DENT 1050 Test #2, Chapters 1, 6, 7, 9, 11, 16, 20 Flashcards
Radiation
a form of energy carried by waves or a stream of particles
X-radiation
a high-energy radiation produced by the collision of a beam of electrons with a metal target in an x-ray tube
X-ray
A beam of energy that has the power to penetrate substances and record image shadows on photographic or digital sensors
Radiology
the science or study of radiation as used in medicine; a branch of medical science that deals with the use of x-rays, radioactive substances, and other forms of radiant energy in the diagnosis and treatment of disease
radiograph
a two-dimensional representation of a three-dimensional object.
dental radiograph
a photographic image produced on an image receptor by the passage of x-rays through teeth and related structures
Radiography
the art and science of making radiographs by the exposure of film to x-rays
Dental radiography
the production of radiographs of the teeth and adjacent structures by the exposure of an image receptor to x-rays
Dental radiographer
any person who positions, exposes, and processes dental x-ray image receptors
X-rays discovered by:
Wilhelm Conrad Roentgen; in 1895
First radiograph by Roentgen:
of his shotgun
Took the first dental radiographs in 1896
Otto Walkhoff
Created first vacuum tube
Heinrich Geissler
Took first radiograph using a skull; first full body radiograph
W.J. Morton
Pioneered the use of radiographs in the dental profession in the U.S.
Dr. William Rollins
Created first intraoral radiograph film
Frank Van Woert
Developed the hot cathode x-ray tube
William D. Coolidge
“Father of modern dental radiography”
F. Gordon Fitzgerald
Before what year was there no regulation of x-ray machines?
1974
Types of x-ray machines (2)
Intraoral machines and Extraoral machines
Tubehead
made up of insulating oil, transformers, cathode and anode
Control devices in IO x-ray machines include:
kVp, mA, and timer
Bite-Block or Stabe Bite-Block
disposable styrofoam bite-block with a backing plate and slot for film retention
EEZEE-Grip (Snap-A-Ray)
sturdy molded plastic (sterilizable)
Uses of dental radiographs
Detection (**primary benefit), Confirmation of suspected diseases, Localization, Documenting change from the baseline
Prescribing dental radiographs is:
based on the individual need of the patient; ultimately decided by the dentist
Dental x-ray film composistion
Film base; adhesive layer; film emulsion-found on both sides of film and homogenous mixture of gelatin and silver halide crystals; protective layer
Latent image formation
stored energy within the silver halide crystals forms a pattern or image within the emulsion that is “invisible” until the film undergoes processing
Film processing chemical development
Developer > Fixer > Wash > Dry
Periapical film
includes entire tooth from apex to crown
Bite-wing film
used to examine interproximal surfaces and bone level
Occlusal film
covers a large area of the maxilla or mandible, the pt. occludes on the entire film
Screen film type
uses intensifying screens on both sides; extraoral film
Non-screen film type
exposed directly to x-rays; not used in dentistry because of long exposure
F-speed film
currently recommended because it’s faster, 60% of exposure of D-speed
To produce high quality diagnostic dental radiographs, dental x-ray film MUST BE:
Properly exposed and processed
Reductin
halide portion of the exposed, energized silver halide crystal is removed; selective reduction - only energized, exposed reduced to black metallic silver
Film processing steps
a. Development
b. Rinsing
c. Fixation
d. Washing
e. Dryin
Developer solution contains 4 basic ingredients
- developing agent (hydroquinone, elon)
- preservative (sodium sulfite)
- accelerator (sodium carbonate)
- restrainer (potassium bromide)
Fixer solution contains 4 basic ingredients
- fixing agent (sodium thiosulfate, ammonium thiosulfate
- preservative (sodium sulfite)
- hardening agent (potassium alum
- acidifier (acetic acid, sulfuric acid
Keep x-rays in cool and dry place
50-70 degrees and 30-50% humidity
Underdeveloped film appears:
light
Overdeveloped film appears:
dark
Reticulation of emulsion appears:
cracked
Developers spots
dark spots on film
Fixer spots
white spots on film
Yellow-brown stains from:
expired developer or fixer
Developer cut-off appears:
straight white border on film
Fixer cut-off appears:
straight black border on film
Overlapped films
white or dark areas on film
Air bubbles
white spots on film
Fingernail artifact
black, crescent shaped marks on film
Fingerprint artifact
black fingerprint on film
Static electricity
thin, black branching lines on film
Scratched film
white lines on film
Light leak
exposed area appears black
Fogged film
appears gray and lacks image detail or contrast
Completely clear?
never exposed, left film in fixer too long
Unexposed film
clear
Film exposed to light
black
Overexposed film
dark film
Underexposed film
light film
Film placement problems
film doesn’t extend 1/8 inch beyond incisal or occlusal; apices do not appear on film; dropped film corner
Angulation problems
horizontal angulation; vertical angulation
PID alignment problems
cone-cut
Technique errors
film placement problems; angulation problems; PID alignment problems
Misc technique errors
Film bending; film creasing; phalangioma (finger x-ray on film from pt holding on wrong side); double exposure; movement; reversed film