Dental Radiographs Flashcards

1
Q

__________ is #1 health problem in small animal patients.

A

periodontal disease

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2
Q

What are indications for dental radiographs?

A
  1. missing teeth
  2. retained teeth or tooth roots
  3. periodontal disease evaluation
  4. endodontic disease
  5. evaluate root shape and position
  6. evaluate mandible and mandibular symphysis prior to extractions
  7. pre- and post-extraction evaluation
  8. oral masses
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3
Q

what are the 2 barriers to dental radiographs?

A
  1. cost of equipment ($12,000-20,000)
  2. lack of training
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4
Q

what are the 4 pieces of equipment for dental radiography?

A
  1. generator/tube (wall-mounted, mobile, or handheld)
  2. film/sensor (sizes 2 and 4 common in vet med; digital sensor plate size 2 only attached by USB to computer)
  3. developer
  4. viewer
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5
Q

what are the pros and cons of digital radiography with hard-wired sensor?

A

Pro:
- attached to computer by USB
- image within seconds, so easy to make small adjustments if needed

Con:
- size 2 only
- sensor is firm and placement in mouth can be difficult
- cost $10,000+

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6
Q

What are the pros and cons of computed radiography with phosphor screens?

A

Pro:
- screens are similar to film and more movable
- image available in 10-60 sec
- screens reusable
- more sizes: 0, 1, 2, 3, 4, 6

Con:
- more expensive ($13,000)

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7
Q

What position should you put the patient in if you need to obtain xray images of the mandibular incisors, canines, pre-molars, and/or molars?

A

dorsal recumbency

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8
Q

What position should you put the patient in if you need to obtain xray images of the maxilla?

A

sternal recumbency

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9
Q

What position should you put the patient in if you need to obtain xray images of the mandible?

A

lateral recumbency

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10
Q

The dimple on the film goes (toward/away) from the xray beam and should be placed away from the structure to avoid interference.

A

toward

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11
Q

T/F: when performing dental xrays, you should not put the film/sensor too close to the teeth to avoid damages to the film/sensor.

A

false – you want the film/sensor as close to the teeth as possible.
You should be avoiding damages by making sure your patient is well-sedated.

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12
Q

Describe the elements of the bisecting angle technique

A

First find the LONG AXIS of the tooth, then find the FILM PLANE.
After finding those two, you will establish the bisecting angle.
The xray beam should shoot PERPENDICULAR to the bisecting angle.

(probably best to just look at the photo from the powerpoint)

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13
Q

what are common mistakes with dental radgiography?

A
  1. foreshortening (too vertical)
  2. elongation
  3. placing film/sensor backwards
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14
Q

Which of the following is TRUE about alveolar bone in dental radiographs?
a. white and lighter than tooth roots
b. less dense than mandibular bone
c. variable level across dental arch
d. becomes less dense with age

A

b. less dense than mandibular bone

alveolar bone is gray, uniform, darker than the tooth roots, and slightly mottled. It should be constant level across the dental arch. It gets more dense with age.

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15
Q

which of the following is TRUE about peridontal ligament in dental radiographs?
a. should go half way around roots and stop at apex
b. should be various widths around root
c. width should increase with age
d. widening is indicative of disease

A

d. widening is indicative of disease

The PL should be uniform width around the root and go all the way around the root. The width will decrease with age.

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16
Q

The ________ is a slight widening of periodontal ligament at apex of the tooth where the vessels and nerves enter. It is very sharply demarcated, smooth and regular, and v-shaped.

A

chevron effect
which is considered a normal finding.

17
Q

What is a widened pulp chamber indicative of?

A

nonvital tooth

18
Q

____________ is bone loss across several roots in flattened or scalloped loss.

A

horizontal bone loss

19
Q

________ is bone loss extending down the axis of a root

A

vertical bone loss

20
Q

________ is loss of bone height between teeth or in furcation

A

crestal bone loss

21
Q

What is the purpose of pre-extraction dental radiographs?

A
  1. eval integrity of periodontal ligament
  2. tooth abnormalities (extra roots, abnormally shaped roots, compromised bone, etc.)
22
Q

what is the purpose of post-extraction dental radiographs?

A

to make sure you got all the root or any other tooth material out.