LO 1-2 Flashcards
Define radiographic interpretation
An explanation of what is viewed on a dental radiograph; the ability to read what is revealed by a dental radiograph
Define radiographic diagnosis
- The identification of a disease by examination or analysis.
- Only DDS to establish a diagnosis.
Who interprets radiographs?
Any dental professional with training in interpretation can examine films.
Involves the identification of:
1. Normal anatomy
2. Dental caries
3. Periodontal disease
4. Periapical lesions
5. Traumatic injuries
What is the difference between interpretation and diagnosis?
- Interpretation - An explanation of what is viewed on a radiograph
- Diagnosis - The identification of disease by examination or analysis
- The final interpretation and diagnosis are the responsibilities of the dentist.
- Dental hygienists and dental assistants are restricted by law from rendering a diagnosis
- RDH can only describe what is seen on a radiograph without implying a diagnosis
When and where are radiographs interpreted?
- Immediately after mounting in the presence of the patient
- Examination may be necessary to obtain additional information/ confirm a problem.
Describe the importance of interpretation in patient education
Used as an education tool
1. The patient may be educated through discussion of normal findings on dental radiographs
2. Specific problems and areas of concern may be identified and discussed
What is descriptive terminology?
- Terms used to describe: the appearance, location, and size of a lesion
- This information should be documented for all lesions viewed radiographically
- Standard DT means Intelligent and easy communication amongst dental professionals - Eliminates the chance for miscommunication/Confirms films were reviewed
What is needed for the dentist to make a diagnosis?
The patient’s medical and dental history, clinical findings, signs and symptoms, laboratory tests, and biopsy results are necessary for the dentist to make a definitive diagnosis
Describe a radiograph
An image that is produced on photosensitive film by exposing the film to x-rays and then processing the film so that a negative is produced
Describe and x-ray
A beam of energy that has the power to penetrate substances and to record shadow images on photographic film
Describe radiolucent
- That portion of a processed radiograph that is dark or black
- Caries appears radiolucent because the area of tooth with caries is less dense than surrounding structures
Radiopaque
- That portion of a processed radiograph that appears light or white
- A metallic restoration appears radiopaque because it is very dense and absorbs the radiation
Describe Unilocular radiolucent lesions
- One compartment
- Tend to be small and nonexpansile
- Have borders that may appear corticated or noncorticated on radiograph.
- Borders: well defined / ill-defined, regular/ irregular
How does a Unilocular lesion with corticated borders appear?
- The lesion exhibits a thin, well-demarcated radiopaque rim of bone at the periphery
- Usually indicative of a benign, slow-growing process
How does a Unilocular lesion with non-corticated borders appear?
The lesion does not exhibit a thin radiopaque rim of bone at the periphery
2. The periphery appears fuzzy or poorly defined
3. May represent either a benign or a malignant process