INTRAORAL
RADIOGRAPHY
PART - I
Periapical Bitewing
Occlusal
RADIOGRAPHS
 Periapical views are used to record the crowns,
roots, and surrounding bone.
 Root canal treatment.
 Assessment of root formation n completion.
 Assessment of root morphology.
 Assessment of relationship of roots to various vital
structures.
 Implant site assessment and placement.
PERIAPICAL RADIOGRAPH
Paralleling Angle Technique
(Long Cone and Right Angle Technique)
PRINCIPLE
The central concept of the paralleling is that
“The x-ray receptor is supported parallel to
the long axis of the teeth and the central ray
of the x-ray beam is directed at right angles
to the teeth and receptor”.
Minimizes geometric distortion and presents
the teeth and supporting bone in their true
anatomic relationship.
Instruments
Receptor
Placement
Angulation
If the lack of parallelism does
not exceed 20, the radiograph
is generally acceptable.
Place 1 or 2 cotton rolls on
bite block.
Increase the vertical angulation
by 5 to 15 degrees
Shallow
palate
For maxilla, place the film on
far side of the film
Bony
growth
For mandible, place film
between the tori and tongue
ADVANTAGES DISADVANTAGES
Accuracy
Difficult for a
beginner
Simplicity Discomfort
Duplication Patient
Compliance
Bisecting Angle Technique
The bisecting-angle technique is based on a
simple geometric theorem, Cieszynski ’ srule
of isometry, which states that two triangles
are equal when they share one complete side
and have two equal angles.
 Receptor is positioned as close as possible to the lingual
surface of the teeth, resting in the palate or in the floor of
the mouth.
 The plane of the receptor and the long axis of the teeth
form an angle, with its apex at the point where the
receptor is in contact with the teeth. An imaginary line that
bisects this angle, direct the central ray of the beam at
right angles to this bisector.
 No XCP film holder required.
 Better technique when anatomical variations
hinder paralleling tech.
 Decreased exposure time.
Advantages
To reproduce the length of each root of a multi-rooted
tooth accurately, the central beam must be angled
differently for each.
Another limitation of this technique is that the alveolar
ridge often projected more coronally than its true position,
thus distorting the apparent height of the alveolar bone
around the teeth.
Disadvantages
Bitewing
radiographs
include the
crowns of the
maxillary and
mandibular teeth
and the alveolar
crest on the
same receptor.
Bitewing Radiograph
 interproximal caries in the early stages.
 secondary caries below restorations.
 Overhanging restorations.
 evaluating the periodontal condition(alveolar
bone crest).
 detecting calculus deposits.
INDICATIONS
Vertical
Bitewing
Horizontal
Bitewing
Types of Bitewings
 An occlusal radiograph displays a relatively large
segment of a dental arch.
 To localize foreign bodies in the jaws and
stones in the ducts.
 To demonstrate and evaluate the integrity of the
outlines of the maxillary sinus.
 When patients are unable to open the mouth.
 Help in localization of object.
OCCLUSAL RADIOGRAPH
 location, nature, extent, and displacement of
fractures of the mandible and maxilla.
To determine the medial and lateral extent of
disease (e.g., cysts, osteomyelitis, tumors) and to
detect disease in the palate or floor of the
mouth.
MAXILLARY ANTERIOR OCCLUSAL PROJECTION
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
MAXILLARY CROSS-SECTION OCCLUSAL PROJECTION
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
MAXILLARY LATERAL OCCLUSAL PROJECTION
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
MANDIBULAR ANTERIOR OCCLUSAL PROJECTION
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
MANDIBULAR CROSS-SECTION OCCLUSAL PROJECTION
Image Field
Receptor Placement
Projection of Central Ray
Point of Entry
MANDIBULAR LATERAL OCCLUSAL PROJECTION
THANK YOU

Intraoral_Radiography_Part_1.pptx for bds

  • 1.
  • 2.
  • 3.
     Periapical viewsare used to record the crowns, roots, and surrounding bone.  Root canal treatment.  Assessment of root formation n completion.  Assessment of root morphology.  Assessment of relationship of roots to various vital structures.  Implant site assessment and placement. PERIAPICAL RADIOGRAPH
  • 4.
    Paralleling Angle Technique (LongCone and Right Angle Technique)
  • 5.
    PRINCIPLE The central conceptof the paralleling is that “The x-ray receptor is supported parallel to the long axis of the teeth and the central ray of the x-ray beam is directed at right angles to the teeth and receptor”. Minimizes geometric distortion and presents the teeth and supporting bone in their true anatomic relationship.
  • 6.
  • 7.
    If the lackof parallelism does not exceed 20, the radiograph is generally acceptable. Place 1 or 2 cotton rolls on bite block. Increase the vertical angulation by 5 to 15 degrees Shallow palate
  • 8.
    For maxilla, placethe film on far side of the film Bony growth For mandible, place film between the tori and tongue
  • 9.
    ADVANTAGES DISADVANTAGES Accuracy Difficult fora beginner Simplicity Discomfort Duplication Patient Compliance
  • 10.
  • 11.
    The bisecting-angle techniqueis based on a simple geometric theorem, Cieszynski ’ srule of isometry, which states that two triangles are equal when they share one complete side and have two equal angles.
  • 12.
     Receptor ispositioned as close as possible to the lingual surface of the teeth, resting in the palate or in the floor of the mouth.  The plane of the receptor and the long axis of the teeth form an angle, with its apex at the point where the receptor is in contact with the teeth. An imaginary line that bisects this angle, direct the central ray of the beam at right angles to this bisector.
  • 14.
     No XCPfilm holder required.  Better technique when anatomical variations hinder paralleling tech.  Decreased exposure time. Advantages
  • 15.
    To reproduce thelength of each root of a multi-rooted tooth accurately, the central beam must be angled differently for each. Another limitation of this technique is that the alveolar ridge often projected more coronally than its true position, thus distorting the apparent height of the alveolar bone around the teeth. Disadvantages
  • 16.
    Bitewing radiographs include the crowns ofthe maxillary and mandibular teeth and the alveolar crest on the same receptor. Bitewing Radiograph
  • 17.
     interproximal cariesin the early stages.  secondary caries below restorations.  Overhanging restorations.  evaluating the periodontal condition(alveolar bone crest).  detecting calculus deposits. INDICATIONS
  • 18.
  • 19.
     An occlusalradiograph displays a relatively large segment of a dental arch.  To localize foreign bodies in the jaws and stones in the ducts.  To demonstrate and evaluate the integrity of the outlines of the maxillary sinus.  When patients are unable to open the mouth.  Help in localization of object. OCCLUSAL RADIOGRAPH
  • 20.
     location, nature,extent, and displacement of fractures of the mandible and maxilla. To determine the medial and lateral extent of disease (e.g., cysts, osteomyelitis, tumors) and to detect disease in the palate or floor of the mouth.
  • 21.
    MAXILLARY ANTERIOR OCCLUSALPROJECTION Image Field Receptor Placement Projection of Central Ray Point of Entry
  • 22.
    Image Field Receptor Placement Projectionof Central Ray Point of Entry MAXILLARY CROSS-SECTION OCCLUSAL PROJECTION
  • 23.
    Image Field Receptor Placement Projectionof Central Ray Point of Entry MAXILLARY LATERAL OCCLUSAL PROJECTION
  • 24.
    Image Field Receptor Placement Projectionof Central Ray Point of Entry MANDIBULAR ANTERIOR OCCLUSAL PROJECTION
  • 25.
    Image Field Receptor Placement Projectionof Central Ray Point of Entry MANDIBULAR CROSS-SECTION OCCLUSAL PROJECTION
  • 26.
    Image Field Receptor Placement Projectionof Central Ray Point of Entry MANDIBULAR LATERAL OCCLUSAL PROJECTION
  • 27.