Radiology Exam 3 Flashcards
Quality assurance
planning, implementation and evaluation of procedures to produce high quality radiographs with maximum diagnostic information while minimizing the radiation exposure
Quality control
A series of test to assure that the radiographic system is functioning properly and that the radiographs produced are of an acceptable level of quality
Quality Control Objectives:
- Maintain high standard of image quality
- ID problems BEFORE image quality is compromised
- Keep the patient and occupational radiation exposure to a minimum
- Reduce the # of retakes
X-ray Machine Monitoring:
Testing Includes: Radiation output Time accuracy mA and kV settings Focal spot size Filtration Collimation Beam alignment Tube head stabilitty
Most important thing for automatic processors:
Maintenance and keeping the rollers clean and fluids checked
Clearing Time Test:
If the film does not clear in 4 minutes or less, the fixer needs replacement
What is a stepwedge?
- Device with layered metal steps of varying thickness to determine film density and contrast
- Used to test the strength of the chemicals
Where is the stepwedge placed?
On a #2 film and exposed; this is compared to a reference film
Monitors safelight and darkroom conditions:
Place a coin on an unwrapped film (not exposed) under the safelight leaving for 2-3 minutes. Process, if coin is visible on the film then safelight fails
Digital:
Inspect equipment on a regular basis for signs of wear or deterioration
Quality Administration Procedures:
- Documentation is required to prove it was done
- Should include an assessment of current practices
- Should also include WHO is responsible for the testing and record-keeping
Quality Administration:
- Description of the plan
- Assignment of duties
- Monitoring schedule
- Maintenance schedule
- Record-keeping log
- Plan for evaluation and revision
- In-service training
Common Restorative Materials:
Amalgam Composite Pins Porcelain Stainless Steel Crowns Bases Silver Points Sargenti paste Gutta Percha Post & Core build ups Implants Orthodontics, etc...
Anodontia
Missing teeth
Supernumerary
(Extra) teeth with no space for eruption
Dens in Dente
Tooth within a tooth
Hypercementosis
Excessive cementum
Dilaceration
Sharp bend in the root (usually in premolars)
Taurodontia
A tooth normally a mandibular molar with a very large pulp chamber and very short roots
Gemination
(Twinning) is a single tooth but divides into two teeth
Fusion
Two teeth joined or connected almost always at the crown
Concresence
When the cementum of 2 adjacent teeth is joined or fused; appears as overlapping roots
What is dentinogenesis imperfecta?
The malformation of dentin
What is amelogenesis imperfecta?
The malformation of enamel
Periapical abscess is caused by bacteria that has reached the pulp and caused irreversible pulp damage
Apical disease
Granuloma
Granulation tissue that is continuous with the PDL and attached to the root apex
What is a cyst?
A fluid filled or semi-solid area that appears RL on a radiograph; most often in supernumery teeth
What is a odontogenic cyst?
Any cyst formed because of a tooth may be periapical, residual, dentigerous
What is a nonodontogenic cyst?
Any cyst not arising from a tooth
Formed by an abnormal proliferation of odontogenic cells (cells that form teeth)
Odontogenic tumors
Large RL area of enamel origin with mono or multilocular (many compartments) that gives a soap bubble appearance
Ameloblastoma
Most common and is a small misshapened mass of teeth
Odontoma
Cementoma
A cementifying fibroma usually on mandibular anteriors in women and require no treatment
What is tooth resorption?
Primary teeth undergo in response to erupting permanent teeth
Retained roots are very common on radiographs caused by:
- Primary tooth root tips
- Crown has decayed completely away
- Dentist left in extraction
What are sialoliths?
Salivary stones that are deposits of calcium salts in salivary glands or ducts