Radiology 2 Flashcards
What view is this?
Intra-oral: Peri-apical
What view is this?
Intra-oral: Bitewing (horizontal)
What view is this?
Intra-oral: Bitewing (vertical)
What view is this?
Intra-oral: Occlusal (maxilla)
What view is this?
Intra-oral: Occlusal (mandible)
What view is this?
Extra-oral: DPT (dental panoramic tomogram) - can be called OPT/OPG
What view is this?
Extra-oral: Lateral cephalogram
What view is this?
Extra-oral: Postero-anterior mandible
What view is this?
Extra-oral: Lateral oblique mandible
What view is this?
Extra-oral: Occipital-mental views of facial bones
Why might you take a peri-apical radiograph?
+ Detecting apical inflammation/infection
+ Assess periodontal issues
+ Trauma-fractures to tooth and/or surrounding bone.
What is the exposure time on a DPT?
X-ray tube rotates round the patient’s head with a constant long exposure of 14 seconds forming a panoramic image of the patient’s teeth and supporting structures.
When would you take a lateral cephalogram?
+ Used extensively in orthodontics to assess the relationship of the teeth to the jaws and the mandible to rest of the facial skeleton.
+ Used in surgical planning of the nose and lips.
When would you take a postero-anterior mandible ?
+ Used for showing a mandible fracture
+ Requested in conjunction with a DPT
When would you take a lateral oblique mandible?
+ Commonly done for children that cannot tolerate a bitewing radiograph.
+ Can be used for adults with mandible fracture when DPT is not available.
When would you take Occipital-mental views of facial bones?
+ Commonly done in the first instance when a patient reports to A&E following facial trauma.
+ Shows fractures of the orbits, maxilla and zygomatic arches.
How many views are taken for the Occipital-mental views of facial bones?
+ Two views are taken, the first with the beam angled at 10 degrees and the second with the beam angled at 30 degrees.
+ Take the films erect (patient stood up) as this can help demonstrate fluid levels in the antra.
The closer the object is to the receptor, the better the…
detail on the image.
What document would help decide which radiograph was most appropriate?
FGDP Selection Criteria for Dental Radiography
Two main intra-oral techniques
+ Paralleling technique
+ Bisected angle technique
Paralleling technique
Standard intra-oral technique
+ Uses holders to facilitate positioning
+ Receptor parallel to tooth
+ Accurate/reproducible image
Bisected angle
When patient can’t tolerate a holder in their mouth (can also be used during endodontic procedures).
+ Can be done without a holder
+ Operator dependent
+ Non reproducible
What are holders made up of?
+ A bite-block (retains the receptor)
+ An indicator arm/rod (fits into the bite-block)
+ An aiming ring-slides onto the arm to establish alignment of collimator with receptor
Anterior holder