Course Content
Introduction
Here is what to expect
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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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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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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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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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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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Vocabulary Terms
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Practice Exams
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RHS Exam Prep

Introduction: Understanding the sources of radiation encountered in dental radiography is crucial for maintaining a safe environment and ensuring the well-being of both patients and dental professionals. In this section, we’ll delve into the various sources of radiation used in dental practice and the importance of radiation safety measures.

X-ray Machines:

  • Intraoral X-ray Units: These are the most common X-ray machines used in dental offices. They are designed for taking intraoral radiographs, including periapical and bitewing images.
  • Extraoral X-ray Units: These machines are used for capturing images of larger areas, such as the skull and jaw. They include panoramic units, cephalometric units, and cone-beam computed tomography (CBCT) scanners.
  • Handheld X-ray Devices: Portable handheld X-ray devices are increasingly being used for certain procedures. These devices are compact and designed for specific applications.

Other Radiation Sources:

  • Environmental Radiation: Background radiation is a naturally occurring source of radiation that comes from sources such as cosmic rays and radioactive materials in the Earth’s crust.
  • Medical Procedures: Medical imaging, such as CT scans and nuclear medicine procedures, can also expose individuals to radiation.
  • Radiopharmaceuticals: These are radioactive substances used for medical imaging and treatment. Dental assistants should be aware of patients’ recent medical procedures involving radiopharmaceuticals.

Importance of Radiation Safety:

  • Minimizing Exposure: Dental professionals must ensure that radiation exposure to patients and themselves is kept to a minimum by following proper protocols.
  • Protection Measures: Lead aprons, thyroid collars, and other protective equipment should be used consistently during X-ray procedures.
  • Positioning and Shielding: Proper patient positioning and the use of appropriate shielding devices help reduce unnecessary exposure to radiation.

Radiation Safety Protocols:

  • Time: Minimize the time of exposure to radiation by efficiently setting up the X-ray equipment and taking images promptly.
  • Distance: Maintain a safe distance from the X-ray source during exposure to reduce radiation exposure.
  • Shielding: Use lead aprons, thyroid collars, and other shielding devices to protect sensitive areas from radiation.
  • Filtration: X-ray tubes are equipped with filters that absorb low-energy X-rays, reducing patient exposure.

Role of Dental Assistants:

  • Patient Education: Dental assistants play a role in educating patients about the necessity of X-rays and the safety measures in place to protect them.
  • Positioning Assistance: Dental assistants help position patients correctly for X-ray procedures, ensuring accurate and clear images while minimizing exposure.
  • Monitoring and Compliance: Assistants should be familiar with radiation safety protocols and ensure that all safety measures are followed during X-ray procedures.

Conclusion: Radiation is an essential tool in dental radiography, but it must be used with caution to minimize potential risks. Dental assistants play a pivotal role in maintaining radiation safety by assisting in proper patient positioning, adhering to safety protocols, and ensuring a safe environment for patients and dental professionals alike.