Dental Radiographic Image

Running head: DENTAL RADIOGRAPHIC IMAGE
DENTAL RADIOGRAPHIC IMAGE
Name of the Student:
Name of the University:
Author note:

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Case Study 1:
Q1) Explain how you would prepare Mr. White for his x-rays, any safety precautions you
take, your choice of x-ray equipment, accessories such as locating devices or guides, and
technique for the x-rays including positioning of film or film plate or sensors.
Mr. White was new patient and his initial appointment was for bitewing X-rays.
Bitewing X-rays are the most common type of X-rays taken up by the patient during regular
dental check-ups. Bitewing X-ray displays the upper and lower premolars and molars in a
solitary view. This X-ray is used to discover for decay, detection of infection leading to bone
loss and to evaluate severe gum diseases (Nwpgmd.nhs.uk 2019). Mr White was prepared to
position properly before taking up the X-ray. He has to be informed in detail about the X-ray
and the outcome of the test. He was asked to sit on the chair and to remove any orthodontic
appliances ion case he used any; the chair was adjusted with the headrest to support his head
while taking up the X-ray. Once he was positioned properly, the operator made sure that lead
aprons and the thyroid collar was given to him as a safety precaution.
The major safety precaution taken into consideration was to cover the patient with
lead aprons and thyroid collar, which will protect his exposed body parts from radiation
including his neck and reproductive organs. The radiation level in bitewing X-ray method is
very less when compared to other radiation approach still the safety measures were
considered to avoid any future risk (Dianati et al. 2014). Except the operator and the
specialist, nobody else was allowed in the X-ray room. Film holders were used so that the
patient do not have to hold the film or nay kind of exposure takes place.
For bitewing X-ray, Rinn bitewing instrument was used where patient has to bite a
wing, which will be placed on the X-ray film to examine the problem. There are three
different types of film, which can be used for this process such as interproximal caries,

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restorations contours and Crestal bone levels. The film was placed in the instrument. The
premolar and molar bitewing film was placed in the second premolars and second molars
respectively. It is always recommended to start the process by placing the film first in second
premolars, so that the patient is adjusted with the film. Once X-ray is done for both
premolars, the operator should move the film to second molars. In case of Mr White, film
size of 31*41 mm was used with a longer film packet of size 53*26 mm (Training.gov.au
2019). The film is placed inside the mouth parallel to the crown with the X-ray beam directed
in contact with the teeth or over the connection areas, with right angles of the teeth and the
film packet. In this method of X-ray film holders are used to eliminate the traditional method
of bitewing X-ray were detachable tabs were used instead of film holders. Each bitewing X-
ray expose the upper as well as lower part of the teeth with a detail view of the roots and the
supportive bone.
Q2) What precautions do you take to ensure quality x-rays and how do you label, mount and
store the x-rays correctly?
X-ray technicians are used to operate and to maintain the X-ray with quality. In order
to get supreme quality of X-rays, the technicians are firstly required to manipulate or operate
the equipment properly with prior knowledge of the machine (Zenobio et al. 2018). After
every X-ray conducted, it is necessary to wash or clean up the equipment to ensure the best
quality of the X-ray because the correct calibration of the equipment is necessary to avoid
any kind of error. The second most important aspect of maintaining supreme quality of X-ray
is the perfect patient alignment. The proper positioning of patient is the only important
criteria while taking up the X-ray as the Film needs to be placed correctly with minimum
possibility of error. In case of movable x-ray equipment, good ergonomic methods need to be
used (Zenobio et al. 2018). Precautions has to be taken while developing the X-ray film too.