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RDN Guidelines
Radiation Biology
Specific Patients
Operator Protection
Radiation Biology #2
Patient Protection
X-Ray Machines
Techniques
Errors
Film
Errors
Anatomical Landmarks
Identify Me
Identify Me
100
What does ALARA stand for? 

As Low As Reasonably Achievable

100

What is collimation? 

Restricts size and shape of xray beam

100

This theory of cell damage occurs when ionizing radiation hit critical areas of a cell

Direct theory

100

For children who are scared/uncooperative, what's one way to still get an image? 

Have child sit on parent, both covered with lead apron for exposure

100

When should the Radiographer avoid the primary beam? 

ALWAYS

100

When X-ray photons are absorbed within the cell and cause the formation of toxins, which in turn damage the cell, what is this called? 

Free radical formation

100

Name 2 things that we should do prior to taking radiographs that will assist in protecting the patient from excessive radiation

Follow ALARA guidelines; lead/apron/thyroid collar, stepwedge; proper machine exposure settings

100

The xray tubehead contains a cathode and anode. Which one is negative? 

Cathode
100

Name this type of image. 

Bitewing

100

What is wrong with this film? 

overexposed

100
What is the fastest type of film? 

F speed

100

Name the error: 

Roller marks

100

What am I?

Max tuberosity

100

amalgam resto's

gold crown

100

recurrent decay

200
Why must we use a thyroid collar for imaging? 

It's a lymph tissue and therefore radiosensitive

200

What 2 shapes do collimators come in? 

Round; Rectangular

200

The non-threshold theory suggests???

Any amount of radiation exposure, regardless of how minimal, carries a proportional increase in cancer risk.

200

Should pregnant women ever have radiographs? 

Only when the benefit outweighs the risks! Avoid the first trimester (why?) and always use a lead apron

200

What 3 ways can the operator avoid the beam? 

Distance, Position, Shielding

200

Name one radiosensitive organ: 

•Lymphoid tissue

•Bone marrow

•Testes

•Intestines

200

Who prescribes dental images? 

The DENTIST

200

Name 2 parts of the xray tubehead that help control the passage of photons through the PID.

Aluminum discs

Lead collimator

Tubehead seal

Unleaded glass window

200

Name this type of image: 

periapical

200

What's this issue with this film? 

underexposed

200

What is in the emulsion on the film that effects the speed of the film? 

Silver halide crystals

200

Name the error: 

double image

200

What am I? 

Outline of max sinus

200

SSC

200

cervical burnout

300

Traditional film imaging uses film speed. Which film speed is the slowest? Fastest? 

A is slowest; F is fastest

300

What images do we take the collimator off for when learning at UFV? Why? 

Bitewings; to prevent cone cut and the potential for additional radiation with a re-take

We will try and use the collimator on patients as best we can

300

Latent Period refers to the time.....

between exposure to ionizing radiation and the appearance of observable clinical signs

300

What radiographic technique is most commonly used with during endo appts? Why? 

Bisecting......usually they have a file in their canal!

300

How many ft/meters should the operator be from the primary beam? 

6ft/2meters

300

Why are some tissues more resistant to radiation than others? 

They have elevated amount of DNA synthesis and repair enzymes

300

What does the Xray tubehead have that helps reduce radiation to the patient? 

Aluminim filters, lead collimator, PID

300

This is the measurement of the number of electrons moving through a conductor

millamperage

300

How many images (maximum) will an FMS have? 

18 max (12 minimum)

300

Identify the error in this film: 

foreshortened (too steep vertical angulation)

300

Extra-oral film contains screens. What do they do? 

The film is sensitive to fluorescent light, rather than direct exposure to x-radiation

300

Name the issue: 

developer splash; scratched film

300

The 36 has a? 

RCT

300

porcelain crowns

300

calculus

400

What benefits do beam alignment devices (Rinn's) have? 

Parallelism, reduced need for retakes, less geometric distortions etc

400

What is the law in which governs radiography? 

Safety Code 30

400

Who's the most susceptible to radiation? 

Children

400

What can we use to make it more comfortable for an edentulous pt and also ensure we get the image we need? 

Cotton rolls in edentulous areas

400

What position should the operator be at the avoid the primary beam? 

•Avoid the primary beam by standing either perpendicular or at a 90- to 135-degree angle to the beam

400

Large doses of radiation occur in dentistry. T or F? 

False

400

What is inherent filtration? 

Takes place when the primary beam passes through the glass window of the x-ray tube, the insulating oil, and the tubehead seal

400

This is the measurement of electrical force that causes electrons to move from a negative pole to a positive one

kilovoltage

400

What does ALARA stand for? 

As Low As Reasonably Achievable

400

Name the issue here: 

Cone cut

400

How far away does a dark room light need to be from the xray developer? 

4 feet

400

Name the main issue: 

overlapping

400

What is this? 

Incisive foramen

400

Gutta percha and comp resto's 

400

overhangs; calculus

500

The inverse square law means? 

•inversely proportional: One variable increases, the other decreases)

ie. exposure time decreased, mA increased etc

500

What is the MPD for occupationally exposed persons? What is the MPD for non-0ccupationally exposed persons?

•MPD for occupationally exposed persons is varies from 20 - 50 mSv/year (0.05 Sv/year or 5.0 rem/year)

•For nonoccupationally exposed persons it is 1mSv/year (0.1 rem/year)

500

The physical effects that occur IN the person who's received radiation are somatic or genetic? 

Somatic

500

Name 2 ways to prevent gagging? 

Salt on tongue/floor of mouth, work quickly, breath thru nose, ice cubes etc

500

What is a dosimeter? 

A rdn badge worn to assess the amount of radiation being received by the operator

500

Name one critical organ that is exposed to radiation during dental imaging? 

•Skin

•Thyroid gland

•Lens of the eye

•Bone marrow

500

Why is added filtration needed on an xray machine? 

•Filter out longer wavelength, lower energy x-rays from the x-ray beam

•Filtration results in a higher-energy and more penetrating useful beam

500

70% of radiation in the xray tube occurs in this manner: 

Braking (Bremstralung) radiation

500

Name 4 diagnostic criteria of radiographs: 

proper density, contrast, definition

2-3mm apices; show all tooth bearing areas

open contacts

least amount of distortion

500

What is philangioma? 

When a pt's finger is in the image.

500

What side of the film faces the PID? 

White side

500

Name the issue: 

pt not biting down properly

500

What landmark is a radiolucent circle between the mandibular bicuspids? 

mental foramen

500

root caries

500

amalgam tattoo