dental radiography Flashcards

1
Q

what are parts of the dental xray unit

A

central panel, control arm, tubehead

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2
Q

what are parts of the tubehead

A

metal housing - filled with insulating oil
tubehead seal - used as a filter for xray beams
xray tube - produces the xrays
transformer - alters voltage of incoming electrical current
aluminu filter - 0.5mm or 2.5mm
lead collimator - controls size and shape of xray beam
pid - aims xray beam

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3
Q

what are parts of the xray tub

A

leaded glass vacuum tube
- prevents xrays from escaping and has a window to let the xray beam out

cathode - negative eletrodes
- has a tungsten wire filament ion a cup shaped holder made of molybdenum

anode - positive electrode
- has a tungsten plate embedded in a solid copper rod

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4
Q

what are the types of radiaton

A

primary radiation
- made of xrays from the tungsten target in xray tube

secondary radiation
- xrays xreated when primary beam interacts with matter

scattered radiation
- a type of secondary radiation that is deflected from its path by interaction with matter

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5
Q

what types of injuries can radiation cause

A

tissue damage
- protons that are absorbed can cause biologic damage

ionization
- permanent damage to living cells and tissues

biologic
- can occur from repeated exposure (eyes, bone marrow, thyroid glands, salivary glands, skin, gonads)

genetic - can be passed down to future generations

somatic - affects body, cannot be passed down to future generations

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6
Q

what are acute and chronic exposure

A

acute - large dose absorbed over short period of time
chronic - small doses absorbed repeatedly over longer period of time

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7
Q

what are the settings of the xrays and their effects on an image

A

kilovoltage - controls the penetrating power of xraybeam

milliamperage - controls the numbers of electrons produced in the xray beam

exposure time - controls flow oof electricity to generate xrays

increase in each causes increase in density (low contrast)
decrease in each causes decrease in density (high contrast)

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8
Q

what is used for radiation safety

A

lead apron and thyroid collar
fast-speed film
image receptors and holding devices
exposure factors
proper technique

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9
Q

what are processing errors that can occur o images

A

time and temp
- light (underdeveloped)
- dark (overdeveloped)
- cracks (reticulation of emulsion

chemical
- dark spots (developer spots_
- light spots (fixer spots)
- yellowish brown (stains)

film handling
- straight white border (developer cutoff)
- straight black border (fixer cutoff)
- white or black areas (overlapped film)
- white spots (air bubbles)
- black crescent shape (fingernail artifact)
- black fingerprint (fingerprint artifact)
- bllack branches (static electricity)
- white lines ( scratched film)

lighting
- black (light exposure)
- gray (fogged film)

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10
Q

what can occur from incorrect horizontal angulation

A

overlapping of teeth in image

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11
Q

what can occur from incorrect vertical angulation

A

results in foreshortening and elongation
- foreshorten = pid is too vertical
- elongation = too flat

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12
Q

paralleling technique

A
  • image receptor must be positioned parallel to long axis of tooth
  • central ray must be directed perpendicular to image receptor and long axis of tooth
  • central ray must be directed through contact areas
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13
Q

what are the film placements for paralleling

A
  • anterior film is placed vertically, posterior film is placed horizontally, identification dot in slot
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14
Q

what is the bisecting technique

A
  • film is placed directly against teeth, no beam alignment device
  • xray beam is directed perpendicular to imaginary bisector
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15
Q

bitewing technique

A

xray beam is directed through contacts in =10 degrees vertical angulation
- image receptors are placed parallel to the crowns of teeth

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16
Q

what is the occlusal technique

A

pid is positioned above and below the max and mand

17
Q

what is image density

A

the overall blackness of the film image (controlled by mA)

18
Q

what is the sharpness of an image

A

refers to how well and iamge produces fine details

19
Q

what is the contrast of an image

A

appears in ranges of shades from black to white with multiple shades of gray

20
Q

what is the film speed

A

refers to amount of radiation and exposure time required produce a radiograph
- determined by the size of silcer halide crystals, thickness of emulsion, and prsensece of special radiosensitive dyes

21
Q

what are anatomical landmarks seen in dental image for max

A

incisive foramen
median palatal suture
nasal cavity
anterior nasal spine
max sinus

22
Q

what are anatomical landmarks seen in dental images for mand

A

genial tubercles
lingual foramen
mental ridge
inferior border of mand
external oblique ridge
mental foramen

23
Q

what are structures that are seen in PA’s

A

premolar - distal of canine, premolars, mesial of first molar, or whole molar
molar - distal of second pre-molar, all molars

crowns of tooth and root of apex, surrounding alveolar bone

24
Q

structures that are seen in bitewings

A

pre-molar - distals of max and mand canines, premolars and mesial of molars

molars - distal of second premolars, molars

will show crowns of teeth and alveolar crests

25
Q

what are the structures that are radiopaque in mouth

A

enamel, alveolar crest, fillings, metal

26
Q

what are structures that are radiolucent

A

dentin
soft tissue
foramen
sinuses
pulp

27
Q

quality assurance in radiographs

A

ensures regular testing to detect equipment malfunctions
- dental film
- dental xray machine
- cassettes and psp
- safelighting
- automatic processor
- manual processor

28
Q

what type of mounting do we use

A

labial mounting

29
Q

guidelines for mounting radiographs

A

handle film only on edges
mount film immediately after processing
ensure on correct side
curve of spee