1 / 71

RADIOGRAPHIC TECHNIQUES

RADIOGRAPHIC TECHNIQUES. DR SAMY I AL-AGHA A.PROFESSOR OF RADIOLOGY AL-AZHAR –GAZA UNIVERCITY. RADIOGRAPHIC TECHNIQUES. CLASSIFICATION A-Periapical B-Bite-wing C-Occlusal. PERIAPICAL RADIOGRAPHIC TECHNIQUES. 1-BISECTING ANGLE TECNIQUE A-Patient,s position

matia
Télécharger la présentation

RADIOGRAPHIC TECHNIQUES

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. RADIOGRAPHIC TECHNIQUES DR SAMY I AL-AGHA A.PROFESSOR OF RADIOLOGY AL-AZHAR –GAZA UNIVERCITY

  2. RADIOGRAPHIC TECHNIQUES CLASSIFICATION A-Periapical B-Bite-wing C-Occlusal

  3. PERIAPICAL RADIOGRAPHIC TECHNIQUES 1-BISECTING ANGLE TECNIQUE A-Patient,s position • For maxillary teeth>>>ala tragus line is parallel to floor • For mandibular teeth>>>line from tragus to corner of mouth is parallel to floor

  4. PERIAPICAL RADIOGRAPHIC TECHNIQUES B-Film placement: • Tube side of the film packetis towards the tube. • The film(short dimension) is parallel to occlusal plane(For anterior region) • The film (long dimension) is parallel to occlusal plane(For posterior region) • Avoid over-bending of film packet • The area of interest is in the center of film.

  5. PERIAPICAL RADIOGRAPHIC TECHNIQUES • 2-3mm of film packet should be left beyond the occlusal plane • The patient holds the packet with finger • Avoid movements of patient,film,or cone during exposure. C-Cone,s position: 1-Central ray(C.R)angulation a-V.A b-H.A 2-Point of entry

  6. PERIAPICAL RADIOGRAPHIC TECHNIQUES Vertical angulation • Denotes the angle between C.R&occlusal plane • Vertical angle of maxillary teeth(+ve) Incisors>>>>>>55-60 Canines>>>>>>45-50 Premolars>>>>35-40 Molars>>>>>>25-30

  7. PERIAPICAL RADIOGRAPHIC TECHNIQUES V.A for mandibular teeth(-ve) Incisors>>>>>>15-20 Canines>>>>>>10-15 Premolars>>>>5-10 Molars>>>>>>0-5 Increase V.A 5 in a-shallow palate or floor of mouth b-flat ridges(edentulous pt) c-inclined teeth

  8. PERIAPICAL RADIOGRAPHIC TECHNIQUES • Decrease V.A 5 in case a-high palate b-deep floor of mouth Horizontal angulation • It is the angle between CR&mid-sagittal plane • It control width(dimention of tooth) • CR must project through interproximal surfaces of examined teeth

  9. PERIAPICAL RADIOGRAPHIC TECHNIQUES • H.A Incisor>>>>>zero Canines>>>>45-60 Premolars>>>60-70 Molars>>>>>>90 Point of entry • The cone is positioned so that CR is directed to apices of the teeth

  10. PERIAPICAL RADIOGRAPHIC TECHNIQUES • For maxillary teeth>>>points of entry are located on ALA TRAGUS LINE Incisors>>>>>tip of the nose Canines>>>>>0.2cm distal to ala of nose Premolars>>>vertical line from eye pupil to ala tragus line 1st Molar>>>>vertical line from outer canthus to ala tragus line

  11. PERIAPICAL RADIOGRAPHIC TECHNIQUES 2nd Molar>>>vertical line from 1cm distal of outer canthus to ala tragus line 3rd Molar>>>>vertical line from 2cm distal of outer canthus to ala tragus line • For mandibular teeth >>>the same as for maxillary teeth but located on a line 0.5cmabove inferior border of the mandible • Time of exposure depends on area of rediographed,KV,mA, film speed&age of Pt

  12. PERIAPICAL RADIOGRAPHIC TECHNIQUES Advantages of bisecting angle technique 1-Easy,quick &comfortable 2-Used in all patients 3-short object-source distance>decrese exp time 4-periapical area can be demonstrated 5-Speed technique Disadvantages: 1-Not standerdized 2-error of angulation>>>superimpositionof structures over the area of interest

  13. PERIAPICAL RADIOGRAPHIC TECHNIQUES 2-The paralleling technique(long cone tech) or Right angle technique • C.R is perpendicular to both film &tooth • The film is placed in mid of oral cavity to get parallism between tooth&film>>>image magnification&unsharpness. • Target-object distance is increased to avoid unsharpness(16 inches)>>>increase KV,mA,s and fast film(increase exposure time 4times) • Film holders are used.

  14. PERIAPICAL RADIOGRAPHIC TECHNIQUES FILM HOLDERS: 1-Rinn instrument 2-Bite block 3-hemostat 4-Cotton rolls 5-Precision rectangular collimating instrument Advantages of film holders 1-Provide parallism 2-Avoid exposure to Pt fing Disadvantages 1-Closure of mouth before exposure 2-Cannot examin the periapical structures 3-Limited in small mouths or gagging sesation

  15. PERIAPICAL RADIOGRAPHIC TECHNIQUES ADVANTAGES OF PARALLELING TECHNIQUE 1-Standerdized>>>used in research 2-Accurate images 3-Avoids superimposition on apices 4-H.A&V.A detrmined by positioning devices 5-No overbending of films

  16. PERIAPICAL RADIOGRAPHIC TECHNIQUES DISADVANTAGES OF PARALLELING TECHNIQUE 1-Difficult to image all parts of the mouth 2-Increased exposure time 3-Need long cones &film holders 4-Cannot image apical area in shallow palate 5-Discomfort of film holder 6-Time consuming

  17. BITE-WING TECHNIQUE • Used mainly for posterior teeth. • The wing is on the tube side of film backet. • Film backet is parallel to long axis of coronal portion of upper &lower teeth. • CR is perpendicular to center of film

  18. BITE-WING TECHNIQUE TECHNIQUE • MSP is perpendicular to floor&ala tragus line is parallel to floor • Remove any metallic objects. • Patient should close mouth during exposure. • For premolar teeth >>>the film bite should be centered over the lower 2nd premolar &anterior border of the film extends anteriorly beyond the lower canine and 1st premolar.

  19. BITE-WING TECHNIQUE • For molar teeth>>>the posterior border of film is behind the distal surface of most posteriorly erupted molar &the film bite is centered over the lower molar teeth. • The patient should close his mouth in centric occlusion when radiography of posterior teeth • In edentulous patient replace missing teeth by cotton rolls

  20. BITE-WING TECHNIQUE In anterior bitewing film we shoul use 1-smaller film size 2-short dimension is parallel to occlusal plane 3-patient closes his mouth in edge to edge position 4-longer wing to avoid bending of film

  21. BITE-WING TECHNIQUE CONE POSITION • CR IS PERPENDICULAR to film packet. • +ve 5 for premolar &10 for molar(short cone) • +ve 6 for premolar &8 for molar (long cone) • For posterior teeth use 2 films • For anterior teeth use 3 films

  22. PANORAMIC RADIOGRAPHY • Produces radiographs for only one section (slice) of the patient. • Patient is placed so that dental arches are located in the middle of focal plane. • Patient places edges of incissors in bite block device. • MSP in midline position. • Patient,s occlusal plane is lowered 20-30 degrees below horizontal plane.

  23. PANORAMIC RADIOGRAPHY • Patient,s back is in erect position with extended neck. • Patient should hold tongue in contact with hard palate &keep lips closed during exposure • Patient,s breathing is shallow during exposure

  24. PANORAMIC RADIOGRAPHY INDICATIONS 1-Evaluation of truama &3rd molars. 2-Evaluation of teeth development. 3-Evalution of developmental anomaly. 4-Examination of maxillary sinuses.

  25. PANORAMIC RADIOGRAPHY ADVANTAGES: • Imaging broad anatomic region. • Relative low radiation dose. • Convenient,easy &speedy. DISADVANTAGES: • Fine anatomic details are not demonstrated. • Magnification,geometricdistortion&overlapping of teeth. • High cost.

  26. EXTRA-ORAL TECHNIQUES 1-Lateral views: a-True lateral b-Lateral oblique 2-PA views: a-True PA b-Sinus(Water,s view) c-Reversed Town,s view 3-AP views: a-True AP b-Modified Town,s c-SMV d-Frontal TMJ(transorbital)

  27. LATERAL VIEW

  28. LATERAL OBLIQUE

  29. TRUE PA

  30. TRUE PA FOR MANDIBLE

More Related