Menu Expand
Frommer's Radiology for the Dental Professional - E-Book

Frommer's Radiology for the Dental Professional - E-Book

Jeanine J. Stabulas-Savage

(2018)

Additional Information

Book Details

Abstract

Develop your imaging skills with Radiology for the Dental Professional, 10th Edition. With a wealth of features that underscore practical application, you will not only learn the proper step-by-step techniques for safe and effective dental imaging, but you’ll also learn how to evaluate and, if applicable, interpret the images. This full-color 10th Edition boasts new content on digital imaging, expanded information on radiation safety and infection control, plus updated new photos of the latest techniques and technology. New chapter summaries and review questions further reinforce your understanding and application skills, and feature boxes help you troubleshoot and prevent common errors. Overall, it’s the ideal radiology introduction for anyone pursuing a successful career in the dental professions!

  • Approachable writing style simplifies complex concepts for easier reading and comprehension.
  • Step-by-step illustrated procedure boxes detail key skills and competencies.
  • Common Errors features explain mistakes and provide strategies to prevent or resolve them.
  • Advantages/Disadvantages boxes summarize the pros and cons of each radiographic technique.
  • Key terms are listed on the chapter opening page, highlighted in text, and defined in back-of-book glossary.
  • NEW! Content on digital imaging has been added throughout the text, as well as expanded information on radiation safety, infection control, and more.
  • NEW! Full-color design with updated photos and illustrations includes all-new images of techniques and the latest equipment.
  • NEW! Expanded focus on radiographic interpretation and evaluation equips you to help provide optimal patient care.
  • NEW! Chapter review questions help you assess your understanding of chapter material and identify strengths and areas for improvement.
  • NEW! Chapter summaries review key concepts and skills and serve as checkpoints for comprehension.

Table of Contents

Section Title Page Action Price
Front Cover cover
Evolve page IFC1
Half title page i
Frommer's Radiology for the Dental Professional iii
Copyright Page iv
Dedication v
Reviewers vi
Preface vii
Acknowledgments viii
Founding Author ix
Table Of Contents x
1 The History of Ionizing Radiation and Basic Principles of X-Ray Generation 1
Educational Objectives 1
Key Terms 1
Introduction 1
History of X-Rays 1
Names and Dates to Remember 1
Radiation 4
Electromagnetic Spectrum 4
Atomic and Molecular Structure 6
Ionization 7
X-Ray Tube 8
High Voltage 8
Source of Electrons 8
Target 8
Heat Production 8
X-Ray Production 9
Bremsstrahlung and Characteristic X-Rays 11
General Radiation or Braking (Bremsstrahlung) Radiation 11
Characteristic Radiation 12
Chapter Summary 12
Chapter Review Questions 12
Multiple Choice 12
Critical Thinking Exercises 13
Bibliography 13
2 The Dental X-Ray Machine 14
Educational Objectives 14
Key Terms 14
Introduction 14
Electricity 14
Rectification 15
Circuitry 17
Control Panel 17
Timer 18
X-Ray Beam 18
Quality and Quantity of X-Rays: The Difference Between Milliamperage and Kilovoltage 19
Quality 19
Half-Value Layer 20
Quantity 20
Intensity 21
Filtration 21
Collimation 22
Rectangular Collimation 22
Chapter Summary 23
Chapter Review Questions 23
Multiple Choice 23
Critical Thinking Exercises 24
Bibliography 24
3 Image Formation 25
Educational Objectives 25
Key Terms 25
Introduction 25
Density and Contrast 25
Object Contrast 26
Short Scale 26
Long Scale 26
Contrast and Conventional Radiography 27
Scatter Radiation—Film Fog 27
Film Contrast (Conventional Radiography) 28
Image Sharpness, Resolution, Detail, and Definition 28
Size of Tube Focal (Target) Area 28
Target-Receptor Distance (Focal-Film Distance) and Object-Receptor Distance (Object-Film Distance) 28
Target-Receptor Distance (Focal-Film Distance) 29
X-Ray Tube Position 30
Inverse Square Law 30
Object-Receptor Distance (Object-Film Distance) 31
Image Distortion and Enlargement 31
Movement 32
Viewing Conditions 32
Chapter Summary 33
Chapter Review Questions 33
Multiple Choice 33
Critical Thinking Exercises 34
Bibliography 34
4 Image Receptors 35
Educational Objectives 35
Key Terms 35
Introduction 35
History of Dental X-Ray Film 35
Film Packet 36
Film Composition 37
Film Sensitivity (Speed) 37
Film Fog 38
Duplicating Film 38
Procedure 38
Film-Screen Combination 39
Intensifying Screens 39
Digital Imaging 41
Direct Digital Imaging Receptors 41
Indirect Digital Imaging Receptors 41
Chapter Summary 41
Chapter Review Questions 42
Multiple Choice 42
Critical Thinking Exercises 42
Bibliography 42
5 Biologic Effects of Radiation 44
Educational Objectives 44
Key Terms 44
Introduction 44
Historical Concern About the Effects of Ionizing Radiation 44
Interaction of X-Rays with Matter 45
Effects of Ionizing Radiation 46
Direct and Indirect Effects 46
Units of Radiation Measurement 46
Exposure 47
Dose 47
Dose Equivalent 47
Basic Concepts 48
Exposure and Dose 48
Localized Radiation and Total Body Exposure 48
Dose–Response Curve 48
Somatic and Genetic Effects 49
Stochastic and Deterministic (Nonstochastic) Radiation Effects 49
Acute and Chronic Effects 49
Latent Period, Period of Injury, and Cell Recovery 49
Dose Rate 49
Long-Term Effects 50
Risk Estimates 50
Tissue Sensitivity 50
Critical Organs 50
Background Radiation 50
Patient Dosage 51
Skin 51
Eyes 51
Thyroid 51
Bone Marrow 51
Gonads 52
Pregnancy 52
Radiation Caries 52
Chapter Summary 52
Chapter Review Questions 53
Multiple Choice 53
Critical Thinking Exercises 53
Bibliography 53
6 Patient Protection 55
Educational Objectives 55
Key Terms 55
Introduction 55
Patient Protection 55
Equipment 56
Tube Head and Arm 56
Head Leakage 56
Drift 56
Kilovoltage and Milliampere Seconds 56
Filtration 57
Collimation 57
Timing Device 57
Position-Indicating Devices 57
Receptor (Film) Holders 58
Digital Sensors, Film, and Intensifying Screens 58
Lead Aprons and Thyroid Collars 59
Technique 59
Retakes 59
Paralleling Technique 59
Target-Receptor Distance (Focal-Film Distance) 59
Processing and Viewing With the Use of Conventional Film 60
Darkroom 60
Viewing Finished Radiographs 60
Clinical Judgment 60
Radiation History 60
Selection Criteria 61
Administrative Radiographs 63
Chapter Summary 63
Chapter Review Questions 63
Multiple Choice 63
Critical Thinking Exercises 64
Bibliography 64
7 Operator Protection 65
Educational Objectives 65
Key Terms 65
Introduction 65
Operator Dosage and Protection 65
Maximum Permissible Dose 65
Exposure Technique 66
Radiation Monitoring 66
Protective Barriers 67
Pregnancy 68
ALARA Principle (Concept) 68
Patient Concerns and Education 68
Chapter Summary 68
Chapter Review Questions 69
Multiple Choice 69
Critical Thinking Exercises 69
Bibliography 69
8 Infection Control in Dental Radiography 70
Educational Objectives 70
Key Terms 70
Introduction 70
Infection Control in Dental Practice 70
Patient Medical History 71
Sources of Infection 71
Personnel 72
Protective Clothing 72
Masks/Eye Protection/Plastic Face Shields 72
Gloves/Hand Washing 72
Barriers 72
Sterilization and Disinfection 73
Digital Radiography 74
Film Packets 74
Processing Solutions 75
Automatic Processing (Conventional Radiography) 76
Panoramic Radiography 76
Antibiotic Prophylaxis 77
Immunization 77
Chapter Summary 77
Chapter Review Questions 78
Multiple Choice 78
Critical Thinking Exercises 78
Bibliography 78
9 Intraoral Radiographic Technique 80
Educational Objectives 80
Key Terms 80
Introduction 80
The Radiographic Survey 81
Pediatric Full-Mouth Survey 81
Edentulous Series 82
Quality Assurance 84
Paralleling Technique 84
Advantages and Disadvantages of the Paralleling Technique Compared with the Bisecting Angle Technique 85
Advantages of the Paralleling Technique 86
Disadvantages of the Paralleling Technique 87
Exposure Routine 87
Film Holders 88
Method 89
Exposure Time 89
Chair Position: Occlusal and Sagittal Plane Orientations 89
Receptor Position 90
Point of Entry 90
Vertical Angulation 90
Horizontal Angulation 91
Chapter Summary 104
Chapter Review Questions 105
Multiple Choice 105
Identify the Following Intraoral Radiographic Errors 105
Bibliography 106
10 Accessory Radiographic Techniques 107
Educational Objectives 107
Key Terms 107
Introduction 107
Bisecting Technique 107
Advantages of the Bisecting-Angle Technique 108
Disadvantages of the Bisecting-Angle Technique 108
Method 108
Occlusal Projections 108
Right-Angle Projection 115
Topographic Projections 115
Occlusal Receptor 115
Mandibular Occlusal Technique 116
Maxillary Occlusal Technique 116
Chapter Summary 119
Chapter Review Questions 119
Multiple Choice 119
Case-Based Critical Thinking Exercise 120
Radiographic Interpretation 120
Bibliography 121
11 Film Processing Techniques 122
Educational Objectives 122
Key Terms 122
Introduction 122
Manual Processing 123
Design and Requirements of the Darkroom 123
Location and Size 123
Lighting 123
Illuminating Safelight 123
Cell Phones 124
Overhead White Light 124
Viewing Safelight 124
X-Ray Viewbox 124
Outside Warning Light 124
Plumbing 124
Contents 125
Processing Tanks 125
Solutions 125
Replenishing 125
Timer and Thermometer 126
Film Hangers 126
Dryer 126
The Development Process 126
Explanation and Discussion 126
Latent Image 126
Developing 127
Rinsing (Stop Bath) 128
Fixing 128
Washing and Drying 129
Time-Temperature Versus Sight Development 129
Rapid Processing 129
Extraoral and Panoramic Films 129
Care and Maintenance of the Darkroom 129
Cleanliness 130
Solutions 130
Record Keeping 130
Environmental Concerns 130
Silver 131
Automatic Processing 131
Size of Film 132
Safelight 132
Plumbing 132
Automatic Replenishment 132
Care and Maintenance 132
Duplicate Radiographs 133
Chapter Review Questions 138
Multiple Choice 138
Case-Based Critical Thinking Exercise 138
Bibliography 139
12 Panoramic Radiography 140
Educational Objectives 140
Key Terms 140
Introduction 140
The Basics of Panoramic Radiography 140
Pantomogram 142
Digital Radiography 142
Advantages and Disadvantages: Panoramic Radiography 143
Panoramic Image 146
Advantages 146
Size of the Field 146
Quality Control 147
Simplicity 148
Patient Cooperation 148
Time 148
Dose 148
Disadvantages 148
Image Quality 148
Focal Trough (Image Layer) 148
Overlap 148
Superimposition 148
Distortion 149
Overuse 149
Cost 149
Indications 149
Interpretation 149
Technique 149
Processing 149
Contemporary Panoramic Imaging Artifacts 154
Chapter Summary 155
Chapter Review Questions 155
Multiple Choice 155
Case-Based Critical Thinking Exercise 156
Bibliography 157
13 Extraoral Techniques 158
Educational Objectives 158
Key Terms 158
Introduction 158
Indications 158
Equipment 159
X-Ray Unit 159
Cassettes 159
Film-Screen Combination 159
Holding Devices 160
Grids 160
Film Sensitivity and Processing 160
Projections 160
Lateral Oblique Projection of the Mandible 161
Clinical Indication 161
Receptor/Patient/Central Ray Position 161
Exposure Settings 161
Lateral Skull Projection 161
14 Radiography of the Temporomandibular Joint 166
Educational Objectives 166
Key Terms 166
Introduction 166
Anatomy of the Temporomandibular Joint 166
Transcranial Temporomandibular Joint Projection 166
Clinical Indication 167
Receptor/Patient/Central Ray Position 167
Exposure Settings 167
Submentovertex (Basilar) Projection 167
Panoramic Projection 167
Conventional Tomography 168
Computed Tomography 169
Magnetic Resonance Imaging 169
Arthrography 169
Chapter Summary 170
Chapter Review Questions 171
Fill-in-the-Blank/Multiple Choice: 171
Bibliography 171
15 Digital Imaging 172
Educational Objectives 172
Key Terms 172
Introduction 172
Digital Image 172
X-Ray Unit 173
Sensors 173
Nature of the Image 174
Types of Digital Systems 182
Direct Digital Radiography 182
Indirect Digital Radiography (Storage Phosphor) 182
Optically Scanned Digital Radiography 182
Legal Aspects 183
Chapter Summary 183
Chapter Review Questions 183
Multiple Choice 183
Critical Thinking Exercise 184
Bibliography 184
16 Advanced Imaging Systems 185
Educational Objectives 185
Key Terms 185
Introduction 185
Computed Tomography Scanning 186
Cone Beam Computed Tomography 189
Acquiring the Image 189
Basic Information: Cone Beam Computed Tomography 190
Radiation Dosages 190
Magnetic Resonance Imaging 191
Nuclear Medicine 191
Chapter Summary 191
Chapter Review Questions 192
Multiple Choice 192
Critical Thinking Exercise 192
Bibliography 192
17 Quality Assurance 193
Educational Objectives 193
Key Terms 193
Introduction 193
Chairside Technique 193
Dental X-Ray Machine Maintenance 194
Conventional Radiography Quality Assurance 194
Processing Technique 194
Film Maintenance 197
Extraoral Radiography 197
Lead Contamination 197
Digital Radiography Quality Assurance 197
Digital Sensor Maintenance 197
Chapter Summary 197
Chapter Review Questions 197
Multiple Choice 197
Critical Thinking Exercise 198
Bibliography 198
18 Patient Management and Special Problems 199
Educational Objectives 199
Key Terms 199
Introduction 199
Management 200
Patients with Disabilities and Special Needs 200
Physical Disability 200
Mobility 200
Developmental Disability 201
Hearing Impairment 201
Vision Impairment 202
Pediatric Patients 202
Reverse Bitewings 202
Special Problems 204
Gagging 204
Attitude 204
Film Order and Technique 205
Deep Breathing 205
Bite Blocks and Receptor-Holding Devices 205
Lozenges, Gargles, and Sprays 205
Hypnosis 205
Salt 205
Localization Problems 206
Definition Evaluation 206
Tube Shift 206
Right-Angle Technique 207
Pantomography 207
Third Molar Problems 207
Maxilla 207
Mandible 207
Receptor Placement Problems 208
Narrow Arch 208
Shallow Palate 208
Lingual Frenulum 208
Tori 208
Canine Overlap 209
Trismus 209
Endodontic Problems 210
Grid Measurement 210
Radiopaque Media 211
Chapter Summary 212
Chapter Review Questions 212
Multiple Choice 212
Critical Thinking Exercise 212
Bibliography 212
19 Film Mounting and Radiographic Anatomy 213
Educational Objectives 213
Key Terms 213
Introduction 214
Descriptive Terminology 214
Mounts 214
Mounting 215
Procedure 215
Mounting in Digital Imaging 216
Normal Radiographic Anatomy 216
Radiographic Tooth Anatomy 217
Restorations 225
Radiographic Anatomy for Panoramic Films 225
Mandibular Foramen 226
Pharyngeal Airspace 226
Styloid Process 226
Mandibular Condyle 226
Pterygomaxillary Fissure 226
Occlusal Radiographs 228
Extraoral Projections 228
Chapter Summary 230
Chapter Review Questions 230
Multiple Choice 230
Radiographic Appearance of Common Anatomic Landmarks 231
Bibliography 231
20 Principles of Radiographic Interpretation 232
Educational Objectives 232
Key Terms 232
Introduction 232
Differential Diagnosis 232
Diagnostic Questions 233
Preliminary Questions 233
Questions That Follow the Preliminary Radiographic Examination 233
Chapter Summary 235
Chapter Review Questions 236
Matching 236
Critical Thinking Exercise 236
Bibliography 236
21 Caries and Periodontal Disease 237
Educational Objectives 237
Key Terms 237
Introduction 237
Caries 237
Incipient Caries 238
Interproximal Caries 238
Occlusal Caries 239
Buccal and Lingual Caries 239
Conditions Resembling Caries 240
Cervical Burnout 240
Abrasion, Attrition, Erosion, and Enamel Hypoplasia 240
Indirect Pulp Capping 241
Restorative Materials 241
Periodontal Disease 241
Normal Periodontal Structures 242
Techniques 243
Risk Factors in Periodontal Disease 243
Calculus 243
Restorations 243
Anatomic Configurations 244
Stages of Periodontal Disease 244
Gingivitis (Type I) 244
Mild or Slight Periodontitis (Type II) 244
Moderate Periodontitis (Type III) 245
Advanced or Severe Periodontitis (Type IV) 245
Periodontal Abscess 245
Chapter Summary 246
Chapter Review Questions 247
Multiple Choice 247
Critical Thinking Exercise 248
Bibliography 248
22 Pulpal and Periapical Lesions 249
Educational Objectives 249
Key Terms 249
Introduction 249
Pulpal Lesions 249
Anatomy 249
Pulp Calcifications 250
23 Developmental Disturbances of Teeth and Bone 257
Educational Objectives 257
Key Terms 257
Introduction 257
Tooth Development (Odontogenesis) 257
Eruption of Teeth 258
Impacted Teeth 258
Supernumerary Teeth (Hyperdontia) 261
Congenitally Missing Teeth 261
Malposition of Teeth 262
Hypercementosis 262
Enamel Pearls 262
Fusion 262
Gemination 262
Concrescence 262
Dens Invaginatus 263
Dilaceration 263
Taurodontia (Taurodontism) 263
Amelogenesis Imperfecta 263
Dentinogenesis Imperfecta 264
Fissural Cysts 264
Cleft Palate 264
Dentigerous Cyst 264
Chapter Summary 266
Chapter Review Questions 266
Matching 266
Critical Thinking Exercise 266
Bibliography 266
24 Bone and Other Lesions 267
Educational Objectives 267
Key Terms 267
Introduction 267
Description of Lesions 267
Radiolucent versus Radiopaque 267
Location 267
Extent of the Lesion 267
Benign versus Malignant 268
Cysts and Tumors 268
Metabolic Bone Lesions 268
Traumatic Injuries 269
Foreign Bodies and Root Tips 270
Extraction Sockets 270
Salivary Stones (Sialoliths or Salivary Calculi) 271
Exostosis and Enostosis 272
Chapter Summary 273
Chapter Review Questions 273
Matching 273
Case-Based Exercises 273
Bibliography 274
25 Legal Considerations 275
Educational Objectives 275
Key Terms 275
Introduction 275
Federal and State Regulations 275
Licensure 275
Risk Management 276
Patient Relations 276
Informed Consent 276
Health Questionnaire 276
Records 276
Confidentiality 277
Ownership 277
Retention 278
Insurance Claims 278
Chapter Summary 278
Chapter Review Questions 279
Short Answer Questions 279
Bibliography 279
Appendix A Common Error Summaries 280
Glossary 287
A 287
B 287
C 288
D 288
E 289
F 290
G 290
H 290
I 291
K 291
L 291
M 291
N 292
O 292
P 292
Q 293
R 293
S 294
T 294
U 295
V 295
W 295
X 295
Z 295
Index 296
A 296
B 296
C 297
D 298
E 299
F 300
G 301
H 301
I 302
J 303
K 303
L 303
M 303
N 305
O 305
P 306
Q 307
R 307
S 309
T 310
U 310
V 310
W 310
X 311
Z 311