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Sara's study guide

QuestionAnswer
Who discover x-rays? Wilhelm conrad roetgen
When did Wilhelm conrad roetgen disover x-rays? November 8, 1895
Electromagnetic radiation is photons that travel through the speed of light in a straight line and wavelike motion
Shorter wavelength/ greater energy
Longer wavelength less energy
What is a tubehead? tightly sealed heavy metal housing that contains x-ray tube inside.
Metal housing The metal body that is filled with insulating oil inside.
Insulting oil prevents over heating by absorbing heat
Tubehead seal is made up of leaded glass or aluminum.
Tubehead is there to seal the oil in the tubehead.
What is known as the heart of the x-ray generating system? The x-ray tube
What is matter? anything that occupies space and has a form or shape
When is a lead apron or thyroid collar used? Must be used on all patients for all exposures
structures allow x-rays to pass through them radiolucent or radiopaque radiolucent
structures do not allow x-rays to pass through them radiolucent or radiopaque radiopaque
_______ structures appear dark or black on radiograph's radiolucent
_______ structures appear white or light gray on radiograph radiopaque
Metal on radiograph is radiopaque
Enamel on radiograph is radiopaque
Dense areas of bone are radiopaque
Air spaces are radiolucent
Soft tissues are radiolucent
Dental pulp is radiolucent
What are some oral detections dentist use dental radiographs to evaluate? Bone loss in early stages
How close should one stand during an x-ray exposure if not wearing barrier? Be six feet block walls dry wall lead lined would all provide optimum protection
What can happen if you have to much exposure to radiation? no matter how small, x-rays have the potential to cause harmful biological changes
Who is C. Edmund Kells? Dentist who is credited with the first practical use of radiographs in dentistry.
Who was credited the first practical use of radiographs in dentistry? C. Edmund Kells
What is secondary radiation? X-radiation that is created when primary beam interacts with matter
What is primary radiation? Radiation that exits tubehead
What is scatter radiation? Radiation that has been deflected from its path by interaction with matter
What issues have the highest radiation sensitivity? Small lymphocytes and fetal
What is an electron shell? Orbital path of an electron around the nucleus.
What do milliampere seconds control? The degree of density or blackness on radiograph.
The portion of a processed radiograph that appears dark or black is radiolucent
Which appears most radiolucent? Air space
Bone, enamel, and dentin is radiopaque
Scatter radiation is a type of secondary radiation
What does the extension arm do? Functions in positioning the tubehead
What can affect future generations? Damage caused by ionizing x radiation to genetic cells.
What are the guidelines for prescribing dental radiographs for a pregnant patient? Radiographic procedures do not need to be altered because of pregnancy
Radiation monitoring is used to protect operators by identifying occupational exposure
Background radiation is natural sources as radioactive materials such as natural radionuclide, radon (a natural radioactive gas that gets into homes and buildings)
MPD stands for Maximum Permissible Dose
Where are x-rays produced? x-ray tube
What is referred to as sharpness? How well the x-ray reproduces the fine details of an object.
Density is the overall darkness of film
In the paralleling technique when using #1 films, how many and how do you place the films for the anterior? There are 7. 4 maxillary 3 mandibular
In the paralleling technique when using #2 films, how many and how do you place the films for the anterior? There are 6. 3 maxillary and 3 mandibular
The fuzzy or blurred area around an image is called penumbra. It can be reduced by limiting movement.
The time lapse from x-ray exposure until noticeable damage occurs is known as the latent period
When in storage, the lead apron should be hung and draped over a bar
Because the entire x-ray area is considered a radiation hazard area, a radiation hazard sign must be posted in sight of patients and sight of personnel
A patient is concerned with radiation exposure. You can assure him that your office uses the ALARA concept, which includes reducing the number of exposures, minimizing retakes, and keeping exposures levels as low as possible.
ALARA stands for As low as reasonably achievable meaning avoiding exposure to radiation that does not have a direct benefit to you, even if the dose is small.
The penetrating power of the x-ray beam is controlled by the settings on the kilovolt setting.
If a patient is small and petite, to get the same density radiograph it is best to reduce the exposure time and mA.
The function of the aluminum filter in the x-ray tube is to remove long wavelengths from the beam
Thermionic emission refers to the release of electrons from the tungsten filament.
The council that determines the radiation effects and levels tolerable for humans is the National Council on Radiation Protection and Measurements.
The lead collimator is used to restrict the size and shape of the primary beam.
The dentist says that the image has too much contrast; she would like to see more gray values. What adjustment would you make? Increase kVp
Film badges should be worn at work only, the badge is usually worn for 3 to 4 weeks before returning it for reading, if an assistant follows all safety precautions; exposure should be near zero.
A step-down transformer is necessary within the x-ray circuitry to boil off electrons from the filament.
Who should hold the film in a patient’s mouth if the patient is unable to do so? Parent or relative of the patient
If the operator’s film badge indicates an exposure to small amounts of radiation, what should be done? Evaluate the x-ray equipment and techniques.
Primary radiation is also called the useful beam
The beam of x-rays that comes from the target Primary radiation
The following organs are more sensitive to radiation and are considered critical organs skin, thyroid gland, and lens of the eye
All the following organs are more sensitive to radiation and are considered critical organs except muscle
How much filtration is federally required for a dental x-ray machine operating over 70 kVp? 2.50 mm
Chronic radiation exposure occurs when _____ doses of radiation are received over a _______ time period. small; long
One of the earliest signs of overexposure to x-rays may be erythema.
The maximum permissible dose for an occupational worker for an individual 18 years of age or older is _____ rem/year. 5
An example of cumulative radiation exposure is cataracts, cancer, and leukemia.
Which of the following terms is used to describe the energy or penetrating ability of the x-ray beam in dental radiography? Quality
Compact bone is also called cortical bone
What is horizontal angulation? Refers to the positioning of the tube head and direction of the central ray in a horizontal (side to side) plane. Horizontal angulation remains the same whether you are using the paralleling or bisecting technique.
Describe incorrect horizontal angulation and why is it important? Incorrect horizontal angulation results in overlapped (unopened) contact areas and cannot be used to examine the interproximal areas of the teeth.
Describe vertical angulation and how is measured? Positioning of the PID in a vertical , or up and down plane
3 ways vertical angulation differs according to the x-ray technique being used Vertical angulation of the central ray is directed perpendicular to the film and the long axis of the tooth, with bisecting vertical angulation is determined by the imaginary bisector; central ray directed perpendicular to the imaginary bisector,
For bitewings vertical angulation is directed at+10 degrees. T or F True
What is incorrect vertical angulation and why is it important? Results in the image that is not the same length as the tooth being x-rayed. Elongated or forshortened.
Describe incorrect vertical angulation and how do you correct it? Foreshortening happens from excessive vertical angulation. Elongation results from insufficient vertical angulation.
How far should the sensor or PSP plate extend beyond incisal or occlusal edge? 1/8 inch
Parallel side by side
Perpendicular at right angles
What is forshortening? Teeth appear too short
What is elongation ? Teeth appear too long
What is the vertical angulation for BWX? +10 degrees
Are BWX taken using the parallel or bisecting technique? ALWAYS PARALELLING TECHNIQUE
What's the difference between a horizontal BWX and a vertical BWX? Horizontal is side to side and Vertical is up and down
What is the occlusal technique? to examine large areas of the upper or lower jaw on 1 film
Why is occlusal technique taken? to examine large areas of the upper or lower jaw on 1 film
What is the panoramic technique? Shows a view of the upper and lower jaw on 1 film.
Why are panoramic's taken? They are sometimes taken because patient cannot do intraoral films because of gagging.
What is edentulous and why would you need to take radiographs? Means without teeth It is to detect retained root tips, impacted teeth and lesions(cyst or tumors), identify objects embedded in bone , observe the amount and health of the bone.
What do you need to adjust for pediatric patients and why? Exposure factors (mA, kVp, and exposure time) must be reduced
What happens if pediatric patients move during exposure ? The shorter time will reduce the effect of blurring if the child moves.
Name 3 reasons why you need a good quality radiograph for an endodontic patient The tooth is centered on film, at least 5 cm of bone beyond the apex of the tooth is visible, the image is as anatomically correct as possible
Why do patients gag during exposure? Because they are nervous and you need to be confident
Items that need barriers during x-ray procedure... Dental chair, head rest, x-ray units, dials, chair controls, exposure buttons, the cone, the tube head, extension arm, door knob, pt.light
What PPEs should you wear while taking x-rays? Gloves, eyewear, masks
Before you seat the patient what do you need to do? Explain, prepare the room and review the pts medical history to confirm the number and types of x-rays the dentist has requested for diagnose
Radiation is one type of electromagnetic (radiation)
What powers up the x-ray unit? High voltage power supply
What is the PID? is a plastic casing that allows you to line up the x-ray unit to the proper location and distance from patients mouth.
What is the x-ray tube head? the housing of where the actual x-rays are created.
Hard tissue is more .... dense than soft tissue
Electricity produces the.... heat
Heat produces ... electrons
Electrons produce... x-rays
X-rays are a form of electromagnetic radiation
Penetrating photons strike the .. receptor
Intensity/ Density= darkness of the image Quanity of electrons number of photons
Energy/ contrast=difference among gray values quality of electrons energy of photons
Exposure time/ length of time measured in seconds that high voltage is applied to x-ray tube
Exposure time affects intensity so the number of electrons and photons
Exposure time is the one setting that is most frequently.... changed
Adult patients exposure time is increased
For smaller patients, children, and without teeth exposure time is decreased
When direct digital sensors are used exposure time is decreased
If exposure time is too long and you are taking x-rays on a child your going to get an too dark overexposed image and if its too short your going to get a noisy underexposed light image.
(mA) usually cannot adjust
mA affects the intensity
Too much mA too dark
Too little mA is too light
kVp affects intensity and energy
mA = milleramperage
milleramperage = number of electrons
number of electrons = density/how strong
kvp= kilovoltage peak
kilovoltage peak = strength of beam
strength of beam - how hard is the beam hitting the patient is it a soft punch or hard punch.
kVp= contrast
SOG is shades of grey - all the shades in between black and white
If the Dr tells you this radiograph doesn't have enough SOG, what do you do for the retake? SOG is related with contrast, contrast is related with kVp. SOG and contrast are related, so Dr is saying This radiograph doesnt have enough contrast so you need to increase the contrast, so you need to lower kVp.
Extraoral outside of mouth
intraoral inside of mouth
Extraoral radiographs dont show the details as well as intraoral film
Extraoral radiographs are taken when large areas of the skull or jaw must be examined or when pt cant open his/her mouth for film placement
Another reason pt might have extraoral radiographs done because pt cant open his/her mouth for film placement
Extraoral radiographs are not adequate for detection of subtle changes such as early stages of dental caries or periodontal disease
Panoramic radiograph's show the entire dentition
Panoramic radiograph's show the entire dentition and related structures on how many films? one single film
Some types of panoramic units operate with patient in a _________ position, and other types require the patient to be in a ________ position. seated; standing
Regardless type of machine, you MUST follow the manufactures instructions carefully
Panoramic films are not as clear or as well defined as the images on intraoral films
what films are used to supplmement a panoramic film to detect dental caries or periapical lesions? Bite-wing films
The term panorama means an obstructed view of a region in any direction
When the series of images are combined onto a single film a overall view (panorama) of the maxilla and mandible is created
During panoramic positioning of the patient, if the patients chin is positioned too low, the following will be seen on a processed radiograph. The absence of the patient's condyles in the correct anatomical position
Which of the following is accurate about digital imaging A sensor is placed in the mouth, it is exposed t radiation, and an image immeadiatly appears on a monitor for viewing
Following statements regarding somatic effect are true x-rays can damage somatic tissues, one possible somatic effect of radiation is cancer, and x-rays affect somatic cells.
Damage caused by radiation from somatic effects is passed on to future generations. FALSE
What is an accurate description of ionization? The process of converting atoms into ions.
Tomography can best be describes as the process of imaging a desired structure while blurring of other areas.
What is an ex. of an acceptable disinfection technique used in dental imaging Leaving patient care items in their packaging until they are ready for use
Example of preparing the dental imaging for patient care The radiographic imager should place barriers over radiograhic equipment including the exposure button and control panel because there are often hard to reach areas that may create reservoirs for pathogens and other microbes.
Which best describes the effects of long term low dose radiation exposure? The effect of long term lo
Created by: Sdelar947
 

 



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