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Porto- Radiology
Occlusal and Localization Techniques (ch.21)
37
Dentistry
Graduate
11/10/2012

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Term
what are occlusal surfaces?
Definition
chewing surfaces of the posterior teeth
Term
what is an Occlusal Examination?
Definition
Intraoral radiographic used to inspect large areas of the maxilla or mandible.
Term
what size film would you use on an Adult while taking a Occlusal radiograph?
Definition
Size 4
Term
what size film would you use on a pedo patient for occlusal radiographs?
Definition
size 2
Term
what are occlusal techniques used to view?
Definition
-Large areas of the maxilla or mandible.
-preferred when area of interest is larger than a PA film or when placement of PA radiograph is too difficult for the patient.
Term
what is the Purpose and use of Occlusal Radiographs (to locate what)?
Definition
-Examine Large areas of the upper or lower jaw
-Located retained root tips of extracted teeth
-Locate supernumerary, unerupted or impacted teeth
-Locate salivary stones in the duct of the submandibular gland
-Locate and evaluate cysts, tumors in the maxilla and mandible.
Term
what are things that can be examined and evaluated from occlusal radiographs?
Definition
-evaluate the boundaries of the maxillary sinus as well as fractures of the maxilla or mandible
-Aid in the examination of patients with limitations in opening their mouths
-Examine a cleft palate
-Measure changes in the size and shape of the maxilla and mandible
Term
which side of the occlusal film faces the arch to be exposed?
Definition
white side facing arch to be exposed
Term
where is the receptor for Occlusal radiograph placed?
Definition
in mouth between the occlusal surfaces of the maxillary and mandibular teeth.
Term
how is the receptor stabilized?
Definition
when the patient occludes down
Term
what is the preparation before taking the occlusal radiographs?
Definition
1. explain procedure to patient
2. position patient upright in the chair
3. Adjust the headrest to support and position the patients head
4. Remove all objects from the mouth
5. place led apron with thyroid collar on patient
Term
what equipment is needed to take occlusal radiographs?
Definition
standard dental x-ray unit
Term
On Maxillary arch, what is a topographic projection?
Definition
examine the palate and the anterior teeth of the maxilla
Term
On maxillary arch, what is a lateral (left or right) Projection?
Definition
Examine the palatal roots of the molar teeth
Term
On Maxillary arch, what is a Pediatric Projection?
Definition
-Examine tha anterior teeth of the Maxilla
-recommended, Children 5 yrs old or younger
Term
On mandibular arch, what is a Topographic Projection?
Definition
Examine the anterior teeth of the mandible
Term
On the mandibular arch, what is a Cross-sectional Projection?
Definition
Examine the buccal and lingual aspects of the mandible.
Term
On the Mandibular Arch, what is a Pediatric Projection?
Definition
-Examine the anterior teeth of the mandible
- recommended in children 5 years old or younger
Term
what is the Vertical Angulation of a Max. Topographic, Maxillary Lateral & Maxillary Pediatric Projection?
Definition
+65
+60
+60
Term
what are the vertical angulations for Mandibular Topographic, Cross-sectional & Pediatric Projections?
Definition
-55
90
-55
Term
what are the 4 steps to taking a Maxillary Topographic Occlusal?
Definition
1. Occlusal receptor long edge side to side
2. Maxillary arch parallel to floor
3. CR +65 degrees to plane of receptor, directed toward center of receptor
4. Top edge of PID between eyebrows and brig of nose
Term
What are the 4 steps to taking a Maxillary Lateral Occlusal RAD?
Definition
1.Maxillary arch parallel to the floor 2. Edge of receptor extends 1/2 inch beyond buccal surfaces of posterior 3. CR +60 degrees to plane of receptor, directed toward center of receptor and H > directed thru contacts of interest 4. Top edge PID is above corner of eyebrow
Term
What are the 5 steps in taking Maxillary Pediatric Occlusal RAD?
Definition
1. Maxillary arch is parallel to floor
2. size 2 receptor used
3. CR +60 degrees to plane of receptor directed toward the center of receptor
4. Top edge of PID between eyebrows and bride of nose
5. Examines anterior teeth
Term
4 Steps to taking a Mandibular Topographic Occlusal RAD?
Definition
1. Mandibular arch is parallel to floor
2. Position Occlusal receptor
3. CR -55 degrees to plane of receptor, directed toward center of film
4. PID centered over chin
Term
what are the 3 steps when taking Mandibular Cross Sectional RAD?
Definition
1. Recline patient to position mandibular arch perpendicular to floor
2. CR 90 degrees to the plane of receptor, directed towards center of receptor
3. PID directed thru midline, 1 inch below chin
Term
what are the 5 steps when taking Mandibular Pediatric Occlusal RAD?
Definition
1. mandibular arch is parallel to floor
2. Size 2 film is used
3. CR directed at -55 degree to plane of receptor
4. PID centered over chin
5. Examines anterior teeth
Term
what relationship does a Radiograph show?
Definition
show the superior/Inferior aspect and anterior/posterior relationships.
Term
what can radiographs not depict?
Definition
the depth (buccal/Lingual aspect) of the object
Term
what are Localization Techniques used for?
Definition
to determine the location of an object
Term
what are some things that the localization technique is used to find?
Definition
-Foreign bodies
-Impacted teeth
-unerupted teeth
-root positions
-salivary stones
- jaw fractures
-broken needles and instruments
-restorative materials
Term
what are the 2 Localization techniques?
Definition
- Buccal Object Rule
-Right angle technique (Miller's Rule)
Term
what is the point of the Buccal Object Rule?
Definition
it determines if object is positioned Lingual or Buccal
Term
what does SLOB stand for?
Definition
Same on Lingual, Opposite on Buccal
Term
How does the Buccal object rule work?
Definition
determines the orientation of structures portrayed using two radiographs exposed at different angulations
1st image using proper technique and angulation
2nd image is exposed after changing the direction of Tubehead
Term
using the SLOB technique how can you tell where the object is?
Definition
If the object moves the same way the tubehead was moved in the second image, it is on the Lingual.
If the object moves the opposite way the tubehead was shifted in the second image, it is on the Buccal.
Term
what does the Right Angle Technique (Miller's Rule) Require?
Definition
2 Radiographs, 1PA and 1 Occlusal
Term
what are the steps for Miller's Rule?
Definition
1. Expose one PA film using proper technique and angulation (shows superior/inferior and anterior-posterior relationship)
2. An Occlusal radiograph is exposed directing the central ray perpendicular to the receptor (show buccal/lingual relationship)
3. Compare both radiographs to locate the object in three dimensions
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