WorksheetsWeek 8 Radiography Panoramic Imaging
Total questions: 45
Worksheet time: 30mins
This is an extraoral technique that is used to examine the maxilla and the mandible on a single projection.
(a)
Select the following purposes for panoramic imaging.
Evaluate dentition and supporting structures
Evaluate impacted teeth
Evaluate eruption patterns, growth, and development
Detect diseases, lesions, and conditions of the jaws
Evaluate trauma and examine extent of large lesions
The movement of the receptor and the tubehead produces an image through the process known as:
Sonography
Tomography
Ultrasound
CT-scan
This is an imaging technique that allows the imaging of one layer, or section of the body while blurring the images of structures in other planes.
(a)
The pivotal point, or axis, around which the the receptor and the x-ray tubehead rotate is defined as the:
(a)
Three-dimensional curved zone in which the structures are clearly demonstrated on a panoramic image.
(a)
1. The closer the rotation center is to the teeth, the narrower the focal trough.
2. In most panoramic x-ray machines, the focal trough is narrow in the anterior region and wide in the posterior region.
First statement true, second false
First statement false, second true
Both true
Both false
This type of image results when a structure lies between the receptor and the moving rotation center.
(a)
1. A real image is a "true" image because it appears in the correct anatomic location with varying degrees of sharpness and distortion.
2. Structures found within the focal trough appear sharp on the resultant image while structures outside of the focal trough appear blurred.
First statement true, second false
First statement false, second true
Both true
Both false
This type of image results when an anatomic structure that is located behind the moving rotation center is penetrated twice by the x-ray beam.
(a)
This type of image results when an anatomic structure or object is located outside of the focal plane and close to the x-ray source.
(a)
The tubehead of the panoramic unit always rotates behind the patients head, while the receptor rotates in front of the patient.
True
False
What 2 things are only required in film-based panoramic imaging?
intensifying screens
collimator
cassette
magnified screens
Select the types of intensifying screens:
calcium tungstate
copper tungstate
rare earth
lead tungstate
1. Calcium tungstate screens emit blue light.
2. Rare earth screens emit green light.
True
False
1. Rare earth screens require less x-ray exposure than do calcium tungstate screens, and are considered faster.
2. Rare earth is preferred because of the less radiation exposure to the patient.
First statement true, second false
First statement false, second true
Both true
Both false
The dental radiographer must complete the panoramic imaging equipment preparations before preparing the patient for exposure.
True
False
The following are the equipment preparation steps for panoramic imaging:
1. Prepare the receptor
2. Prepare the bite-block
3. Choose exposure settings
4. Adjust machine height
True
False
With digital imaging, an overexposed image can be corrected with the use of software, but an underexposed image cannot.
True
False
Select the 2 most common patient preparation errors.
lead apron artifact
chin tipped up
ghost image
chin tipped down
A radiopaque artifact seen on a panoramic image is produced when a thick, dense object is located outside the focal plane and close to the x-ray source. (ex: extraoral piercing)
(a)
Name the artifact.
(a)
This positioning problem will result in a radiolucent shadow that obscures anterior teeth. This area of increased darkness occurs over the maxillary anterior region, and may be mistaken for bone loss.
chin tipped up
chin tipped down
lips not closed on bite block
head turned
This positioning problem will result in a dark radiolucent shadow that obscures the apices of the maxillary teeth.
tongue not against palate
chin tipped up
chin tipped down
slumped posture
What type of positioning problem causes a "reverse smile line" (curved downward)?
To prevent this error, you would position the patient so the Frankfort plane is parallel to the floor.
(a)
What type of positioning problem causes a "exaggerated smile line" or "jack-o-lantern" appearance (curved upward)?
(a)
What type of positioning problem causes anterior teeth to appear "skinny" and out of focus on the image?
This is caused by being too far forward on the bite stick.
head turned
teeth anterior to the focal trough
teeth posterior to the focal trough
slumped posture
What type of positioning problem causes anterior teeth to appear "fat" and out of focus on the image?
This is caused by being too far back on the bite stick.
teeth anterior to the focal trough
teeth posterior to the focal trough
slumped posture
head turned
What type of positioning problem causes the ramus and the posterior teeth to become unequally magnified.
The side farthest from film: magnified (fat)
The side closest to the film: smaller
(a)
Select the advantages of panoramic imaging:
Field size
Simplicity
Patient cooperation
Minimal exposure
Select the disadvantages of panoramic imaging:
Image quality
Focal trough limitations
Distortion
Equipment cost
You should position the midsagittal plane of the patient perpendicular to the floor.
True
False
The panoramic image should not be used to diagnose:
caries
periodontal disease
periapical lesions
Which of the following describes a use of a panoramic image?
diagnosis of caries
evaluation of periodontal disease
evaluation of impacted molars
evaluation of periapical disease
The zone in which structures are clearly demonstrated on a panoramic image is termed:
the focal trough
the rotation center
the ghost image
the midsagittal plane
Rare earth intensifying screens are recommended in panoramic imaging because:
rare earth screens emit a blue light
rare earth screens provide a more diagnostic image
rare earth screens require less x-ray exposure for the patient
the images convert faster in automatic processors
A thyroid collar is not recommended in panoramic imaging because:
it blocks the x-ray beam and obscures information
there is a relatively low does of radiation to the thyroid gland in panoramic imaging
it is impossible to sterilize the thyroid collar
None of the above
The imaging line that passes from the bottom of the eye socket through the top of the ear canal is termed:
Midsagittal
Frankfort
Vertebral
Orbital
The receptor and the tubehead rotate around the patient.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
This type of image is used to examine the extent of large lesions.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
The tubehead contains a filament used to produce electrons and a target used to produce x-rays.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
The collimator is a lead plate with an opening in the shape of a narrow vertical slit.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
The vertical angulation of the tubehead is variable.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
A screen film is used.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
The vertebral column must be perfectly straight.
Panoramic imaging
Intraoral imaging
Both panoramic & intraoral imaging
