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Ch 41
Intraoral Radiography
| Question | Answer |
|---|---|
| Alignment of central ray of x-ray beam in horizontal and vertical planes | angulation |
| intraoral technique of exposing periapical films | bisecting technique |
| type of radiograph used in the interprosimal examination | bitewing |
| x-ray at the center beam | central ray |
| area of the mesial or distal surfaces of a tooth that touches adjacent tooth in the same arch | contact area |
| coronal portion of alveolar bone found between the teeth | crestal bone |
| impairment of mental or physical functioning that usually occurs before adulthood and lasts indefinitely | developmental disability |
| referring to radiographs with the proper images and necessary density,contrast, definition,and detail for diagnostic purposes | diagnostic quality |
| between two adjacent surfaces | interproximal |
| cuting across or through | intersecting |
| imaginary line dividing the tooth longitudinally(vertically) into two equal halves | loong axis of the tooth |
| used to examine large areas of teh upper or lower jaw | occlusal technique |
| moving or lying in the same plane, always separated by the same distance | parallel |
| intraoral technique of exposing periapical and bitewing radiographs | paralleling technique |
| intersecting at or forming a right angle | perpendicular |
| impairment in certain functions(s) of the body, such as vision, hearing or mobility | physical disability |
| angle of 90 degrees formed by two lines perpendicular to each other | right angle |
| even the most skilled operators can do what | make errors |
| the ability to recognize errors and to know the steps to take to prevent their recurrence is what | most important |
| what is the abreviation for an intraoral full mouth survey | FMX |
| a full mouth survey contains which type of radiographs | both periapical and bitewing |
| the _radiograph shows the upper and lower teeth in occlusion, only the crowns and a small portion of the root are seen. | bitewing |
| the bitewing radiograph is used for: | detecting interproximal decay, periodontal disease, recurrent decay under restorations and the fit of metallic fillings or crowns |
| The _____ radiograph shows the entire tooth from occlusal surface or incisal edge to about 2 to 3 mm beyond the apex to show the periapical bone. | periapical |
| the periapical radiograph is used to: | diagnose pathologic conditions of the tooth,root and bone as well as tooth formation and eruption |
| For the average adult a FMX consists of how many films | generally 18-20 |
| when taking a FMX which area is the region in which the number of films usually varies | anterior area |
| when taking a FMX in the anterior region and you are using the bisecting technique which size of film would you use and how many would you take | 3, on each arch size # 2 |
| when taking a FMX in the anterior region and you are using the paralleling technique which size of film would you use and how many would you take | 3 -4 on each arch size # 1 |
| what are the two basic techniques for obtaining periapical x-rays | paralleling and bisecting techniques |
| Why is the paralleling technique recommended over the bisecting technique | becuuse it provides the most accurate image with the least amount of radiation exposure to the patient |
| in which situations would the operator need to use the bisecting technique over the paralleling technique | if the pt has a small mouth, shallow palate, tori |
| the paralleling technique is also known as what | extension cone paralleling ( XCP) right angle or long cone technique |
| what are the 5 basic rules to following when using the paralleling technique | film placement, film position, vertical angulation,horizontal angulation and central ray |
| when using the paralleling technique how must the film be positioned | parallel to the long axis of the tooth. |
| when using the paralleling technique how must the film holder be placed | away from the teeth and toward the middle of the mouth |
| when using the paralleling technique what does it mean when we are talking about vertical angulation | the central ray of teh x-ray beam must be directed perpendicular ( right angles ) to the film and the long axis of the tooth |
| what does it mean when we are talking about horizontal angulation when using the paralleling technique | the central ray of the x-ray beam must be directed through the contact areas between the teeth |
| failure to center the central ray on the film will result in what | partail image or cone cut |
| when exposing periapical films with teh paralleling technique where does the book say you should always start | with the anterior teeth |
| why does the book say you should start with anterior teeth | the film size # 1 is small and is easier for patients to tolerate,patients adapt more easily to the anterior film holder,less likely to gag |
| what color is the anterior XCP ring/rod system | blue |
| what color is the posterior XCP ring/rod system | Yellow |
| what color is the bitewing XCP rint/rod system | RED |
| the bisecting technique is based on what principle | the geometric principle of equally dividing a triangle |
| where should you uplace the film when using the bisecting technique | directly against the teeth to be radiographed |
| whith the bisecting technique the angle formed by the ____ and the __________ is bisected into two equal parts | long axes of the teeth , film |
| when bisecting where is the xrya beam directed | perpendicular to the bisecting line |
| what is the major disadvantage of the bisecting technique | images on the film are dimensionally distored |
| when using the bisecting technique what should you never do | have the patient hold the film in their mouth with their finger |
| what types of film holders can you use for bisecting | the BAI, the Stabe bite block, the EeZee grip formerly known as the snap a ray |
| in the bisecting technique what is critical | the angulation of the PID |
| how can angulation be changed | by moving the PID in a horizontal or vertical direction |
| what does incorrect horizontal angulation result in | overlapped contact areas |
| incorrect vertical angulation results in what | image that is not the same length as the tooth that is being xrayed. the image appears longer or shorter ( elongated or foreshortened ) |
| which technique is always used for bitewing radiographs | paralleling |
| how is the # of bitewing films to take determined | based on the curvature of the arch and the number of teeth present in the posterior areas |
| which is to be included in the premolar bitewing radiograph | distal half of the crowns of the canines, both premolars and often the first molars on both maxillary and manibular arches |
| when exposing a molar bitewing radiograph where should the film be centered | over the second molars |
| the occlusal technique is named this because | the patient bites or cooludes the entire film |
| when exposing a maxillary occlusal film where does the white side of the film go | toward the occlusal/incisal edges |
| when exposing a maxillary occlusal film how is the PID directed | at +65 degrees through the center of the film |
| when exposing a maxillary occlusal film where is the PID placed in relation to the patients face | between the eyebrows on the bridge of the nose |
| when exposing a mandibular occlusal film how is the PID directed | at 90 degree angle to the center of the film packet, should be centered about 1 inch below the chin |
| what does edentulous mean | with out teeth |
| For paritally edentulous patients, film holding instruments can be used by doing what | placing a cotton roll on the bite block where the crowns of the missing teeth would have been |
| what size of film is recommended for use in pediatric patients | 0 |
| which film placement is the one most likely to cause the gag reflex | maxillary molar |
| in some extreme cases where the patient has an uncontrollable gag reflex what can you do to obtain radiographs | use extraoral radiographs such as a panoramic or lateral jaw films |
| processed radiographs must be arranged in what order | anatomic |
| what information must always be on the film mounts | patients name, date of exposure, dentists name and address ( if room ) |
| which two methods can be used when mounting radiographs | labial mounting method and mounting with the raised dots facing down |
| in the labial methond the films are placed in the mount with the raised dots facing which way | up ( toward you ) |
| In the labial mounting method the radiographs are viewed as if the viewere is looking: | directly at the patient so the patients left side is on the viewers right side |