Download Introduction to Radiographic Examinations

Chapter 16
Introduction to Radiographic
Examinations
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
Dental Radiography
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Questions
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What are the three types of intraoral radiographic
examinations?
What films constitute and complete mouth
radiographic series (CMRS)?
When is prescribing a CMRS for a new patient
warranted?
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Dental Radiography
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Chapter 16 Reading:
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Iannucci & Howerton (pp. 152-154)
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Dental Radiography
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Chapter 16 Outline
Introduction to Radiographic Examinations
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Intraoral radiographic examination
 Extraoral radiographic examination
 Prescribing of dental radiographs
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Introduction
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Purpose
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To introduce the dental radiographer to the
different intraoral radiographic examinations used
in dentistry
To define the complete mouth radiographic series
To describe in detail the diagnostic criteria of
intraoral radiographs
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Intraoral Radiographic Examination
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Types of Intraoral Radiographic Examinations
Complete Mouth Radiographic Series
Diagnostic Criteria for Intraoral Radiographs
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Intraoral Radiographic Examination
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Iannucci & Howerton (pp. 152-153)
A radiographic inspection of teeth and
intraoral adjacent structures
Requires the use of intraoral image receptors
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Intraoral receptor
• Receptor that is placed inside the mouth and is used to
examine the teeth and supporting structures
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Types of Intraoral Radiographic
Examinations
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Periapical examination
Interproximal examination
Occlusal examination
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Periapical Examination
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Purpose
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Type of Imaging Receptor
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Used to examine the entire tooth and supporting
bone
Periapical receptor
Technique
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Paralleling and bisecting
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Interproximal Examination
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Purpose
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Type of Imaging Receptor
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To examine the crowns of both the maxillary and
mandibular teeth on a single film
Bite-wing receptor
Technique
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Bite-wing technique
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Occlusal Examination
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Purpose
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Type of Film Receptor
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Used to examine large areas of the maxilla or the
mandible on one film
Occlusal receptor
Technique
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Occlusal technique
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Complete Mouth Radiographic
Series/Full Mouth Series
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
Iannucci & Howerton (pp. 153)
A full-mouth series of complete series
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Tooth-bearing areas
• Dentulous areas
• Edentulous areas
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Diagnostic Criteria for Intraoral
Radiographs
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Iannucci & Howerton (p. 153) (Box 16-1)
Radiographs must show images with optimum density,
contrast, definition, and detail.
Must show images with the least amount of distortion
possible.
The CMRS must include radiographs that show all
tooth-bearing areas.
Periapical radiographs must show the entire crowns and
roots of teeth being examined, as well as 2 to 3 mm
beyond the root apices.
Bite-wing radiographs must show open contacts.
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Extraoral Radiographic Examination
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Iannucci & Howerton (p. 153)
A radiographic inspection of large areas of
the skull or jaws
Extraoral receptors
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Receptors that are placed outside the mouth
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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Prescription of Dental Radiographs
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Iannucci & Howerton (p. 154) (Table 5-1)
Prescribing is based on the individual needs
of the patient.
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CMRS is appropriate when a new adult patient
presents with clinical evidence of generalized
dental disease or a history of extensive dental
treatment.
Copyright © 2012, 2006, 2000, 1996 by Saunders, an imprint of Elsevier Inc.
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