Radiology Final 6

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Radiology by Osama & Sami paralleling errors

Some errors occur because of:

1-patient related preparation problems :

1-Not setting properly

2-Not supporting his head

3- not removing of objects interfering with the x-ray beam- such as glasses, removable prosthetics (mostly)

(remove before placing the film)

4-in extraoral film we should remove ear piercing

2-exposure levels:

-Amount of radiation is a function of film speed ( D,F….)

-exposure time depends on area to be radiographed

-Ex. -Maxilla requires more exposure time than mandible

-anterior more than posterior+ adults more than young.

*reversed film: film should be placed behind the area to be radiographed

The problem with this error is that you might think there is bone loss

*double exposure: to avoid this error the technician should discard 3 films at

A time from the label not one by one also to avoid contamination by saliva

*film bending: caused by crimping film when inserting into slot of bitelock

Or we bend it to get rid of its sharp angles

Bending more than it should=cracked crystals=high exposure

*patient movement: is indicated and abnormal anatomy can be seen

*This picture shows poor film placement: when

radiographing a teeth, it need to be in the middle

of the image

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Radiology by Osama & Sami paralleling errors
* periapical radio graph must show at least 3mm around the tooth, this radiograph doesn’t show any

*Cone cutting caused by improper instrument assembly causes

improper covering of the film

*horizontal angulation

Overlap ( incorrect horizontal angulation) which is a very serious mistake

A non open contact area

**tipping

*Bisecting angle technique errors :

-elongation and shortening: length of image is determined by the angle between the bisecting line and the long axis of
the teeth 90<= foreshortening 90>=elongation

-If image is elongated this indicates that the angle is less than it should be and vice versa foe short images

-This mistake is very serious in endo dentistry Lengthening shortening

-Mainly seen in bisecting angle technique

-reversed film

Film bending due to excessive pressure

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Radiology by Osama & Sami paralleling errors
Overlap (incorrect horizontal angulation) > 1/4” of film beyond occlusal

Cone-cutting Black lines: excessive bending (softening)


of film prior to placement in mouth.

Double exposure

Film/patient movement Lead apron/thyroid collar

Film/patient movement
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Radiology by Osama & Sami paralleling errors
Bitewing errors:

bitewing is used to :

1-Asceses interproximal carries

2-Class 2 carries

3-Look for bone and the lamina dura Patient is not biting on the biteblock

*Errors

Film placement

film placement

Film placement

Film bending
Film bending

single over lab is shown here, technique is ok Horizontal angulation

Reversed film

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Radiology by Osama & Sami paralleling errors
*Processing errors :

1-Dark film :solution being too warm, too much time in the developer,

developer concentration is to high , light leaks: incorrect filters

2-Light film :solution too cool, short development time,

under replenishment( concentration too low/diluted) contaminated developr,

excessive fixation

*Heat and processing time both effect the image produced

The image above shows a

*radiograph exposed to light :

1- Dark spots: indicate developer contamination. Might be mistaken with lesions

2- White spots: indicate fixer contamination or air bubbles in the chemical containers

3- Yellow/brown stain indicates an inadequate wash for the film or a depleted fixer

4- Films overlapped during processing

5- Static electricity creates a tree like appearance

6- Dirty rollers

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Radiology by Osama & Sami paralleling errors

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