrons impact and convert into x-ray photons. The size of the focal spot affects the sharpness of the radiographic image.

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Intensifying Screen Purpose

Intensifying screens reduce the amount of radiation needed for a proper exposure, thereby minimizing patient radiation exposure.

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Operator Protection

The dental professional must avoid the primary X-ray beam during exposure.

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Maximum Permissible Dose (MPD)

The maximum dose of radiation a person can receive over a specific period without harm. The occupational MPD is higher than for the general public.

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ALARA Principle

A principle that states radiation exposure should be kept as low as reasonably achievable.

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Image Sharpness

The ability of the X-ray film to accurately reproduce the fine details of an object.

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Magnification in X-rays

An image that appears larger than the actual size of the object being represented.

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Image Distortion

A distortion in the true size and shape of the object being radiographed.

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Minimizing Distortion

To minimize distortion, the object and film must be parallel to each other during exposure.

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Filtration

A method of radiation protection that absorbs long-wave radiation, allowing more penetrating x-rays to pass through.

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Minimum Filtration (70 kVp)

The minimum aluminum filtration requirement for dental x-ray machines operating at or below 70 kVp.

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Minimum Filtration (Above 70 kVp)

The minimum aluminum filtration requirement for dental x-ray machines operating above 70 kVp.

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Collimation

A radiation protection technique that reduces the surface area exposed by using a lead washer to restrict the x-ray beam.

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Beam Size Limitation

The maximum allowable size of the x-ray beam at the patient's face.

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Position Indicating Device (PID)

The device that directs the x-ray beam towards the patient, reducing tissue irradiation when a longer cone is used.

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Thyroid Collar

A radiation protection device worn during x-ray exposure to protect the thyroid gland.

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Lead Apron

A radiation protection garment worn during x-ray exposure to protect reproductive and blood-forming tissues, absorbing approximately 90% of scatter radiation.

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Amalgam Restoration

A type of dental restoration that is completely radiopaque on x-rays, indicating it's made of a dense material. It's typically used for fillings and can be seen in various shapes like amalgam overhangs or fragments.

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Gold Restorations

Dental restorations made from gold, appearing completely radiopaque on x-rays. They can be crowns, bridges, or gold foil fillings. These restorations are known for their durability and resistance to corrosion.

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Stainless Steel/Chrome Crowns

Restorations made from stainless steel or chrome, appearing radiopaque on x-rays, but less dense than amalgam. They might show 'see-through' areas on x-rays, indicating their thinner nature.

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Composite Restorations

Dental restorations made from composite materials, exhibiting varying degrees of radiolucency and radiopacity on x-rays, depending on their composition. They are often used for fillings and can appear lighter or darker on the x-ray.

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Post and Core Restorations

A restoration that involves a post inserted into the root canal of an endodontically treated tooth and a core built to resemble the prepared tooth portion. Both the post and core are visible on x-rays.

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Film exposed to light

The film is completely black, indicating that it was exposed to light before processing.

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Unexposed film

The film is completely clear, indicating that it was not exposed to x-radiation.

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Underdeveloped film

The film is light, indicating inadequate or depleted developer, developer too cool, or insufficient developing time.

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Overdeveloped film

The film is dark, indicating excessive developing time, developer too hot, or concentrated developer.

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Developer spots

Dark spots on the film are caused by developer splashing onto the film before processing.

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Fixer spots

Light spots on the film are caused by fixer splashing onto the film before processing.

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Yellow-brown stains

Yellow or brown stains on the film indicate exhausted chemicals, insufficient rinsing, or incomplete fixation.

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Air bubbles

White spots on the film are caused by air being trapped on the film surface after being placed into processing solutions.

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Static electricity

Thin, black lines on the film are caused by static electricity, which occurs when a packet is opened quickly.

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Backwards film

A pattern on the film resembling a herringbone or tire track indicates the film was placed backwards in the mouth.

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Palatoglossal Air Space

A horizontal radiolucent band seen on a panoramic radiograph, representing the space between the palate and the tongue.

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Nasopharyngeal Air Space

A diagonal radiolucency on a panoramic image, representing the space behind the nasal cavity.

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Glossopharyngeal Air Space

A vertical radiolucent band on a panoramic image, representing the space behind the tongue in the pharynx.

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Frankfort Plane

An imaginary horizontal plane passing through the floor of the orbit and the external auditory meatus. Used to orient the patient's head during panoramic imaging.

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Midsagittal Plane

An imaginary vertical plane that divides the body into equal right and left halves. Used to center the patient's head during panoramic imaging.

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Focal Trough

A curved three-dimensional zone within the panoramic machine, where images are captured clearly.

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Frankfort Plane Upwards Error (Chin Up)

Occurs when the patient's chin is tilted upwards during the panoramic exposure, resulting in blurry and magnified maxillary incisors, and a stretched smile line.

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Frankfort Plane Downwards Error (Chin Down)

Occurs when the patient's chin is tilted downwards during the panoramic exposure, resulting in blurry mandibular incisors, an exaggerated smile line, and potential visibility issues with the condyles.

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Teeth Anterior to Focal Trough Error

Happens when the teeth are positioned too far forward within the focal trough, making them appear thin and out of focus.

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Teeth Posterior to Focal Trough Error

Happens when the teeth are positioned too far back within the focal trough, making them appear thick and out of focus.

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Study Notes

I. RADIATION HISTORY

  • Wilhelm Roentgen discovered X-rays in 1895
  • He was experimenting with cathode ray tubes

II. RADIATION PHYSICS

  • Ionization: The process where an atom gains or loses an electron, becoming electrically unbalanced.
  • An ion pair forms when an electron is removed from an atom during ionization.
    • Positive ion: Atom that loses an electron
    • Negative ion: Ejected electron
  • Ionizing Radiation: Radiation capable of creating ions by adding or removing electrons from atoms. X-rays produce ionization
    • Particulate Radiation: Tiny particles with mass travelling in straight lines at high speeds.
      • Electrons
      • Beta particles
      • Cathode rays
      • Protons
      • Alpha particles
      • Neutrons
    • Electromagnetic Radiation: Wave-like energy propagation without mass.
      • Cosmic rays
      • Gamma rays
      • X-rays
      • Ultraviolet rays
      • Microwaves
      • Radio waves
      • Visible light
      • Velocity: Speed of a wave.
      • Wavelength: Distance between crests of consecutive waves.
      • Frequency: Number of wavelengths passing a point in a given time.
      • X-ray: Electromagnetic ionizing radiation with very short wavelengths resulting from high-speed electrons hitting a target (tungsten) in a vacuum.

III. PROPERTIES OF X-RADIATION

  • X-rays are wave-like; travel at the speed of light (186,000 miles/second).
  • X-rays can penetrate substances
  • X-rays are invisible
  • X-rays have no mass, no weight, and no charge
  • X-rays are absorbed by matter.
  • X-rays affect living tissue; able to stimulate or destroy live cells
  • X-rays lose intensity with distance; travel in straight lines and cannot be focused to a point.

III. RADIATION CHARACTERISTICS

  • Kilovoltage Peak (kVp): Electrical pressure between electrodes. Determines the penetrating power (quality) of the X-ray beam. Higher kVp = faster electrons = harder X-rays = more penetrating ability.
    • Density: Overall darkness or blackness of a film. Higher kVp = darker film.
    • Contrast: Sharpness of dark and light areas on a film. Lower kVp = higher contrast (black/white), Higher kVp = lower contrast (more shades of gray).
  • Milliamperage (mA): Quantity of electrical current, Influencing the number of electrons travelling from cathode to anode. Higher mA = more electrons available, more x-rays produced. Also affects the temperature of tungsten filament. Higher mA = increased density on the resulting image. Exposure time and mA together form mAs.

IV. RADIATION BIOLOGY

  • Ionization: results in positive atom and dislodged electron. Can affect cells but damage may be repairable or permanent.
  • Free Radicals: a neutral atom or molecule with an unpaired electron in its outermost shell. Highly reactive, especially when water is ionized.
  • Adverse reactions of body to radiation can accumulate over time.
  • Somatic Effects: Effects on the person exposed (e.g., cancer, cataracts).
  • Genetic Effects: Effects that can be passed down to future generations.
  • Radiation Effects on Cells: Cell sensitivity depends on factors like rate of cell division, and metabolism.

V. RADIATION PROTECTION

  • Filtration: Reduces the amount of low-energy X-rays before reaching patient. Improves image quality.
  • Collimation: Restricts the size of the X-ray beam. Reduces scatter radiation.
  • Position Indicating Device (PID): Cone-shaped attachments to restrict the X-ray beam.
  • Shielding: Protective barriers, aprons, collars. Reduces radiation exposure to operator and patient. This will reduce the scatter and radiation exposure to the operator (more shielding).
  • Distance: X-rays lose intensity with distance.

VI. DENTAL X-RAY IMAGE CHARACTERISTICS

  • Sharpness - ability to accurately reproduce clear details of an object on the image. Factors influencing include: focal spot size, film composition, and movement. Smaller focal spot sizes result in greater sharpness.
  • Magnification - representation of an object on the film, larger than the actual size. Target-to-film distance and object-to-film distance influence magnification.
  • Distortion - variation in the true size and shape of the object in the image. Minimized with parallel alignment of object, film and beam direction.

VII. FILM PROCESSING

  • Manual Processing: Developer softens and reduces the exposed silver halide crystals into black metallic silver. Rinsing and fixer steps remove unexposed crystals. Water baths wash excess chemicals.
  • Automatic Processors: concentrated chemicals and higher temperatures are used in automatic processing.

VIII. PROCESSING AND TECHNIQUE ERRORS

  • Appearance of films: Common problems like completely black/clear if no x-ray exposure or excessive/insufficient development.
  • Errors resulting from positioning/technique: Errors in angles to film and/or positioning of patient or equipment produce issues such as out-of-focus teeth/issues with imaging position.

IX. LOCALIZATION TECHNIQUES

  • Buccal Object Rule: Movement of structure on second film relative to the first (positioned to lingual/buccal).
  • Right Angle Technique: Occlusal film for proper angulation results in image visualization of structures.

X. NORMAL ANATOMY BASICS

  • Landmarks identified in xrays.

XI. COMMON RESTORATIVE MATERIALS

  • Radiographic appearance of various dental materials.

XII. EXTRAORAL FILMS, PANORAMIC ERRORS

  • Identifying possible errors during or in the process of producing panoramic films.

XIII. PANORAMIC ERRORS

  • Errors in technique and positioning (Frankfort plane, midsagittal plane) and other visible problems.

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