Term
What does a panoramic radiograph show? |
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Definition
a wide view of the upper and lower jaws in a single image |
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Term
What does panoramic radiograph supplement? |
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Definition
periapicals and bitewings |
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Term
How are panoramic images compared to intraoral images? |
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Definition
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Term
How does the receptor and xray tube move in a panoramic machine? |
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Definition
around the patients head. The x-ray tube rotates in one direction while the receptor rotates opposite |
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Term
Can a patient stand during a pan radiograph? |
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Definition
yes they may stand or sit in a stationary position |
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Term
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Definition
process by which movement of the receptor and tubehead produce an image |
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Term
What does the tomography radiograph technique show? |
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Definition
allows the imaging of one section of the body while bluring images from structures in other planes |
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Term
What is the location center? |
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Definition
the pivotal point around which the cassette carrier and x-ray tubehead rotate |
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Term
How does the number and location of rotation centers impact the focal trough? |
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Definition
impact the size and shape |
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Term
What is the focal trough? |
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Definition
three-dimensional curved zone where the oral structures are well defined on a panoramic radiograph |
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Term
What are positioned within the focal trough? |
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Definition
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Term
What determines if the teeth will be in the focal trough or not? |
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Definition
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Term
What is the xray tubehead on a pan machine like? |
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Definition
similar to intraoral xray tubehead |
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Term
Is the pan collimator the same as intraoral? |
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Definition
differs from the one in intraoral tubehead |
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Term
What is a collimator on a pan machine like? |
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Definition
lead plate with an opening in the shape of a narrow vertical slit |
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Term
What is the x-ray beam like on a pan machine? |
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Definition
exits xray tube through collimator as a narrow band |
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Term
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Definition
passes through the patient and exposes the receptor through another vertical slit in the cassette carrier |
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Term
What is the vertical angulation on pan machines? |
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Definition
fixed so the x-ray beam is directed slightly upward |
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Term
What is the purpose of the head positioner? |
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Definition
alligns the patient's teeth |
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Term
What are the components of the head postitioner? (4) |
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Definition
1.chin rest 2.notched biteblock 3.forehead rest 4.lateral head supports or guides |
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Term
Is the mA and kVp fixed for each patient? |
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Definition
no they are varied for different sized patients |
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Term
Does the exposure time vary on pan machines? |
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Definition
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Term
What kind of film is used in pan machines? |
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Definition
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Term
What is screen film sensitive to? |
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Definition
light from an intensifying screen |
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Term
What is screen film placed in? |
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Definition
placed between two intensifying screens in a cassette holder |
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Term
How do the screens produce an image? |
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Definition
converts xray energy to into light which then exposes the film and a latent image is produced |
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Term
What color light does calcium tungstate emit? |
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Definition
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Term
What color light does rare earth emit? |
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Definition
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Term
Does calcium tungstate or rare earth require less xray exposure? |
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Definition
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Term
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Definition
device used to hold the extraoral film and intensifying screens |
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Term
What are the different types of casssettes? (4) |
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Definition
1.rigid 2.flexible 3.curved 4.straight |
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Term
What must the cassette be? |
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Definition
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Term
How is the cassette marked and why? |
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Definition
-to orient the finished radiograph -labeled L for patient left and R for patients right |
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Term
Where do you load the film into the panoramic cassette? |
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Definition
in the darkroom under safelight conditions |
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Term
What should be done with the biteblock? |
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Definition
either covered with barrier or sterilized between each patient |
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Term
Should you explain the pan radiograph procedure to a patient? |
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Definition
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Term
Does a patient getting a pan wear a lead apron? Do they wear the thyroid collar? |
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Definition
yes, they wear one without a thyroid collar |
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Term
What kind of lead apron is used? |
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Definition
a double sided lead apron |
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Term
What are some things that must be removed before a patient gets a pan radiograph? |
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Definition
jewelry and removable dental appliances |
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Term
How should you instruct a patient to sit or stand? |
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Definition
as tall as possible with the back straight and erect |
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Term
After you instruct a patient on how to stand/sit what should they do next? |
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Definition
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Term
How should the patients midsaggital plane be? |
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Definition
perpendicular to the floor |
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Term
How should the patients frankfort plane be positioned? |
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Definition
parallel to the floor: from tragus of the ear to the floor of the eye orbit |
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Term
Where should the lateral vertical line run? |
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Definition
center of the maxillary canine |
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Term
How can you check the position of the lateral vertical line? |
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Definition
have the patient say cheese so you can see their teeth |
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Term
How should you instruct the patient to place their tongue and lips during a pan radiograph? |
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Definition
-tongue in roof of mouth whole time -close lips around biteblock -remain still -expose the patient |
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Term
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Definition
radiographic artifact seen on panoramic image |
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Term
When are ghost images produced? |
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Definition
produced with a radiodense(metalicm bony) object is penetrated twice by the xray beam |
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Term
What is a lead apron artifact? |
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Definition
radiopaque cone-shaped artifact that obscures diagnostic information |
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Term
What is a lead apron artifact caused from? |
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Definition
lead apron being improperly placed |
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Term
**stopped at 28 in slide show** |
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Definition
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Term
How should the frankfort plane be alligned? |
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Definition
through tragus and bottom of eye orbit |
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Term
What happens if lips are not closed? |
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Definition
dark shadow obscures anterior teeth |
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Term
What happens if tongue is not on the roof of the mouth? |
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Definition
shadow obscures apicies of maxillay teeth |
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Term
What happens if a patients chin is too high? |
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Definition
reverse smile appears on radiograph |
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Term
What happens if a patients chin is too low? |
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Definition
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Term
What happens if a patients teeth are too far foward on the biteblock? |
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Definition
the anterior teeth appear skinny and out of focus |
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Term
What happens if a patients teeth are too far back on the biteblock? |
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Definition
teeth appear fat and out of focus |
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Term
What happens if a patients head(midsaggital plane) is not centered? |
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Definition
the ramus and postetior teeth further from the receptor appear magnified |
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Term
What happens if a patient is not sitting or standing with a straight spine? |
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Definition
the cervical spine appears as a radiopacity in the image, obscures diagnostic information |
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Term
What are some advantages of panoramic radiography? |
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Definition
-field size -simplicity -patient cooperation -minimal exposure |
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Term
What are some disatvantages of panoramic radiography? |
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Definition
-image quality(not as sharp, cant be used to detect decay, perio disease, or periapical lesions) -focal trough limitations -distortion -cost |
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