Podcast
Questions and Answers
Which restorative material is described as completely radiopaque?
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?
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?
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?
Which material is described as slightly radiopaque?
Which of the following statements accurately describes post and core restorations?
Which of the following statements accurately describes post and core restorations?
What is the primary benefit of using intensifying screens in extraoral radiography?
What is the primary benefit of using intensifying screens in extraoral radiography?
What is the effective distance a dental radiographer should maintain from the x-ray tubehead?
What is the effective distance a dental radiographer should maintain from the x-ray tubehead?
Which positioning angle is recommended for the dental radiographer relative to the x-ray beam?
Which positioning angle is recommended for the dental radiographer relative to the x-ray beam?
What does the Maximum Permissible Dose (MPD) for occupational exposure represent?
What does the Maximum Permissible Dose (MPD) for occupational exposure represent?
How does the size of the focal spot influence radiographic sharpness?
How does the size of the focal spot influence radiographic sharpness?
What effect does an increase in target-to-film distance have on image magnification?
What effect does an increase in target-to-film distance have on image magnification?
What is the goal of the ALARA principle in radiography?
What is the goal of the ALARA principle in radiography?
Which of the following must be true to minimize distortion in a radiographic image?
Which of the following must be true to minimize distortion in a radiographic image?
What effect does using concentrated developer on film have?
What effect does using concentrated developer on film have?
What is the recommended distance for a low wattage bulb used for safelighting in a darkroom?
What is the recommended distance for a low wattage bulb used for safelighting in a darkroom?
What is a common cause of yellow-brown stains on the film?
What is a common cause of yellow-brown stains on the film?
Which imaging error is caused by excessive time in the developer?
Which imaging error is caused by excessive time in the developer?
What does the presence of static electricity on film typically appear as?
What does the presence of static electricity on film typically appear as?
What causes film to appear fogged due to a lack of contrast?
What causes film to appear fogged due to a lack of contrast?
What appears on the film when the central ray is not in the center?
What appears on the film when the central ray is not in the center?
What is a likely result of a film being placed backwards in the mouth during exposure?
What is a likely result of a film being placed backwards in the mouth during exposure?
What type of processing error can result in elongated roots on teeth images?
What type of processing error can result in elongated roots on teeth images?
What type of error is identified by dark spots appearing on the film?
What type of error is identified by dark spots appearing on the film?
What unit is used to measure exposure in air?
What unit is used to measure exposure in air?
What is the minimum aluminum filtration required for dental x-ray machines operating above 70 kVp?
What is the minimum aluminum filtration required for dental x-ray machines operating above 70 kVp?
Which of the following best describes collimation in radiation protection?
Which of the following best describes collimation in radiation protection?
What percentage of scatter radiation does a lead apron typically absorb?
What percentage of scatter radiation does a lead apron typically absorb?
What is the lead equivalent typically used for a lead apron?
What is the lead equivalent typically used for a lead apron?
Which film type is considered the fastest and requires the least radiation exposure?
Which film type is considered the fastest and requires the least radiation exposure?
What does the term 'Position Indicating Device' (PID) refer to in radiation protection?
What does the term 'Position Indicating Device' (PID) refer to in radiation protection?
What is the primary benefit of using fast film in radiation exposure?
What is the primary benefit of using fast film in radiation exposure?
What is the result of placing the Frankfort plane too high during a panoramic radiograph?
What is the result of placing the Frankfort plane too high during a panoramic radiograph?
Which air space is depicted as a horizontal radiolucent band on panoramic radiographs?
Which air space is depicted as a horizontal radiolucent band on panoramic radiographs?
How does the appearance of the anterior teeth change if they are positioned anterior to the focal trough?
How does the appearance of the anterior teeth change if they are positioned anterior to the focal trough?
What does the midsagittal plane do in a panoramic radiograph?
What does the midsagittal plane do in a panoramic radiograph?
Which error occurs when the cervical spine is positioned incorrectly during a radiograph?
Which error occurs when the cervical spine is positioned incorrectly during a radiograph?
What is the effect of placing the Frankfort plane down during a radiograph procedure?
What is the effect of placing the Frankfort plane down during a radiograph procedure?
What causes ghost images on a panoramic radiograph?
What causes ghost images on a panoramic radiograph?
How can an exaggerated smile line appear on a panoramic radiograph?
How can an exaggerated smile line appear on a panoramic radiograph?
Where do the maxillary tuberosity and the mental foramen appear, and to which landmark are they associated?
Where do the maxillary tuberosity and the mental foramen appear, and to which landmark are they associated?
What results from a tongue not positioned against the hard palate during a panoramic radiograph?
What results from a tongue not positioned against the hard palate during a panoramic radiograph?
What role does the anode play in an X-ray tube?
What role does the anode play in an X-ray tube?
How does increasing the kilovoltage peak (kVp) affect the X-ray beam?
How does increasing the kilovoltage peak (kVp) affect the X-ray beam?
Which material is used in the focal spot of the anode?
Which material is used in the focal spot of the anode?
What is the effect of lowering the kVp on film contrast?
What is the effect of lowering the kVp on film contrast?
What happens to the intensity of X-rays as the distance from the source increases?
What happens to the intensity of X-rays as the distance from the source increases?
What is the primary purpose of the cathode in the X-ray tube?
What is the primary purpose of the cathode in the X-ray tube?
What is a characteristic of an X-ray beam produced with a high kilovoltage peak (kVp)?
What is a characteristic of an X-ray beam produced with a high kilovoltage peak (kVp)?
Which statement is true regarding the structure of the X-ray tube?
Which statement is true regarding the structure of the X-ray tube?
Flashcards
Kilovoltage Peak (kVp)
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
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
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
Anode
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Density
Density
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Contrast
Contrast
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Penetrating power
Penetrating power
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Focal Spot
Focal Spot
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Intensifying Screen Purpose
Intensifying Screen Purpose
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Operator Protection
Operator Protection
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Maximum Permissible Dose (MPD)
Maximum Permissible Dose (MPD)
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ALARA Principle
ALARA Principle
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Image Sharpness
Image Sharpness
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Magnification in X-rays
Magnification in X-rays
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Image Distortion
Image Distortion
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Minimizing Distortion
Minimizing Distortion
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Filtration
Filtration
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Minimum Filtration (70 kVp)
Minimum Filtration (70 kVp)
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Minimum Filtration (Above 70 kVp)
Minimum Filtration (Above 70 kVp)
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Collimation
Collimation
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Beam Size Limitation
Beam Size Limitation
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Position Indicating Device (PID)
Position Indicating Device (PID)
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Thyroid Collar
Thyroid Collar
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Lead Apron
Lead Apron
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Amalgam Restoration
Amalgam Restoration
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Gold Restorations
Gold Restorations
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Stainless Steel/Chrome Crowns
Stainless Steel/Chrome Crowns
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Composite Restorations
Composite Restorations
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Post and Core Restorations
Post and Core Restorations
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Film exposed to light
Film exposed to light
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Unexposed film
Unexposed film
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Underdeveloped film
Underdeveloped film
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Overdeveloped film
Overdeveloped film
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Developer spots
Developer spots
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Fixer spots
Fixer spots
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Yellow-brown stains
Yellow-brown stains
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Air bubbles
Air bubbles
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Static electricity
Static electricity
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Backwards film
Backwards film
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Palatoglossal Air Space
Palatoglossal Air Space
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Nasopharyngeal Air Space
Nasopharyngeal Air Space
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Glossopharyngeal Air Space
Glossopharyngeal Air Space
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Frankfort Plane
Frankfort Plane
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Midsagittal Plane
Midsagittal Plane
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Focal Trough
Focal Trough
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Frankfort Plane Upwards Error (Chin Up)
Frankfort Plane Upwards Error (Chin Up)
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Frankfort Plane Downwards Error (Chin Down)
Frankfort Plane Downwards Error (Chin Down)
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Teeth Anterior to Focal Trough Error
Teeth Anterior to Focal Trough Error
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Teeth Posterior to Focal Trough Error
Teeth Posterior to Focal Trough Error
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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.
- Particulate Radiation: Tiny particles with mass travelling in straight lines at high speeds.
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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