Chapters 30, 31: Introduction to Image Interpretation & Descriptive Terminology Flashcards
Principles and Description of Image Interpretation
List the three terms that can be used to describe a lesion on an image.
- appearance
- location
- size
Define the term: mandibular teeth
teeth located in the mandible or lower arch
Define the term: vertical bite-wing
the bite-wing receptor is placed in the mouth with the long portion of the receptor in a vertical direction
Define the term: alveolar bone
bone of the maxilla and mandible that supports and encases the roots of teeth (appears radiopaque)
Define the term: intraoral image
- an image the results when an image receptor is placed inside the mouth and exposed to x-rays
- used to examine teeth
Define the term: horizontal bite-wing
the bite-wing receptor is placed in the mouth with the long portion of the receptor in a horizontal direction
Define the term: pericoronal
around the crown of a tooth
List the documentation requirements for dental imaging.
- date of exposure
- number and type of images
- evaluation of diagnostic quality
- list of limiting factors, retakes, or additional images needed
- detailed description of teeth
- detailed description of the bone and supporting structures
- detailed description of artifact
- indication of any areas that require additional imaging or clinical evaluation/confirmation
Define the term: dental radiographer
any person who positions, exposes, and processes dental x-ray image receptors
Define the term: occlusal
the chewing surfaces of posterior teeth
Define the term: apical
towards the apex of a tooth
Define the term: ground glass appearance / orange-peel appearance
a term used to describe a radiopacity viewed on a dental image that resembles pulverized glass
Define the term: interproximal
between two adjacent surfaces
Define the term: posterior
towards the back
Define the term: radiopacity / radiodensity
an area on a dental image appearing radiopaque (light/white) due to resisting the passage of the x-ray beam and limiting the amount of x-rays that reach the image receptor
Define the term: periapical
around the apex of a tooth
Define the term: multifocal confluent radiopacity
a term used to describe multiple radiopacities on a dental image that appear to overlap or flow together
Define the term: inter-radicular
between the roots of adjacent teeth
List the terms used to describe the appearance of a radiopaque lesion on an image.
- focal opacity
- target lesion
- multifocal confluent
- irregular/ill-defined opacity
- ground glass opacity
- mixed lucent-opaque lesion
- soft tissue opacity
Define the term: adjacent / proximal
objects next to/touching each other
Define the term: apex
the area of a tooth that allows for blood vessels and nerves to enter the tooth and maintain the vitality of the tooth
Define the term: digital imaging
a system of filmless imaging used to capture an image using a sensor, breaking it into electronic pieces, and presenting and storing the image using a computer
List the common terms used to describe the location of a lesion on an image.
- periapical
- inter-radicular
- edentulous zone
- pericoronal
- alveolar bone loss
Define the term: multilocular
a term used to describe a radiolucent lesion on a dental image that exhibits multiple compartments
Define the term: radiolucency
an area on a dental image appears radiolucent ((dark/black) due to readily allowing the passage of the x-ray beam so that more x-rays reach the image receptor
Define the term: maxillary teeth
teeth located in the maxilla or upper arch
Define the term: dentition
the character of a set of teeth, including their number, kind, and location/arrangement
Define the term: radiopaque
the portion of an image that is light or white, due to the structure resisting the passage of the x-ray beam and limiting the amount of x-rays that reach the receptor
Define the term: mixed lucent-opaque
a term used to describe a lesion viewed on a dental image that exhibits both radiolucent and radiopaque components
Define the term: non-diagnostic image
an image that is not diagnostically accurate due to technique errors and must be retaken
Define the term: diagnosis
identification of a disease by examination or analysis
Define the term: image
a picture or likeness of an object
Define the term: extraoral image
- an image that results when an image receptor is placed outside the mouth and is exposed to x-rays
- used to examine large areas of the skull or jaws
Define the term: dentulous
- with teeth
- areas that exhibit teeth
Define the term: image receptor
a recording medium (ex: PSP plate, digital sensor)
Define the term: image interpretation
- an explanation of what is viewed on a dental image
- the ability to read what is revealed by a dental image
Define the term: bite-wing image
intraoral image that is used to examine the interproximal surfaces of teeth
List what should be included in the description of the teeth from the image interpretation in the patient record.
- impactions
- any anomalies, including numbers, crowns, or roots
- defective restorations
- caries
- calculus
*pulpal changes
Define the term: intraoral
inside the mouth
Define the term: radiolucent
the portion of an image that is dark or black, due to the structure readily permitting the passage of the x-ray beam and allowing more x-rays to reach the image receptor
Who can legally diagnose dental images?
the dentist
True or false: Any retakes must be documented in the patient’s record.
True
Define the term: buccal
the tooth surface towards the cheek on posterior teeth
Define the term: dental imaging
the creation of digital representation of anatomic structures for the purpose of diagnosis
Define the term: dental image
a two-dimensional representation of a three-dimensional object produced by the passage of x-rays through teeth and supporting structures
Define the term: edentulous
- without teeth
- an area where teeth are no longer present
Define the term: incisal
the chewing edge of anterior teeth
Define the term: mount
to place in an appropriate setting for display or study
Define the term: tooth-bearing areas
regions of the maxilla and mandible in which the 32 teeth of the human dentition are normally located
Define the term: target lesion
a term used to describe a well-defined, localized radiopacity viewed on a dental image that is surrounded by a uniform radiolucent halo
Define the term: periodontium
specialized tissues that surround and support teeth, such as the gingiva, cementum, periodontal ligament, and alveolar bone
Define the term: unilocular noncorticated
describes a radiolucency on a dental image that exhibits one compartment without a well-defined outer border
Define the term: anterior
towards the front
Define the term: focal opacity
a term used to describe a well-defined, localized radiopaque lesion viewed on a dental image
Define the term: distal
the tooth surface away from the midline of the mouth
Define the term: anatomic order
the order in which teeth are arranged within the dental arches
Define the term: enamel
- the outermost layer of the crown of the tooth (appears radiopaque)
- the densest structure in the human body
Define the term: unilocular coriticated
describes a radiolucency on a dental image that exhibits one compartment with a well-defined outer border
Define the term: soft tissue opacity
a term used to describe a well-defined radiopacity viewed on a dental image that is located in soft tissue
Define the term: periapical image
intraoral image that is used to examine the crowns and roots of teeth
Define the term: extraoral
outside the mouth
Define the term: lingual
the tooth surface towards the tongue
Define the term: maxilla
the upper jaw
List what should be included in the description of the bone and supporting structures from the image interpretation in the patient record.
- periapical radiolucencies or radiopacities
- bone loss
- changes in crestal or radicular lamina dura
- changes in periodontal ligament space
- any furcation involvement
- any lesions of bone or bone abnormalities
Define the term: full mouth series (FMX) / complete mouth series (CMS)
an intraoral series of dental images that show all of the tooth-bearing areas of the upper and lower jaws
Define the term: cementum
calcified connective tissue that covers the outer root surface of the tooth
Define the term: cervical / gingival
the tooth surface towards the gumline/cervical third area
Define the term: panoramic image
an image that shows the wide view of the maxilla and the mandible surrounding structures
Can a dental assistant diagnose dental images?
No.
Define the term: digital image
an image composed of pixels
Define the term: diagnostic image
a dental image that allows for the identifying and monitoring of diseases or injuries
Define the term: interpretation
an explanation
Define the term: mesial
the tooth surface towards the midline of the mouth
Define the term: dentin
the tooth layer found between the enamel and surrounding the pulp cavity (appears radiopaque)
List the descriptive terms used to describe the appearance of a radiolucent lesion on an image.
- unilocular radiolucent lesion
- unilocular lesion- corticated borders
- unilocular lesion- noncorticated borders
- multilocular radiolucent lesion
Define the term: interpret
to offer an explanation
Define the term: mandible
the lower jaw
Define the term: edentulous zone
an area where teeth are no longer present
Define the term: irregular radiopacity
a term used to describe a radiopacity viewed on a dental image that has irregular, ill-defined borders