Table of Contents INTRODUCTION...........................................................................................................................3 TASK 1...........................................................................................................................................3 Correct way to check fully functioning of imaging equipment..................................................3 Four items interfering with radiographic image and their removal............................................4 Concerns of individuals regarding dental imaging and its reassurances.....................................4 TASK 2...........................................................................................................................................5 Chemicals used in developing a radiograph and what they contain...........................................5 Explain what is wrong with the following radiographs and give them a quality assurance grade 1, 2 or 3..............................................................................................................................6 TASK 3............................................................................................................................................7 Procedure at surgery for producing dental images......................................................................7 Ensuring the quality of image is maintained throughout the procedure.....................................8 Procedure of surgery for storage of images................................................................................8 CONCLUSION................................................................................................................................9 REFERENCES..............................................................................................................................10
INTRODUCTION Dental images refers to conduct a legal procedure of radiographic examination of teeth by care practitioners to determine actual dental problems. It includes an effective process with the help of using appropriate equipments and chemicals by maintaining safety of patient to take images for analysing defects for treating them properly (Banerji, Mehta and Ho, 2017). The present report is based on correct way to check functioning of imaging equipment and items interfering radiography. It will focus on chemicals used in developing radiograph and their components in them. The procedure at surgery for producing dental images and ensuring their quality along with storage of them is given below. TASK 1 Correct way to check fully functioning of imaging equipment The radiography in dental health is a method to take clear oral images to determine actual problems in gums, teeth and other relevant areas in order to treat it properly. It involves intra-oral and extra-oral x-rays having their sub categories which are utilised by dentist for evaluating related problems for providing treatment in an appropriate manner. Meanwhile, these sub- sections are depends the area from images are required to be taken to identify the dental issue. However, radiography requires several equipments for imaging such as X-ray generating equipments for producing x-rays, image receptors i.e. film & digital to detect x-rays and image processing including chemical or computer to develop visual black, white and grey image of infected oral area. It requires certain resources to produce dental images including holders, film, receptors, mounting sheets and software (Uyar and et. al., 2016). The imaging equipment can be checked by evaluating components of every equipment that is utilise by care practitioner to make sure their proper condition for working. However, the X-ray machine consist three main components including a tube-head, positioning arms and a control panel & circuitry. Meanwhile, it is necessary to check their sub parts' condition like glass x-ray tube including filament, copper block & target, step-up & step-down transformer, lead shield to reduce leakage, surrounding oil to facilitate heat removal and aluminium filtration to remove harmful low energy. In addition to this, the second component should be checked by analysing its sub sections of control panel like main switches, warning lights, timer, warning lights & audible signals of generating x-rays, film speed selector, patient size selector, mains
voltage compensator, kilo voltage selector, milliamperage switch and exposure adjustment for digital imaging. The circuitry & tube voltage consist several parts for checking including high potential difference and low voltage current to ensure its accuracy. At the other hand, these equipments should be checked for a once in every moth for maintaining and cleaning them in proper way. Four items interfering with radiographic image and their removal The radiographic image will not clearly visible if something else is present on human body. It has been analysed that presence of any kind of metal is responsible for interfering with radiographic image and it is very important to remove all these items which interferes the same (Schlafer and et. al., 2017). However, items that can interfere with radiography consist any type of jewellery, mobile phone in hands, internal implanted metal, belt, wallet etc. In addition to this, it has been analysed that presence of metal is responsible for disturbing radiographic images due to which internal problem will not visible clearly. Meanwhile, unclear images create confusions and they face difficulty for dentist to provide an effective treatment to make patient well being. Moreover, care practitioners can insist people to remove such things by assuring that their belongings will remain safe and it is very important to do so for their wellness. Additionally, it is necessary to make them convinced by providing knowledge about significance of removing jewellery for their treatment. Concerns of individuals regarding dental imaging and its reassurances People usually get scared regarding dental imaging about the procedure because they do not have an idea about the procedure of it. It is observed that many of individuals deny for participating in dental imaging and ask dentist to just provide a medicine for relief. However, it is necessary for care professionals to provide them information regarding dental imaging and make them comfortable by assuring that it is very easy and patient will not face any kind of difficulty (Fox and et. al., 2018). Meanwhile, it has been analysed that dentists should discuss with a person about their diagnosing method and treatment to make them comfortable for using the same before implementation. Moreover, another concern is about side effects of procedure related to dental imaging including harm to eyes, ears and mouth due to connecting veins which are required to clear by dental practitioner. Additionally, people has lots of doubt with them due to lack of knowledge about dental imaging which must be solved via care professionals to make them convinced for actively participating in this diagnosing process.
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At the other hand, it is observed that patients want to know about entire procedure of completing dental imaging which assure them undergone this diagnosing method. It is necessary for care professionals to make an effective communication with patients in order to remove their fear and doubts to gain their appropriate cooperation for achieving accurate outcomes. However, it will facilitate to make correct decision of treatment for making an individual healthy. TASK 2 Chemicals used in developing a radiograph and what they contain Radiography is a procedure for generating images of internal parts of human body to analyse actual problems inside for treatment it in proper manner. It includes the utilisation of specific equipment for developing radiographic image with the help of operating the same in appropriate way (Bae and et. al., 2017). However, it has been analysed that number of chemicals are used in developing a radiograph which consist a developing agent, preservative, activator, restrainer, hardener and fungicide, buffers & solvent. Initially, developing agent contains Hydroquinone(para-dihydroxybenzene),ElonorMetol(monomethyl-para-aminophenol sulphate) and Metol/phenindione (l-phenyl-3-pyrazolidone). Secondly, sodium sulphite is used as a preservative in terms of creating radiographic image in dental care. Thirdly, activator consist sodiumcarbonate(NaCO3)thatgivesalkalinemediumwhichisrequiredforactionof hydroquinone and other activators may consist sodium hydroxide (NaOH), sodium metaborate (BNaO2)& sodium tetraborate (Na2[B4O5(OH)4]·8H2O). In addition to this, the Potassium bromide (KBr) or benzothiazole (C7H5NS) is utilised asarestrainerwhichhelpstopreventchemicalfog.Meanwhile,hardenercontains Glutaraldehyde to prevent emulsion and sticking to others whereas fungicide is used to restrict growth of bacteria accordingly (Cimprich,Karim and Young, 2018). Moreover, buffers is required to be added for maintaining pH of developer for proper action and distilled water that is utilised as a solvent in which chemicals can react with silver bromide of emulsion.
Explain what is wrong with the following radiographs and give them a quality assurance grade 1, 2 or 3 Fault– This image of teeth has a fault of dropped film corner because the film edge is not placed parallel to the occlusal surface of the teeth. It has another problem that crown is not properly shown as there is no enough film extending occlusally. Area of interest is not shown because of not placing film to cover all the teeth in the are of interest. Grade– The quality grade for this radiographic image is 2.
Fault– Considering above image, it has been analysed that there is a problem of reticulation due to sudden temperature subjected by film between developer and water. It results into image appeared as cracked image and black spot or patch are observed due to a problem that the developer contamination before immersion into the developer solution. Grade– The quality grade of this radiographic image is 3. Fault– This image has a fault of scratched film due to which white lines appear on the film because of careless handling of it. It also consist problem of static electricity which is responsible for occurrence of thin black branching lines that mostly occurs at the time of low humility. This image is blur also. Grade– The quality grade of this radiographic image is 3. TASK 3 Procedure at surgery for producing dental images The procedure for developing dental images at surgery consist number of steps which are required to followed in correct sequence very carefully. It is necessary for care practitioners to carefully place a film and maintain other relevant aspects for producing clear image which facilitatetodetermineactualproblems.However,identifyingdentalissueaccuratelyis favourable to make correct decision for providing more effective as well as efficient treatment to
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attain wellness of a person. Meanwhile, the procedure of producing dental images contains several steps such as development, rinsing, fixing, washing and drying. Firstly,developmentcan be described as a chemical process using developer that is responsible for amplifying the latent image through a factor of millions in order to prepare a visible silver pattern. It consist the basic chemical reaction of reduction of silver ion (Ag+) which converts it into black metallic silver. Secondly,rinsingconsist to conducting gentle rinsing for 30 seconds continuously which is essential after developing to dilute developer and removing alkali activator (Yang and et. al., 2018). Thirdly,fixingrefers to a chemical solution fixer which is utilised to remove unexposed, unenergized silver halide crystals from the film emulsion. However,washingcan be considered as an important action which is essential to remove overall extra chemicals from the emulsions thoroughly. Moreover,dryingis known as an activity that consist to be air dried at room temperature in a dust free area completely before handling for mounting and viewing. Ensuring the quality of image is maintained throughout the procedure The quality is an important factor which should be maintained while carrying out entire process of developing radiographic images of oral area. It is necessary for care practitioners to remain very careful while producing dental images to conduct every single step for gaining clearly visible pictures to determine actual problem accordingly. However, it is necessary to maintain accurate temperature of solution and proper timing for completing each step including time of developing, rinsing, fixing and washing that is helpful to identify dental issue for making correct decision regarding treatment of patient (Janjić and et. al., 2018). It is essential for dental professional to remain aware about required temperature of every activity of this process. Moreover, it is necessary to make sure about film based quality that can get affected by several components like contrast, image geometry, characteristics of X ray beams and image sharpness as well as resolution. It has been analysed that focusing on these factors in entire procedure will provide support to make sure about quality of image is maintaining throughout this process. Procedure of surgery for storage of images The storage of radiographic images for surgery can be stored in computers for further use intermsofconductingoverallsurgicalprocedureproperly.Itisnecessaryfordental professionals to store radiographic dental images in proper way and then display them on computer screens to conduct surgical activity appropriately. However, it is necessary for them to
maintain effective storage through which they can visible the problem to conduct surgical procedure in order to gain better patient outcomes. Moreover, use of computers is helpful for them to gain accurate information about specific dental issue and make accurate decision for treating the same more proper manner. CONCLUSION From the above report, it has been concluded that dental images are helpful to clearly view related problems for treating in appropriate manner. It consist thetube-head, positioning arms and a control panel & circuitry that be checked by analysing proper functioning of radiograph producing equipment. However, it includes jewellery, mobile phone in hands, internal implanted metal, belt and wallet that create problem to develop clear radiographic image of oral area.Meanwhile, it includes Hydroquinone, Elon or Metol, Metol/phenindione, sodium sulphite, sodium carbonate and Potassium bromide that are chmeicals used in this procedure. Moreover, itinvolves procedure of producing dentalimagesincluding severalsteps like development, rinsing, fixing, washing and drying.
REFERENCES Books and journals Banerji, S., Mehta, S.B. and Ho, C.C. eds., 2017.Practical procedures in aesthetic dentistry. Wiley Blackwell. Uyar, T. and et. al., 2016. Electrospun nanofiber reinforcement of dental composites with electromagneticalignmentapproach.MaterialsScienceandEngineering:C,62, pp.762-770. Schlafer, S. and et. al., 2017. Extracellular DNA contributes to dental biofilm stability.Caries research,51(4), pp.436-442. Fox, A. and et. al., 2018. A novel method for characterizing beam hardening artifacts in cone- beam computed tomographic images.Journal of endodontics,44(5), pp.869-874. Bae, E.J. and et. al., 2017. A comparative study of additive and subtractive manufacturing for dental restorations.The Journal of prosthetic dentistry,118(2), pp.187-193. Cimprich, A., Karim, K.S. and Young, S.B., 2018. Extending the geopolitical supply risk method: material “substitutability” indicators applied to electric vehicles and dental X- ray equipment.The International Journal of Life Cycle Assessment,23(10), pp.2024- 2042. Yang, C. and et. al., 2018. Antigen I/II mediates interactions between Streptococcus mutans and Candida albicans.Molecular oral microbiology,33(4), pp.283-291. Janjić, K. and et. al., 2018. Angiogenin production in response to hypoxia and l‐mimosine in periodontal fibroblasts.Journal of periodontology.