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CH 38
| Term | Definition |
|---|---|
| ALARA concept | Concept of radiation protection that states all exposures should be kept "as low as reasonably achievable." |
| amperes (A) | A unit of electric current. |
| anode | Positive electrode in the x-ray tube (+). |
| atom | Basic unit of matter. |
| bremsstrahlung radiation | "Braking radiation"; the sudden deceleration of electrons as they interact with highly positively charged nuclei. |
| cathode | Negative electrode in the x-ray tube (-). |
| central ray | X-rays at the center of the beam. |
| contrast | Differences in degrees of blackness on an image. |
| control panel | Portion of the x-ray unit that contains the master switch, indicator light, selector buttons, and exposure button. |
| density | Overall darkness or blackness of an image. |
| dental radiography | Process of recording images of the teeth and adjacent structures by exposure to x-radiation. |
| digital imaging | Filmless method of capturing an image and displaying it by using an image receptor, an electronic signal, and a computer to process and store the image. |
| distortion | Change in the size or shape of an image caused by improper vertical or horizontal angulation. |
| dose (of radiation) | Amount of energy absorbed by tissues. |
| dosimeter | Device used to detect and measure an accumulated dosage of radiation. |
| electron | Negatively charged particle in the atom. |
| energy | Ability to do work. |
| extension arm | Flexible arm that is attached to the x-ray tubehead; encloses wires and aids in positioning. |
| genetic effects | Effects of radiation that are passed on to future generations through genetic cells. |
| image | Film-based or digitally produced recordings of anatomical structures. |
| image receptor | Recording medium for an image, normally film, phosphor storage plate, or digital sensor. |
| intensity | Total energy of the x-ray beam. |
| ion | Electrically charged particle. |
| ionization | Process by which electrons are removed from atoms, causing the harmful effects of radiation in humans. |
| ionizing radiation | Radiation that produces ionization, resulting in harmful effects. |
| kilovoltage peak (kVp) | Highest voltage of x-ray tube used during an exposure; controls beam quality and contrast. |
| latent period | Time between exposure to ionizing radiation and appearance of clinical symptoms. |
| lead apron | Device used to protect the reproductive and blood-forming tissues from scatter radiation. |
| magnification | Proportional enlargement of an image. |
| matter | Anything that occupies space and has form or shape. |
| milliampere (mA) | One one-thousandth (1/1000) of an ampere; unit of measurement used to describe the intensity of an electrical current/quantity of x-rays. |
| penumbra | Blurred or indistinct area that surrounds an image. |
| personal radiation monitoring badge | Device that measures exposure of personnel to ionizing radiation. |
| photon | Minute (tiny) bundle of pure energy that has no weight or mass. |
| primary beam | Most penetrating beam produced at the target of the anode (same as primary radiation). |
| primary radiation | X-rays that come directly from the target of the x-ray tube. |
| quality (of x-ray beam) | Mean energy or penetrating ability of the x-ray beam, controlled by kilovoltage. |
| quantity (of x-ray beam) | Number of x-rays produced in the dental unit; controlled by milliamperage. |
| radiation | Forms of waves of energy emission through space or material. |
| radiograph | Image produced on photosensitive film or digital receptor by exposing it to radiation and processing it. |
| radiology | Science or study of radiation as used in medicine. |
| scatter radiation | Form of secondary radiation that occurs when an x-ray beam has been deflected from its path by interaction with matter. |
| secondary radiation | X-radiation that is created when the primary beam interacts with matter. |
| sensor | Solid-state image receptor that contains a silicon chip with an electric circuit. |
| sharpness | Measure of how well an image reproduces the fine details or outline of an object. |
| somatic effects | Effects of radiation that cause illness and are responsible for poor health, but are not passed on to offspring. |
| thyroid collar | Flexible lead shield that is placed securely around the neck to protect the thyroid gland. |
| tubehead | Part of the x-ray unit that contains the x-ray tube, high-voltage and low-voltage transformers, and insulating oil. |
| tungsten target | Focal spot in the anode hit by electrons to produce x-rays. |
| x-radiation | High-energy ionizing electromagnetic radiation. |
| Position Indicator Device (PID) | Lead-lined extension on the tubehead used to aim the x-ray beam at the image receptor in the patient's mouth. |
| What is the primary importance and use of dental imaging? | It enables the dentist to see conditions not visible in the oral cavity (e.g., detecting early caries, bone loss, abnormalities, and evaluating growth). |
| How does ionization take place? | When an x-ray photon collides with an orbiting electron of a stable atom, knocking it out of orbit and creating an unstable positive ion and a free electron. |
| What produces a dental image? | X-rays pass through structures of varying density in the oral cavity and strike an image receptor (film or sensor), which is then processed. |
| What are the primary characteristics of x-rays? | They are invisible, weightless, high-energy electromagnetic waves that travel at the speed of light, penetrate matter, cause ionization, and produce images on receptors. |
| Where in the x-ray machine are x-rays produced? | Inside the sealed glass x-ray tube, located within the heavy metal tubehead. |
| What is the makeup of the x-ray tube? | A glass vacuum envelope housing a negative cathode (with a tungsten filament) and a positive anode (with a tungsten target and copper stem). |
| How is the Position Indicator Device (PID) used? | It is attached to the tubehead and open-ended to aim and direct the x-ray beam directly toward the patient's face and image receptor. |
| What is the importance of the extension arm in positioning the tubehead? | It encloses the wiring, swivels side-to-side, and extends/folds to allow precise positioning of the tubehead without drifting. |
| What is the difference between radiolucent and radiopaque? | Radiolucent structures allow x-rays to pass through (appearing dark/black); Radiopaque structures absorb/block x-rays (appearing light/white). |
| How do kilovoltage (kVp) and milliamperage (mA) affect the x-ray beam? | Kilovoltage (kVp) controls the QUALITY and penetrating power; Milliamperage (mA) controls the QUANTITY or amount of x-rays produced. |
| How is the ampere used to operate an x-ray unit? | It measures the electrical current; in dental units, milliamperes (mA) regulate the temperature of the cathode filament to produce the electron cloud. |
| What are density and contrast, and how are settings adjusted to change contrast? | Density is overall darkness; Contrast is the difference between dark and light areas. High kVp (90 kVp) lowers contrast (more shades of gray), while lower kVp (70 kVp) increases contrast. |
| What are the biologic effects of radiation exposure on the human body? | Ionization causes cellular and tissue damage, which can lead to somatic effects (damage to individual) or genetic effects (damage passed to offspring). |
| Which critical organs are most sensitive to dental radiation? | Skin, thyroid gland, lens of the eye, and bone marrow. |
| How is radiation measured, and what is the Maximum Permissible Dose (MPD)? | Measured in Traditional (rem/mrem) or SI units (Sv/mSv). The MPD for occupationally exposed personnel is 5000 mrem (5.0 rem or 50 mSv) per year. |
| What items on the x-ray unit are essential for patient protection? | Aluminum filters (remove long wavelengths), lead collimators (restrict beam size), and lead-lined PIDs. |
| What measures are taken to protect the patient from excess radiation? | Use of lead apron/thyroid collar, fast-speed film/digital sensors, proper exposure technique (avoiding retakes), and receptor-holding devices. |
| What measures must the operator take to protect themselves from excess radiation? | Never stand in the direct primary beam, stand behind a lead barrier or at right angles to the beam, and stay at least 6 feet away during exposure. |
| What is ALARA and why is it important? | ALARA stands for "As Low As Reasonably Achievable." It ensures every safety precaution is taken to keep radiation exposure to patients and staff at absolute minimums. |