Extra-Oral Views Flashcards

1
Q

Which three extra-oral images relating to the mandible are regularly seen?

A

posterior-anterior mandible
Lateral oblique of mandible
DPT

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2
Q

Which three extra-oral images relating to the maxilla and cranium are regularly seen?

A

Lateral cephalogram (skull)
Occipito-mental views (face)
Sailography

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3
Q

What does an ‘oblique’ angle mean?

A

Neither parallel nor at right angles to a specified or implies line: slanting

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4
Q

What does ‘PA’ stand for?

A

Postero-anterior

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5
Q

What does ‘AP’ stand for?

A

Antero-posterior

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6
Q

What does ‘OM’ stand for?

A

Occipito-mental

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7
Q

What are positioning landmarks?

A

A series of imaginary lines on the side of a patient’s face which are used to help position a patient for extra-oral radiography

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8
Q

Name the three main positioning landmarks

A

Radiographic base line
Frankfort plane
Maxillary occlusal plane

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9
Q

Name the three main positioning landmarks

A

Radiographic base line
Frankfort plane
Maxillary occlusal plane

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10
Q

Which positioning landmark matches the description below?

Line from outer canthus of the eye to the external auditory meatus, representing the base of the skull.

A

Radiographic base line

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11
Q

Which positioning landmark matches the description below?

Line from the ala of the nose to the tragus of the ear. This landmark is used a lot in cone beam CT.

A

Maxillary occlusal plane

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12
Q

Which positioning landmark matches the description below?

Line from the inferior orbital border to the upper border of the external acoustic meatus. Can also be known as the anthropological base line.

A

Frankfort plane

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13
Q

which positioning landmark is most often used when taking a DPT?

A

Frankfort plane

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14
Q

What are the components of equipment required for an extra-oral radiograph to be taken?

A

Skull unit or cephalometric unit
Image receptor
Anti-scatter grid
Lateral cephalogram unit

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15
Q

what does scatter of x-ray photons do to the final image?

A

Degrade or fog the image

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16
Q

What is an anti-scatter grid?

A

A grid made up of narrow strips of lead alternating with plastic, which limits the amount of scattered radiation reaching the detector/film

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17
Q

Why might a PA mandible be requested?

A

To look for potential fractures, cysts or malignancy causing medio-lateral displacement, expansion to bone destruction.

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18
Q

what extra oral radiograph is a PA mandible almost always requested alongside?

A

A DPT

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19
Q

What are the two main advantages of having a PA mandible taken over other extra-oral views?

A

reduced magnification of facial structures on receptor
reduced dose of radiation to eyes

20
Q

How would a patient be positioned in regards to equipment if a PA mandible is to be taken?

A

patient faces film
nose and forehead touch film holder
radiographic baseline should be 90 degrees to film

21
Q

How do we find the ‘mid-line’ of the patient anteriorly and posteriorly?

A

Anterior: generally between the eyes
Posterior: at the external occipital protuberance

22
Q

Why would we not just take a lateral mandible to visualise the mandible?

A

Because the two halves of the mandible will be superimposed

23
Q

what way should you oblique the mandible in order to achieve full separation of the rami on the radiograph?

A

Oblique in the vertical plane

24
Q

what are the indications for taking a lateral oblique mandible?

A

fracture
pathology
assessment of wisdom teeth
dental assessment in special needs patients
caries in children who can’t tolerate bitewing

25
Q

What are the two techniques used to take lateral oblique mandibles?

A

Isocentric positioning using a skull unit
Dental tube with either vertical or horizontal angulation

26
Q

What is an isocentric technique?

A

Where all beams used in a radiation treatment have a common focus point, a.k.a the isocenter

27
Q

What extra- oral view can be tricky to take on individuals with broad shoulders and why?

A

Isocentric view,
The skull unit is required to be angled at 25 degrees so that the x-ray tube moves towards the patients shoulder. If shoulders are broad they can get in the way of the beam.

28
Q

What are the two disadvantages of vertical angulation of the dental tube when taking lateral oblique mandibles?

A

Angulation can cause vertical distortion of the teeth
Maxillary teeth are not always shown clearly

29
Q

What angulation of the dental tube is most common when taking a lateral oblique mandible?
Horizontal or vertical?

A

Horizontal

30
Q

Which angulation of the dental tube when taking a lateral oblique mandible, aims through the radiographic keyhole?
Vertical or horizontal?

A

Horizontal

31
Q

what is the radiographic keyhole?

A

The triangular space between the back of the ramus and the cervical spine

32
Q

What is the disadvantage of horizontal angulation of the dental tube when taking lateral oblique mandibles?

A

X-ray beam may not pass directly between the contact points of the teeth therefore causing them to be overlapped on the film

33
Q

What is a standardised and reproducible form of skull radiography in orthodontics, to assess the relationship of the teeth to the jaws, and the jaws to the rest of the facial skeleton?

A

Cephalometric radiography

34
Q

What are the two main indications of cephalometric radiography?

A

Orthodontic assessment
Pre-orthodontic surgery

35
Q

In a lateral ceph where is the x-ray beam aimed?

A

At the external acoustic meatus

36
Q

what is a thyroid shield and what is it used for?

A

Lead collar that wraps around your neck to block the radiation that’s generated when taking a radiograph

37
Q

What does a magnification rod, found in ceph films, allow for and why is it necessary?

A

Allows for the calculation of any magnification that has occurred on the final image and is necessary for surgical planning

38
Q

The exposure required to penetrate a lateral face/skull is so great, in normal circumstances the beam would not be attenuated at all by the soft tissues, so they would not be visible on the image. What can be used to overcome this and allow soft tissues to be visualised on a lateral ceph?

A

An aluminium filter

39
Q

What are the main indications for x-raying facial bones?

A

trauma and suspected fracture
pathology

40
Q

what are the most common fractures to the facial bone?

A

Zygoma, le fort and orbital blowout

41
Q

what are the three different angles of occipito-mental views used to view different areas of complex facial bone anatomy?

A

OM 0 degrees
OM 10 degrees
OM 30 degrees

42
Q

What view is taken for imaging of facial bones?

A

Occipito-mental views

43
Q

What should the radiographic baseline to film angle be for OM views?

A

45 degrees to film

44
Q

What is caudal angulation?

A

How you would raise the x-ray tube to angle the central ray

45
Q

What are the two main benefits of increasing angulation on OM views?

A

Projects dense bones of skull base down and away from facial structures
Improves view of zygomatic arch

46
Q

when wanting to visualise the zygomatic arches, which OM view is the best to use?

A

OM 30 degrees

47
Q

What does a star on a radiographic image indicate?

A

There is a fracture indicated by radiographer who took image.