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INTRAORAL IMAGING PRINCIPLES, TECHNIQUES, ERROR CORRECTION
Typology: Exams
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Digital Image Receptors - Rigid sensors and phosphor plate receptors Rigid Digital Receptors - Charge-Coupled Device (CCD) Complementary Metal Oxide Semiconductor (CMOS) are both direct Indirect Digital Receptors - Storage Phosphor Plattes (SPP) and Photostimulable Phosphor Plate (PSP) europium-activated barium fluorohalide emulsion - indirect phosphate plates subtraction - used to compare an area before and subsequent to treatment to assess progress or change Principle One - X-rays should be emitted from the smallest source of radiation possible Principle Two - the x-ray source-to-object distance should be as long as possible Principle 3 - object to receptor distance should be as short as possible Principle 4 - the receptor and long axis of tooth should be parallel Principle 5 - the beam should be directed perpendicular to the tooth and receptor Parallel technique - receptor is placed parallel to long axis of tooth with central ray perpendicular is the most accurate even though it does not account for the 3rd principle Bisecting Angle Technique - receptor is placed as close to the tooth as possible, central ray is perpendicular to an imaginary line that bisects angle formed by long axis of tooth
Bitewing - used to examine the interproximal surfaces of the teeth and is useful for caries and bone levels. Receptor is placed parallel to crowns Patient Preparation errors - discomfort, unsupported head, swallowing/gagging, patient disability Receptor Placement errors - Inadequate Coverage, Backward Placement, Bending, Receptor Scratches, Tilted Occlusal Plane Inadequate Coverage - typically occurs when the patient has diffiiculty maintaining or tolerating placement backward placement - results in herringbone pattern bending - due to contact with the curvature of the palate. Selecting the correct size is critical Tilted Occlusal Plane - when the receptor is not placed perpendicular to the occlusal plane. Make sure the bite block is in contact with the occlusal or incisal surfaces Vertical Alignment Errors - ensuring proper angulation but can also occur with receptor and patient positioning elongation - results from underangulation of the x-ray beam. Increase the vertical angluation or the positive max arch (PID down) and of the negative mand arch (PID up) elongation with bisecting angle - when the x-ray beam is perpendicular to the long axis of the tooth rather than bisecting the angle between the tooth and the receptor Foreshortening - result of overangulation. Decrease the positive max angle and decrease the negative mand angle Horizontal Alignment Errors - do not allow proper opening up of interproximal contacts and image shifts anteriorly or posteriorly