Changes

==Necessary Equipment==

==Necessary Equipment==

'''Xray Generator'''<br>

===Xray Generator===

A standard veterinary xray machine can be used for taking dental radiographs but it has its limitations. Often the xray machine is not in the same room where the dental procedures are to be carried out which means moving the patient. The tube head is mounted making positioning and adjustments in collimation and angulation difficult and the film-focus distance will need to be adjusted to between 30 and 50 cm which is not always possible with all machines.<br><br>

 

Dental xray generators have a mobile head and the collimation is confined by the cone. The cone also gives the film focal distance. The kV and mA are set, the timer being the only adjustable control. Wall-mounted or mobile machines are available.

A '''standard veterinary xray machine''' can be used for taking dental radiographs but it has its limitations. Often the xray machine is not in the same room where the dental procedures are to be carried out which means moving the patient. The tube head is mounted making positioning and adjustments in collimation and angulation difficult and the film-focus distance will need to be adjusted to between 30 and 50 cm which is not always possible with all machines.<br><br>

'''Dental xray generators''' have a mobile head and the collimation is confined by the cone. The cone also gives the film focal distance. The kV and mA are set, the timer being the only adjustable control. Wall-mounted or mobile machines are available.

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'''Intra-Oral Film'''<br>

===Intra-Oral Film===

Intra-oral or dental films should be used for taking dental radiographs. Intraoral films do not have intensify screens and thus need a high exposure. Dental film is available in different speeds. The sensitivity of the film determines the required exposure time – faster speed- higher sensitivity, requires less radiation to expose the film. Film sensitivity is increased by using larger silver halide crystals in the emulsion. As a result, E and F speed films produce images with a slightly lower image quality. The decreased image quality only becomes significant when viewed using magnification. The most commonly used speeds in veterinary dentistry are speed D (ultra) and speed E (ekta). Speed D is the equivalent of other nonscreen film but speed E is rated at twice the speed of D, requiring half the exposure, but with a small loss of quality.

 

Intra-oral or dental films should be used for taking dental radiographs. '''Intraoral films''' do not have intensify screens and thus need a '''high exposure'''. '''Dental film''' is available in '''different speeds'''. The sensitivity of the film determines the required exposure time – faster speed- higher sensitivity, requires less radiation to expose the film. Film sensitivity is increased by using larger silver halide crystals in the emulsion. As a result, E and F speed films produce images with a slightly lower image quality. The decreased image quality only becomes significant when viewed using magnification. The most commonly used speeds in veterinary dentistry are speed D (ultra) and speed E (ekta). Speed D is the equivalent of other nonscreen film but speed E is rated at twice the speed of D, requiring half the exposure, but with a small loss of quality.

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Films are available in different sizes but the 3 most commonly used in dentistry are : occlusal film (5cm x 7cm) or size 4, adult periapical (3cm x 4cm) or size 2, and child periapical (2cm x 3.5cm) or size 1.

Films are available in different sizes but the 3 most commonly used in dentistry are : occlusal film (5cm x 7cm) or size 4, adult periapical (3cm x 4cm) or size 2, and child periapical (2cm x 3.5cm) or size 1.

Self contained films are also available in size 2 (periapical). The envelope contains the film with a separate compartment with developer and fixer. Films are relatively expensive but good when radiographs are only taken occasionally. The films unfortunately do not keep unless they are fixed for longer as they otherwise discolour with age.

Self contained films are also available in size 2 (periapical). The envelope contains the film with a separate compartment with developer and fixer. Films are relatively expensive but good when radiographs are only taken occasionally. The films unfortunately do not keep unless they are fixed for longer as they otherwise discolour with age.

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Each film has a raised dot in one corner. The dot helps with orientation when viewing and mounting dental radiographs if the following procedure is adhered to. Firstly, the dot should face the incident beam. Secondly, the film should be placed in the mouth so that the dot is always facing a specific direction. We advise that dot is positioned so that it is always facing forward in the mouth.

Each film has a '''raised dot''' in one corner. The dot helps with orientation when viewing and mounting dental radiographs if the following procedure is adhered to. Firstly, the dot should face the incident beam. Secondly, the film should be placed in the mouth so that the dot is always facing a specific direction. We advise that dot is positioned so that it is always facing forward in the mouth.

Ensure the correct side of the film envelope is facing the incident beam. The envelope is marked or labelled. If exposed through the back of the envelope, the lead sheet will absorb much of the X-ray beam, resulting in an underexposed radiograph with the pattern of the lead sheet imposed on it.

Ensure the correct side of the film envelope is facing the incident beam. The envelope is marked or labelled. If exposed through the back of the envelope, the lead sheet will absorb much of the X-ray beam, resulting in an underexposed radiograph with the pattern of the lead sheet imposed on it.

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==Processing==  

==Processing==  

Films can be processed in a dark room using cups containing the processing chemicals or in a chair-side developer light-protected box. Some automatic processors will take dental film or separate automatic processors are available for dental film. The automatic processors deliver a fully fixed film, dried within 5 minutes. Ease of use and convenience are an advantage but cost and time to develop the films remains a disadvantage. A chair-side light box system is convenient to use and the films can be developed where you are working. Rapid processing chemicals are available resulting in a processed film within a minute. The box is designed with a special transparent top that prevents light from entering and causing fogging of the film. Clips are available. Each film is opened, a clip attached to the corner then submerged in the developer for 15 seconds, washed, then fixed for 30 seconds then thoroughly washed under running water and hung up to dry.

Films can be processed in a dark room using cups containing the processing chemicals or in a chair-side developer light-protected box. Some '''automatic processors''' will take dental film or separate automatic processors are available for dental film. The automatic processors deliver a fully fixed film, dried within 5 minutes. Ease of use and convenience are an advantage but cost and time to develop the films remains a disadvantage. A '''chair-side light box system''' is convenient to use and the films can be developed where you are working. Rapid processing chemicals are available resulting in a processed film within a minute. The box is designed with a special transparent top that prevents light from entering and causing fogging of the film. Clips are available. Each film is opened, a clip attached to the corner then submerged in the developer for 15 seconds, washed, then fixed for 30 seconds then thoroughly washed under running water and hung up to dry.

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The films are too small to label individually but can be mounted in special mounts or stored in small envelopes with the client, patient and treatment details written onto the envelope or mount.

The films are too small to label individually but can be mounted in special mounts or stored in small envelopes with the client, patient and treatment details written onto the envelope or mount.

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==Digital Radiography==

==Digital Radiography==

Digital radiography refers to computer-generated images of radiographs. Indirect methods of obtaining digital images make the exposure on a photostimulatable phosphor plate followed by transferring the latent image to a computer. Direct-to-digital equipment uses either a charge-coupled device (CCD) or a complementary metal oxide semiconductor (CMOS) sensor as a data input device that sends the x-ray image directly to a computer. This is the easiest and most time-efficient method. Most modern x-ray machines are compatible with most digital hardware and software packages. However, before purchasing either a new x-ray machine or a new digital sensor and software system, one should verify that the x-ray machine is capable of short enough exposure times for the digital equipment. Older x-ray machines cannot be used with digital sensors because most digital systems require exposure settings as low as 0.02 second for small patients.

Digital radiography refers to computer-generated images of radiographs.  

 

'''Indirect methods''' of obtaining digital images make the exposure on a photostimulatable phosphor plate followed by transferring the latent image to a computer.  

 

'''Direct-to-digital equipment''' uses either a charge-coupled device (CCD) or a complementary metal oxide semiconductor (CMOS) sensor as a data input device that sends the x-ray image directly to a computer. This is the easiest and most time-efficient method. Most modern x-ray machines are compatible with most digital hardware and software packages. However, before purchasing either a new x-ray machine or a new digital sensor and software system, one should verify that the x-ray machine is capable of short enough exposure times for the digital equipment. Older x-ray machines cannot be used with digital sensors because most digital systems require exposure settings as low as 0.02 second for small patients.

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Advantages of direct digital systems include the following:

Advantages of direct digital systems include the following:

*Templates for referral letters are integrated into most systems

*Templates for referral letters are integrated into most systems

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[[Category:To Do - Dentistry]]

[[Category:To Do - Dentistry]]