Course Content
Introduction
Here is what to expect
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About the Exam
Resourses
About The Course
Unit 1A: Purpose and Technique (50%) (Purpose)
A. Purpose of radiographic images 1. Periapical 2. Bitewing 3. Full mouth series 4. Occlusal 5. Full-mouth survey 6. Panoramic 7. Cephalometric 8. CBCT (cone-beam computed tomography) B. Technique 1. Review patient medical and dental histories for contraindications, including medications. 2. Intraoral techniques, including error correction. a. Paralleling b. Bisecting angle 3. Extraoral techniques, including error correction. a. Panoramic b. Cephalometric c. CBCT (cone-beam computed tomography) basics 4. Technique modifications based on anatomical variations and clinical conditions. 5. Purpose and maintenance of radiographic equipment. 6. Patient management techniques. 7. Mounting and anatomical landmarks that aid in mounting. 8. Anatomical structures and dental materials observed on images (e.g., differentiating between radiolucent and radiopaque areas). 9. Features of a diagnostically acceptable image. 10. Prepare images for legal requirements (e.g., HIPAA).
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Purpose of Radiographic Images
06:55
Periapical Radiographs (PA)
01:58
Bitewing Radiographs (BWX)
01:40
Full Mouth Series (FMX)
Occlusal Radiographs
Full-mouth survey
Panoramic Radiography
Cephalometric Radiography
Cone-Beam Computed Tomography (CBCT)
Technique
Anatomy Flashcards
Quadrants, Regions, and Tooth Numbering Systems
Practice and Review
Additional Insights
Final Unit Lesson: Reviewing Radiographic Imaging Techniques
Unit I A Practice quiz
Matching Assignment: Types of Radiographs and Their Purposes
Matching Quiz: Types of Radiographs and Their Purposes
Film/Sensor Holding Devices
Unit 1B Purpose and Technique (50%) (Technique)
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Reviewing Patient Medical and Dental Histories for Contraindications, Including Medications
Techniques: Intraoral Techniques, Including Error Correction
Extraoral Techniques, Including Error Correction
Technique Modifications Based on Anatomical Variations and Clinical Conditions
Equipment Purpose & Maintenance
Patient Management Techniques in Dental Radiography
Mounting and Anatomical Landmarks in Dental Radiography
Anatomical Structures and Dental Materials in Dental Radiography
Features of a Diagnostically Acceptable Image in Dental Radiography
Legal Requirements & Image Preparation
Unit 1B Practice Quiz
The Nature of X-rays (Physics Basics)
06:34
Unit 2A: Radiation production (25%)
Radiation production. 1. Sources of radiation for operators/other staff during radiation production. 2. Factors affecting x-ray production (e.g., kVp, mA, exposure time). 3. Radiation characteristics. 4. Radiation physics. a. Primary. b. Scatter (secondary). 5. Radiation biology. a. Short-and long-term effects of radiation on cells and tissues. b. Concepts of radiation dose.
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Sources of radiation for operators/other staff during radiation production
Factors Affecting X-ray Production
Radiation Characteristics and Interactions with Matter
Radiation Production Sources
Radiation Safety and Patient Exposure
Radiation Physics in Dental Imaging
Radiation Biology and Effects on Dental Tissues
Unit 2A Summary: Radiation Health and Safety in Dental Imaging
Unit 2B: Radiation Safety
Radiation safety. 1. Causes of unnecessary exposure to radiation. 2. Patient exposure to radiation (ALARA, ADA recommendations). 3. Factors that influence radiation safety (e.g., filtration, shielding, collimation, PID length). 4. Patient radiation concerns. 5. Informed consent or patient refusal for exposure to radiation. 6. Protocol for suspected x-ray machine malfunctions.
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Radiation Safety: Causes of Unnecessary Exposure to Radiation
Patient exposure to radiation (ALARA, ADA recommendations)
Factors that Influence Radiation Safety (Filtration, Shielding, Collimation, PID Length)
Patient Radiation Concerns and Informed Consent
Informed Consent and Patient Refusal for Exposure to Radiation
Protocol for Suspected X-ray Machine Malfunctions
Summary of Unit II: Radiation Safety
Practice and Review
Unit 2 Practice Quiz
Unit 3A: Standard precautions for equipment and supplies (25%)
Standard precautions for equipment and supplies according to ADA, CDC and OSHA, including but not limited to: 1. breakdown and setup of treatment room. 2. barriers. 3. position indicating and beam alignment devices. 4. clinical contact surfaces. 5. critical and semi-critical instrument sterilization
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Introduction to Unit IIIA: Standard Precautions for Equipment and Supplies
Breakdown and Setup of Treatment Room
Use of Barriers and Position Indicating Devices (PIDs)
position indicating and beam alignment devices.
Clinical Contact Surface Maintenance
Critical and Semi-Critical Instrument Sterilization
Unit 3A Summary
Unit 3B: Standard precautions for patients and operators
Standard precautions for patients and operators according to ADA, CDC and OSHA, including but not limited to: 1. hand hygiene. 2. PPE (donning, doffing). 3. cross contamination.
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Hand Hygiene and Infection Control
Personal Protective Equipment (PPE) Protocol
Cross Contamination Prevention Strategies
Government Agencies and Associations
Infection Control and Hazardous Materials Management
Unit IIIA: Comprehensive Summary
Unit IIIB: Summary Standard Precautions for Patients and Operators
Unit 3 Practice Quiz
Vocabulary Terms
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Glossary of Vocabulary Terms
Practice Exams
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RHS Practice Test
RHS Exam Prep

Unit 2: Radiation Health and Safety – Case Studies and Scenarios Module

Introduction

Practice makes perfect, and nowhere is that more true than in the field of dental radiography. To help solidify your understanding of the topics covered in Unit 2, we’ve prepared a series of case studies and scenarios. These will help you apply your knowledge, reinforcing key concepts and terminology that may appear in the exam.

Case Study 1: Proper Radiation Production

Scenario:
You’re a dental assistant and you notice that the X-ray images have been coming out darker than usual.

Questions:

  1. What could be the reasons for the darker images?
  2. Which factors affecting X-ray production (e.g., kVp, mA, exposure time) would you adjust to correct the issue?
  3. What are the risks associated with overexposed radiographs?

Key Concepts for Review:

  • kVp, mA, Exposure time
  • Primary Radiation
  • Radiation Dose

Case Study 2: Patient Safety and ALARA

Scenario:
You have a new patient, Mrs. Smith, who is visibly anxious about the X-ray process, mentioning that she is concerned about radiation exposure.

Questions:

  1. How would you explain the ALARA principle to Mrs. Smith?
  2. What ADA recommendations can you cite to reassure her about safety?
  3. What protective measures can you employ to minimize radiation exposure?

Key Concepts for Review:

  • ALARA Principle
  • ADA Recommendations
  • Filtration, Shielding, Collimation

Case Study 3: Informed Consent and Refusal

Scenario:
Mr. Johnson reads about radiation risks online and refuses to undergo dental X-rays. He asks if there are any alternatives.

Questions:

  1. How would you handle Mr. Johnson’s refusal?
  2. What are the ethical and legal considerations surrounding informed consent?
  3. Are there alternative imaging techniques that involve less or no radiation?

Key Concepts for Review:

  • Informed Consent
  • Patient Refusal
  • Ethical Practices in Radiography

Case Study 4: X-ray Machine Malfunction

Scenario:
During a routine check, you notice that the X-ray machine is making unusual noises, and the test image is grainy.

Questions:

  1. What immediate steps should you take?
  2. Who should you report the malfunction to?
  3. What are the safety risks associated with malfunctioning X-ray equipment?

Key Concepts for Review:

  • Protocol for Suspected X-ray Machine Malfunctions
  • Quality Assurance
  • Radiation Safety Risks

Exam Tips:

  • Consider the legal and ethical aspects of each scenario, especially those related to patient consent and refusal.
  • Make sure you are familiar with the key terminology, such as ALARA, kVp, mA, and Primary vs. Scattered Radiation.

Feel free to discuss these scenarios with your peers or instructors to get a well-rounded understanding of the issues at hand. Happy studying!

© Coy Academy 2023. This module is exclusively intended for use within the Coy Academy course and is protected by copyright laws. Unauthorized reproduction or distribution of this material is strictly prohibited and may result in legal action.

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