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DANB RHS Exam > Intraoral Imaging Techniques > Flashcards

Intraoral Imaging Techniques Flashcards

Use this deck to study the paralleling, bisecting, bite-wing, occlusal and localization techniques and their exposure errors

1
Q

Define the term: alveolar crest / crestal bone

A
  • the most coronal portion of alveolar bone found between teeth
  • composed of cortical bone (appears radiopaque)
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2
Q

Define the term: angle

A

in geometry, a figure formed by two lines diverging from a common point

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3
Q

Define the term: right angle

A

in geometry, an angle of 90 degrees formed by two lines perpendicular to each other

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4
Q

Define the term: angulation

A

the alignment of the central x-ray beam in the horizontal and vertical planes

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5
Q

Define the term: horizontal angulation

A

the positioning of the position-indicating device in a horizontal plane

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6
Q

Define the term: negative vertical angulation

A

the positioning of the position-indicating device below the occlusal plane that directs the central ray upward

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7
Q

Define the term: positive vertical angulation

A

the positioning of the position-indicating device above the occlusal plane that directs the central ray downward

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8
Q

Define the term: vertical angulation

A

the positioning of the position-indicating device in a vertical plane

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9
Q

Define the term: beam alignment device

A
  • a device used to align the position-indicating device in relation to tooth and image receptor
  • positions the intraoral image receptor in the mouth and retains the image receptor in position during exposure
  • helps stabilize the image receptor in the mouth and reduces the chances of movement, thus reducing the patient’s exposure to x-radiation
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10
Q

Define the term: bisect

A

to divide into two equal parts

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11
Q

Define the term: bisecting technique

A
  • an intraoral imaging technique used to expose periapical receptors
  • the image receptor is placed along the lingual surface of the tooth, the central ray of the x-ray beam is directed perpendicular to the imaginary bisector formed by the image receptor and the long axis of the tooth
  • receptor holder is used to stabilize the image receptor
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12
Q

Define the term: imaginary bisector

A
  • an imaginary plane that divides in half the angle formed by the image receptor and the long axis of the tooth
  • creates two equal angles and provides a common side for the two imaginary equal triangles
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13
Q

Define the term: horizontal bite-wing

A

the bite-wing receptor is placed in the mouth with the long portion of the receptor in a horizontal direction

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14
Q

Define the term: vertical bite-wing

A

the bite-wing receptor is placed in the mouth with the long portion of the receptor in a vertical direction

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15
Q

Define the term: bite-wing tab / bite loop / bite tab

A

a heavy paperboard tab or loop fitted around an intraoral image receptor during exposure

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16
Q

Define the term: bite-wing technique / interproximal technique

A

an intraoral imaging technique in which the interproximal surfaces of teeth are examined

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17
Q

Define the term: buccal object rule

A
  • a method used to illustrate the orientation of structures portrayed in two images exposed at different angulations
  • used to determine the buccal-lingual relationship of an object
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18
Q

Define the term: central ray (CR)

A

the central portion of the primary beam of x-radiation

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19
Q

Define the term: complementary metal oxide semiconductor-active pixel sensor (CMOS-APS)

A
  • silicon-based detector used in digital imaging
  • differs from the charge-coupled device in the way that pixels are read*
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20
Q

Define the term: full mouth series (FMX) / complete mouth series (CMS)

A

an intraoral series of dental images that show all of the tooth-bearing areas of the upper and lower jaws

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21
Q

Define the term: cone-cut

A

a clear, unexposed area on a dental image that occurs when the position-indicating device is misaligned and the x-ray beam is not centered over the image receptor

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22
Q

Define the term: contact areas

A

the areas where adjacent tooth surfaces touch each other

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23
Q

Define the term: open contacts

A

on a dental image, appears as a thin radiolucent line between adjacent tooth surfaces

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24
Q

Define the term: overlapped contacts

A

on a dental image, the area where the contact area of one tooth is superimposed over the contact areas of an adjacent tooth

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25
Q

Define the term: contrast

A
  • how sharply dark and light areas are differentiated or separated on an image
  • the difference in the degrees of blackness (densities) between adjacent areas on a dental image
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26
Q

Define the term: high contrast

A

a term describing an image with many very dark areas and very light areas and few shades of gray

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27
Q

Define the term: long-scale contrast

A
  • a term describing an image with many densities, or many shades of gray
  • results from the use of a higher kilovoltage range
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28
Q

Define the term: low contrast

A

a term describing an image with many shades of gray and few areas of black and white

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29
Q

Define the term: scale of contrast

A

the range of useful densities on a dental images

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30
Q

Define the term: short-scale contrast

A
  • a term describing an image with predominately areas of black and white
  • results from the used of a lower kilovoltage range
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31
Q

Define the term: subject contrast

A

the characteristics of the subject (patient) that influence contrast, including the size and thickness of the patient

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32
Q

Define the term: control devices

A
  • the components of the control panel of the x-ray machine that regulate the x-ray beam
  • includes the timer, kilovoltage and milliamperage selectors
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33
Q

Define the term: density

A

the overall darkness or blackness of an image

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34
Q

Define the term: dentulous

A
  • with teeth
  • areas that exhibit teeth
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35
Q

Define the term: diagnosis

A

identification of a disease by examination or analysis

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36
Q

Define the term: digital image

A

an image composed of pixels

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37
Q

Define the term: digital imaging

A

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

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38
Q

Define the term: object-receptor distance

A
  • the distance from the object being imaged (tooth) to the image receptor influences image magnification
  • less image magnification results when the tooth and the image receptor are as close as possible, and more magnification results when the tooth and receptor are far apart
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39
Q

Define the term: target-object distance

A

the distance from the source of x-rays (tungsten target in the anode) to the object being imaged (tooth)

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40
Q

Define the term: target-surface distance

A

the distance from the source of x-rays (tungsten target in the anode) to the surface of the patient’s skin

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41
Q

Define the term: distortion

A
  • a geometric characteristic that refers to a variation in the true size and shape of the object being imaged
  • influenced by object-receptor alignment and the vertical angulation of the x-ray beam
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42
Q

Define the term: edentulous

A
  • without teeth
  • an area where teeth are no longer present
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43
Q

Define the term: edentulous patient

A

a patient without teeth

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44
Q

Define the term: edentulous zone

A

an area where teeth are no longer present

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45
Q

Define the term: elongated image

A

an image of a tooth that appears long and distorted

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46
Q

Define the term: elongation

A
  • a term used in imaging to describe an image of a tooth that appears longer than the actual tooth
  • results from flat or insufficient vertical angulation
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47
Q

Define the term: exposure

A

a measure of ionization produced in air by x-radiation or gamma radiation

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48
Q

Define the term: exposure factors

A

factors that influence the density of an image (ex: milliamperage, kilovoltage, exposure time)

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49
Q

Define the term: exposure sequence

A

a defined order to place and expose intraoral receptors

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50
Q

Define the term: forshortened image

A

an image of a tooth that appears short and distorted

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51
Q

Define the term: forshortening

A
  • a term describing the image of a tooth that appears shorter than the actual tooth
  • results from steep or excessive vertical angulation
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52
Q

Define the term: hypotenuse

A

in geometry, the side of a right triangle opposite the right angle

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53
Q

Define the term: image

A

a picture or likeness of an object

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54
Q

Define the term: bite-wing image

A

intraoral image that is used to examine the interproximal surfaces of teeth

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55
Q

Define the term: dental image

A

a two-dimensional representation of a three-dimensional object produced by the passage of x-rays through teeth and supporting structures

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56
Q

Define the term: diagnostic image

A

a dental image that allows for the identifying and monitoring of diseases or injuries

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57
Q

Define the term: double image

A
  • an exposure error that occurs when a PSP receptor is exposed twice in the patient’s mouth
  • appears dark as the result of two superimposed images
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58
Q

Define the term: intraoral image

A
  • an image the results when an image receptor is placed inside the mouth and exposed to x-rays
  • used to examine teeth
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59
Q

Define the term: overexposed image

A

an exposure error that results in a dark image from excessive exposure time, kilovoltage, or milliamperage, or a combination of these factors

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60
Q

Define the term: periapical image

A

intraoral image that is used to examine the crowns and roots of teeth

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61
Q

Define the term: image receptor

A

a recording medium (ex: PSP plate, digital sensor)

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62
Q

Define the term: underexposed image

A

an exposure error that results in a light image due to inadequate exposure time, kilovoltage or milliamperage, or a combination of these factors

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63
Q

Define the term: dental imaging

A

the creation of digital representation of anatomic structures for the purpose of diagnosis

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64
Q

Define the term: Rinn XCP instrument

A
  • a type of beam alignment device that is used with the paralleling technique
  • includes plastic bite blocks, plastic aiming rings, and metal indicator arms
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65
Q

Define the term: interproximal

A

between two adjacent surfaces

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66
Q

Define the term: interproximal examination

A

an intraoral inspection used to examine the crowns of both maxillary and mandibular teeth on a single image

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67
Q

Define the term: intersecting

A

cutting across or through

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68
Q

Define the term: intraoral

A

inside the mouth

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69
Q

Define the term: intraoral imaging examination

A

a dental imaging inspection of teeth and intraoral adjacent structures

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70
Q

Define the term: inverse square law

A
  • a rule that states that “the intensity of radiation is inversely proportional to the square of the distance from the source of radiation”
  • as distance is increased, the radiation intensity at the object is decreased, and vice versa
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71
Q

Define the term: isometry

A

equality of measurement

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72
Q

Define the term: rule of isometry

A

a geometric principal that states that “two triangles are equal if they have two equal angles and share a common side”

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73
Q

Define the term: lead apron

A

a flexible lead shield used to protect the patient’s reproductive and blood-forming tissues from scatter radiation

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74
Q

Define the term: long axis of a tooth

A

an imaginary line that divides a tooth longitudinally into two equal halves

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75
Q

Define the term: magnification

A
  • a geometric characteristic that refers to an image that appears larger than the actual size of the object it represents
  • influenced by target-receptor distance and object-receptor distance
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76
Q

Define the term: mandible

A

the lower jaw

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77
Q

Define the term: maxilla

A

the upper jaw

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78
Q

Define the term: movement

A

motion of the image receptor or patient during image exposure that results in an image with decreased sharpness

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79
Q

Define the term: parallel

A

moving or lying in the same plane; always separated by the same distance and not intersecting

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80
Q

Define the term: paralleling technique / extension cone paralleling (XCP) technique / right-angle technique / long-cone technique

A
  • an intraoral imaging technique used to expose periapical receptors, where the receptor is placed parallel to the long axis of the tooth, the central ray is directed perpendicular to the receptor and the long axis of the tooth
  • a beam alignment device must be used to keep the receptor parallel to the long axis to the tooth
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81
Q

Define the term: penumbra

A

the unsharpness or blurring of the edges of a structure viewed on a dental image

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82
Q

Define the term: periapical

A

around the apex of a tooth

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83
Q

Define the term: periapical examination

A

a type of intraoral imaging examination used to view the entire tooth (crown and root) and supporting bone

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84
Q

Define the term: perpendicular

A

intersecting at or forming right angles

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85
Q

Define the term: position-indicating device (PID) / cone

A
  • an open-ended, lead-lined cylinder extending from the opening of the tubehead

*aims and shapes the x-ray beam

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86
Q

Define the term: radiolucent

A

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

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87
Q

Define the term: radiopaque

A

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

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88
Q

Define the term: bite-wing receptor

A

an intraoral image receptor used to examine the crowns of both maxillary and mandibular teeth on one image

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89
Q

Define the term: intraoral receptor

A

an image receptor is placed inside the mouth during x-ray exposure to examine teeth and supporting structures

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90
Q

Define the term: periapical receptor

A

an intraoral image receptor used to examine the entire tooth (crown and root) and supporting bone

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91
Q

Define the term: image receptor holder

A

a device used to hold an intraoral image receptor in the mouth and stabilize the receptor’s position during the exposure

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92
Q

Define the term: image receptor placement

A

the specific area where the image receptor must be positioned before exposure

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93
Q

Define the term: contrast resolution

A

the number of gray-scale colors available to be chosen for each pixel in the image

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94
Q

Define the term: right-angle technique

A

a localization technique in which the orientation of structures can be seen in two images (one periapical and one occlusal)

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95
Q

Define the term: Rinn Snap-A-Ray Holder

A

an intraoral receptor holder used to stabilize an image receptor during exposure

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96
Q

Define the term: sensor

A

in digital imaging, an image receptor that is used to capture an intraoral or extraoral image

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97
Q

Define the term: sharpness

A
  • refers to the capability of the image receptor to reproduce the distinct outlines of an object
  • influenced by focal spot size and movement
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98
Q

Define the term: Stabe Biteblock

A

a disposable styrofoam device that can be used to hold an image receptor during exposure

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99
Q

Define the term: storage phosphor imaging

A

an indirect method of obtaining a digital image in which the image is recorded on phosphor-coated plates and then placed into an electronic processor, where a laser scans the plate and produces an image on a computer screen

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100
Q

Define the term: subject thickness

A

the thickness of soft tissue and bone in a patient

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101
Q

Define the term: anterior teeth

A

central incisors, lateral incisors, and canines/cuspids

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102
Q

Define the term: posterior teeth

A

first and second premolars/bicuspids, and first, second and third molars

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103
Q

Define the term: thyroid collar

A

a flexible lead shield used to protect the thyroid gland from scatter radiation during exposure

104
Q

Define the term: tooth-bearing areas

A

regions of the maxilla and mandible in which the 32 teeth of the human dentition are normally located

105
Q

Define the term: torus (plural: tori)

A

a bony growth in the oral cavity

106
Q

Define the term: triangle

A
  • in geometry, a figure formed by connecting three points not in a straight line by three straight-line segments
  • has three angles
107
Q

Define the term: equilateral triangle

A

in geometry, a triangle with three equal sides

108
Q

Define the term: right triangle

A

in geometry, a triangle with one 90-degree angle

109
Q

Define the term: congruent triangles

A

in geometry, triangles that are identical and correspond exactly when superimposed

110
Q

Define the term: x-radiation

A

a high-energy radiation produced by the collision of a beam of electrons with a metal target in the x-ray tube

111
Q

Define the term: x-ray beam angulation

A

one of the influencing factors for image distortion that refers to the direction of the x-ray beam

112
Q

Define the term: anterior

A

towards the front

113
Q

Define the term: posterior

A

towards the back

114
Q

Define the term: maxillary teeth

A

teeth located in the maxilla or upper arch

115
Q

Define the term: mandibular teeth

A

teeth located in the mandible or lower arch

116
Q

Define the term: vertical

A

an up-and-down plane

117
Q

Define the term: horizontal

A

a side-to-side plane

118
Q

Define the term: adjacent / proximal

A

objects next to/touching each other

119
Q

Define the term: apical

A

towards the apex of a tooth

120
Q

Define the term: radiopacity / radiodensity

A

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

121
Q

Define the term: radiolucency

A

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

122
Q

Define the term: apex

A

the area of a tooth that allows for blood vessels and nerves to enter the tooth and maintain the vitality of the tooth

123
Q

Define the term: non-diagnostic image

A

an image that is not diagnostically accurate due to technique errors and must be retaken

124
Q

Define the term: target-receptor distance

A

the distance from the source of radiation (tungsten target in the anode) to the image receptor

125
Q

What are the two most common types of direct digital imaging receptors?

A
  • charge-coupled device (CCD)
  • complementary metal oxide semiconductor-active pixel sensor (CMOS-APS)
126
Q

What are the two methods of obtaining a digital image?

A
  • direct digital imaging
  • indirect digital imaging
127
Q

What type of image receptor is common when using indirect digital imaging?

A

photo-stimulable phosphor imaging (PSP) plate

128
Q

True or false: The PSP plate used in indirect digital imaging is a one-time-use product.

A

False

129
Q

What can be used to help stabilize the image receptor during exposure?

A

beam alignment device

130
Q

List the three types of intraoral imaging examinations.

A
  • periapical examination
  • interproximal examination
  • occlusal examination
131
Q

List the two imaging techniques used to capture a periapical image.

A
  • paralleling technique
  • bisecting technique
132
Q

What imaging technique is used for occlusal examinations?

A

occlusal technique

133
Q

In order to prevent the gag reflex at the beginning of your exposure sequence, what area of the mouth should you begin?

A

anterior region

134
Q

Which image receptor placement area is most likely to elicit the gag reflex?

A

maxillary molars

135
Q

Why do edentulous patients still require dental imaging?

A
  • to detect the presence of root tips, impacted teeth, and lesions
  • to identify objects imbedded in bone
  • to establish the position of anatomic landmarks relative to the crest of the alveolar ridge
  • to observe the quality and quantity of the remaining bone
136
Q

List the landmark requirements for a diagnostic image of a maxillary canine.

A
  • the entire crown and root, including the apex and surrounding structures
  • the interproximal alveolar bone and mesial contact of the canine

*the lingual cusp of the first premolar cannot obscure the distal contact of the canine

137
Q

List the landmark requirements for a diagnostic image of maxillary incisors.

A
  • the entire crowns and roots of all four maxillary incisors, including the apices and surrounding structures
  • the interproximal alveolar bone between the central incisors and the central and lateral incisors
138
Q

List the landmark requirements for a diagnostic image of a mandibular canine.

A
  • the entire crown and root, including the apex and surrounding structures
  • the interproximal alveolar bone and mesial and distal contacts of the canine
139
Q

List the landmark requirements for a diagnostic image of mandibular incisors.

A
  • the entire crowns and roots of all four mandibular incisors, including the apices and surrounding structures
  • the contacts between the central incisors and the central and lateral incisors
140
Q

List the landmark requirements for a diagnostic image of maxillary premolars.

A
  • the entire crowns and roots of the first and second premolar and first molar, including the apices, alveolar crests, contact areas, and surrounding structures
  • the distal contact of the maxillary canine
141
Q

List the landmark requirements for a diagnostic image of maxillary molars.

A
  • the entire crowns and roots of the first, second, and third molars, including the apices, alveolar crests, contact areas, tuberosity region, and surrounding structures
  • the distal contact of the maxillary second premolar
142
Q

List the landmark requirements for a diagnostic image of mandibular premolars.

A
  • the entire crowns and roots of the first and second premolars and the first molar, including the apices, alveolar crests, contact areas, and surrounding structures
  • the distal contact of the mandibular canine
143
Q

List the landmark requirements for a diagnostic image of mandibular molars.

A
  • the entire crowns and roots of the first, second, and third molars, including the apices, alveolar crests, contact areas, and surrounding structures
  • the distal contact of the mandibular second premolar
144
Q

When imaging anterior teeth, is the intraoral image receptor placed vertically or horizontally?

A

vertically

145
Q

When imaging posterior teeth, is the intraoral image receptor placed vertically or horizontally?

A

horizontally

146
Q

What types of images can be exposed using the paralleling technique?

A

periapical and bite-wing images

147
Q

How is the image receptor placed when using the paralleling technique?

A

the image receptor is placed parallel to the long axis of the tooth being imaged

148
Q

How is the central ray of the x-ray beam positioned when using the paralleling technique?

A

the central ray of the x-ray beam is directed perpendicular to the long axis of the tooth being imaged

149
Q

True or false: A beam alignment device is required for the paralleling technique.

A

True

150
Q

What is the correct vertical angulation used for the paralleling technique?

A

The central ray of the x-ray beam must be directed perpendicular to the image receptor and long axis of the tooth

151
Q

What is the correct horizontal angulation used for the paralleling technique?

A

The central ray of the x-ray beam must be directed through the contact areas between the teeth

152
Q

Why does a shallow palate create a difficulty when using the paralleling technique?

A

the shallow palate tilts the bite-block, which results in a lack of parallelism between the image receptor and the long axis of the tooth

153
Q

What are the two modifications that can be made for a patient with a shallow palate when using the paralleling technique?

A
  • cotton roll placement on each side of the bite block
  • increase the vertical angulation by 5-15 degrees
154
Q

How is the paralleling technique modified for a patient with maxillary tori?

A

the image receptor must be placed on the far side of the tori (not on the tori)

155
Q

How is the paralleling technique modified for a patient with mandibular tori?

A

the image receptor must be placed between the tori and the tongue (not on the tori)

156
Q

What is the primary advantage of using the paralleling technique?

A

images without dimensional distortions

157
Q

Why is the paralleling technique easy to learn?

A

the use of a beam alignment device eliminates the need for the dental radiographer to determine vertical and horizontal angulation

158
Q

What is the primary disadvantage of the paralleling technique?

A

image receptor placement

159
Q

Why is image receptor placement often difficult when using the paralleling technique?

A

for patients with a small mouth or shallow palate, the receptor placement can be difficult to access, and can also cause discomfort to the patient

160
Q

What geometric principle is the bisecting technique based on?

A

rule of isometry

161
Q

Where is the image receptor placed when using the bisecting technique?

A

along the lingual surface of the tooth

162
Q

Once the image receptor is placed, how must the central ray be positioned against the imaginary bisector when using the bisecting technique?

A

the central ray must be perpendicular to the imaginary bisector

163
Q

What images can be taken using the bisecting technique?

A

periapical images

164
Q

What is the correct horizontal angulation in the bisecting technique?

A

the central ray is directed perpendicular to the dental arch and through the contact areas of the teeth

165
Q

How will the contact areas appear as a result of correct horizontal angulation in the bisecting technique?

A

opened contacts

166
Q

How will the contact areas appear as a result of incorrect horizontal angulation in the bisecting technique?

A

overlapped contacts

167
Q

What is the correct vertical angulation in the bisecting technique?

A
  • vertical angulation is determined by the imaginary bisector
  • the central ray is directed perpendicular to the imaginary bisector
168
Q

What is the result of correct vertical angulation when using the bisecting technique?

A

the image is the same length as the tooth

169
Q

What is the result of incorrect vertical angulation when using the bisecting technique?

A

the image is not the same length as the tooth, and appears distorted or elongated

170
Q

What is the primary advantage of using the bisecting technique?

A

eliminating the use of a beam alignment device

171
Q

What is the primary disadvantage of using the bisecting technique?

A

dimensional distortion

172
Q

When using the bite-wing technique, how is the image receptor placed intraorally?

A

parallel to the crowns of both the maxillary and mandibular teeth

173
Q

When using the bite-wing technique, how is the central ray of the x-ray beam directed towards the image receptor?

A

the image receptor is directed through the contacts of the teeth, using a vertical angulation of +10 degrees

174
Q

When using the bite-wing technique, what is the correct horizontal angulation of the central ray of the x-ray beam?

A

the central ray is directed perpendicular to the curvature of the arch and through the contact areas of the teeth

175
Q

When using the bite-wing technique, what does incorrect horizontal angulation cause on the image?

A

overlapped contacts

176
Q

When using the bite-wing technique, what is the correct vertical angulation of the central ray of the x-ray beam?

A

+10 degrees

177
Q

Why is positive vertical angulation needed for the bite-wing technique?

A

the +10 degrees compensates for the slight bend of the upper portion of the image receptor and the slight tilt of the maxillary teeth

178
Q

Are vertical angulations above the occlusal plane considered positive or negative?

A

positive

179
Q

Are vertical angulations below the occlusal plane considered positive or negative?

A

negative

180
Q

When using the bite-wing technique, how is zero angulation achieved?

A

when the position-indicating device and the central ray of the x-ray beam are parallel to the floor

181
Q

Why is a horizontal bite-wing commonly contraindicated for patients with periodontal disease?

A

the horizontal bite-wing may not extend far enough to show the amount of bone loss

182
Q

What modification may be made for a patient with extracted teeth when using the bite-wing technique?

A

the dentist may determine that the patient needs only one bite-wing image per side, if all present teeth can be captured in one image

183
Q

When using the bite-wing technique what error can occur with an edentulous area if you do not place cotton rolls around the image receptor?

A

the bite-wing tab or the beam alignment device is not supported, and can result in a tipped occlusal plane on the image

184
Q

How does the image appear with an unexposed image receptor error?

A

blank

185
Q

What is the cause of an unexposed image receptor error?

A
  • the image receptor was not exposed to x-radiation
  • this could be due to the x-ray machine not being turned on, an equipment malfunction, or failure to align the position-indicating device over the receptor
186
Q

How do you prevent the error of an unexposed image receptor from occurring?

A
  • ensure the x-ray machine is turned on
  • ensure the position-indicating device is positioned over the image receptor
  • listen for the audible exposure signal
187
Q

How does the image appear from an overexposed image receptor error?

A

dark or high in density

188
Q

What is the cause of an overexposed image receptor error?

A
  • the image receptor was exposed to too much x-radiation, due to incorrect exposure settings
189
Q

How does the image appear from an underexposed image receptor error?

A

light or low in density

190
Q

What is the cause of an underexposed image receptor error?

A

the image receptor was not exposed to enough x-radiation, due to incorrect exposure settings

191
Q

What imaging techniques can cause an error of missing apical structures?

A

paralleling and bisecting

192
Q

What is the cause of the error in missing apical structures?

A

the image receptor was not positioned in the patient’s mouth to cover the apical regions

193
Q

How do you correct the error of missing apical structures?

A
  • ensure that the patient is firmly biting on the bite block of the receptor holder
  • ensure that no more than 1/8 of an inch of the receptor edge extends beyond the incisal/occlusal surfaces
194
Q

What imaging techniques can cause an error with a dropped receptor corner?

A

paralleling or bisecting

195
Q

How does an image appear with an error of a dropped receptor corner?

A

the occlusal plane appears tipped or tilted

196
Q

What is the cause of error with a dropped receptor corner?

A
  • the edge of the receptor was not placed parallel to the incisal/occlusal surfaces of the teeth
  • this can be caused by the patient not correctly biting on the bite block
197
Q

How do you prevent an error of a dropped receptor corner?

A
  • ensure the patient is firmly biting on the bite block
  • ensure that the edge of the receptor is placed parallel to the incisal/occlusal surfaces of the teeth
198
Q

What type of angulation causes overlapped contacts?

A

incorrect horizontal angulation

199
Q

What type of angulation causes forshortened images?

A

incorrect vertical angulation

200
Q

What type of angulation causes elongated images?

A

incorrect vertical angulation

201
Q

How do you correct overlapped contacts when exposing a periapical image?

A

direct the central ray of the x-ray beam through the proximal contacts of the teeth

202
Q

How does a forshortened image appear?

A

the teeth appear short with blunted roots

203
Q

What is the cause of a forshortened image error?

A

the vertical angulation was too steep

204
Q

How does an elongated image appear?

A

the teeth appear long and distorted

205
Q

What is the cause of an elongated image error?

A

the vertical angulation was too flat

206
Q

How does an image appear that has a cone-cut error?

A

a clear, unexposed area is seen on the image

207
Q

What is the cause of a cone-cut error when using a beam alignment device?

A

the position-indicated device was not properly aligned with the beam alignment device and the x-ray beam did not exposure the entire receptor

208
Q

How do you correct a cone-cut error when using a beam alignment device?

A

ensure that the position-indicating device and the aiming ring are flush and properly aligned

209
Q

What is the cause of a cone-cut error when not using a beam alignment device?

A

the position-indicating device was not positioned properly at the center of the receptor, and the central ray of the x-ray beam did not expose the entire receptor

210
Q

How do you correct a cone-cut error when not using a beam alignment device?

A

ensure the x-ray beam is centered over the receptor and the entire receptor is covered by the diameter of the position-indicating device

211
Q

What type of image receptor can result in a bent image?

A

PSP plates

212
Q

How does an image appear if the PSP plate has been bent?

A

the image appears stretched and distorted

213
Q

What is the cause of a bent image receptor?

A
  • improper handling of the PSP plate
  • the receptor could have been bent because of the curvature of the patient’s hard palate
214
Q

How do you correct the error of a bent image receptor?

A
  • check receptor placement prior to exposure
  • if the receptor is bent because of the patient’s hard palate, cotton rolls can be used with the paralleling technique, or you can switch to the bisecting technique
  • use a beam alignment device
  • use caution with handling PSP plates
215
Q

What type of image receptor can result in a creased image?

A

PSP plates

216
Q

How does an image appear if the image receptor has been creased?

A

the creased area appears as a white line

217
Q

What is the cause of a creased image receptor?

A

improper handling

218
Q

How do you prevent an image receptor from becoming creased?

A
  • use caution when handling
  • if needed, gently soften the corners if the PSP plate prior to placement intraorally
219
Q

What image receptor can result in a debris accumulation error?

A

digital sensors

220
Q

How does an image appear that has debris accumulation?

A

debris on the surface of the sensor may cause permanent radiopaque artifacts or radiolucent scratch marks on the sensor

221
Q

What is the cause of an accumulation of debris on a digital sensor?

A

improper handling or cleaning can cause dirt or dust particles to accumulate on the surface of the sensor

222
Q

How do you prevent an accumulation of debris on a digital sensor?

A
  • gentle handling
  • correct infection prevention and cleaning procedures
223
Q

What image technique can cause a phalangioma error?

A

the bisecting technique with the finger-holding method

224
Q

How does an image appear with a phalangioma error?

A

the patient’s finger is seen on the image

225
Q

What is the cause of a phalangioma error?

A

when using the finger-holding method, the patient’s finger was incorrectly positioned in front of the image receptor instead of behind it during exposure

226
Q

How do you prevent a phalangioma error?

A

never allow a patient to hold an image receptor during exposure

227
Q

True or false: A double image cannot be produced with a digital receptor.

A

True

228
Q

What image receptor can result in a double image error?

A

PSP plates

229
Q

How does an image appear when a double image error occurs?

A

a double image will present and appears dark with superimposed structures

230
Q

What is the cause of a double image error?

A

the same receptor was exposed twice in a patient’s mouth

231
Q

Why is a double image error a serious error on the part of the dental radiographer?

A

it requires two retakes, one for each of the two areas previously exposed, which doubles the exposure to x-radiation

232
Q

How do you prevent a double image error?

A

always separate the exposed and unexposed PSP plates during the exposure sequence

233
Q

How does an image appear when an error of movement occurs?

A

a blurred image

234
Q

What is the cause of a movement error?

A

either the x-ray tubehead, the image receptor, or the patient moved during exposure

235
Q

How do you prevent an movement error from occurring?

A
  • stabilize both the x-ray tubehead and the patient’s head prior to exposure
  • instruct the patient to remain still during exposure
  • never press the exposure button if you know the x-ray tubehead is drifting or the patient is moving
236
Q

How does the image appear if the receptor was placed backward during exposure?

A

a blank or white image is seen with no anatomic structures recorded

237
Q

How does an image appear if the wired cable of the digital sensor is captured in the image?

A

the wired cable appears as a radiopaque outline

238
Q

What is the cause of the wired cable appearing on an image?

A

the wired cable of the digital sensor was was placed in front of the image receptor during exposure

239
Q

How do you prevent a wired cable of the digital sensor from being imaged?

A

ensure that the wired cable is not in front of the image receptor prior to exposure

240
Q

When using the occlusal technique, how is the image receptor positioned?

A

the image receptor is placed with the tube side facing the arch that is being exposed, with the receptor between the occlusal surfaces of the maxillary and mandibular teeth

241
Q

When using the occlusal technique, how is the image receptor stabilized during exposure?

A

by the patient gently biting on the surface of the image receptor

242
Q

List the three types of maxillary occlusal projections.

A
  • maxillary topographic occlusal projection
  • maxillary lateral occlusal projection
  • maxillary pediatric occlusal projection
243
Q

How is the patient’s head and midsaggital plane positioned for maxillary occlusal exposures?

A

with the maxillary arch parallel to the floor and the midsagittal plane plane perpendicular to the floor

244
Q

What is the correct vertical angulation for a maxillary topographic occlusal projection?

A

+ 65 degrees

245
Q

What is the correct vertical angulation for a maxillary lateral occlusal projection?

A

+60 degrees

246
Q

What is the correct vertical angulation for a maxillary pediatric occlusal projection?

A

+60 degrees

247
Q

What is the correct vertical angulation for a mandibular topographic occlusal projection?

A

-55 degrees

248
Q

What is the correct vertical angulation for a mandibular cross-sectional occlusal projection?

A

90 degrees

249
Q

What is the correct vertical angulation for a mandibular pediatric occlusal projection?

A

-55 degrees

250
Q

List the three types of mandibular occlusal projections.

A
  • mandibular topographic occlusal projection
  • mandibular cross-sectional occlusal projection
  • mandibular pediatric occlusal projection
251
Q

List the two types of localization techniques.

A
  • buccal object rule
  • right angle technique
252
Q

What angulation is used when trying to localize vertically aligned objects?

A

horizontal angulation

253
Q

What angulation is used when trying to localize horizontally aligned objects?

A

vertical angulation

254
Q

What is the “SLOB” rule?

A

Same = Lingual / Opposite = Buccal

255
Q

When using the buccal object rule, if the object being localized has moved in the same direction as the shift of the position-indicating device, how is that object positioned?

A

lingually

256
Q

When using the buccal object rule, if the object being localized has moved in the opposite direction as the shift of the position-indicating device, how is that object positioned?

A

buccaly

257
Q

Which localization technique is commonly used to locate objects in the mandible?

A

the right angle technique

DANB RHS Exam (26 decks)

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