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

Radiation Safety – Factors that Influence Radiation Safety

Learning Objectives

  • Understand the practical aspects of factors like filtration, shielding, collimation, and PID length.
  • Learn how to apply these factors effectively in a dental setting to enhance patient safety.

Introduction

Understanding radiation safety in dental practices is not just about memorizing terms. It involves knowing how these concepts work in real-life settings. In this module, we’ll break down these complex ideas into more digestible pieces by using examples to help you better prepare for the RHS exam and your role as a dental assistant.

Filtration

What is Filtration?

Filtration involves removing low-energy X-rays, which are not useful for imaging but could harm the patient.

Example

Think of filtration like a coffee filter. Just as a coffee filter only allows the liquid coffee to pass through, leaving the grounds behind, the filtration in an X-ray unit only allows useful X-rays to pass, blocking the rest.

Importance

This ensures that only rays that contribute to image quality, and not patient harm, are used.

Shielding

What is Shielding?

Shielding involves using barriers like lead aprons to protect sensitive areas of the body.

Example

Imagine going out on a sunny day; you would use an umbrella to shield yourself from the sun’s harmful rays. Similarly, a lead apron acts as an ‘umbrella’ to protect against unnecessary exposure to radiation.

Importance

Using shielding methods keeps you and the patient safe, just like an umbrella shields you from the sun.

Collimation

What is Collimation?

Collimation narrows down the X-ray beam to focus only on the area of interest.

Example

Picture a flashlight. When you narrow the beam, it illuminates only a specific area more brightly. Collimation works the same way; it focuses the X-ray beam onto the specific tooth or area that needs to be examined.

Importance

This helps in reducing exposure to adjacent tissues, enhancing image quality, and keeping patients safe.

PID Length

What is PID Length?

The length of the Position Indicating Device (PID) affects the focus and intensity of the X-ray beam.

Example

Consider a garden hose. The closer you bring the nozzle to the plant, the more forceful the water. Similarly, a shorter PID can cause a more magnified, less clear image, whereas a longer PID provides a better focus.

Importance

Choosing the right PID length is like adjusting the nozzle of a garden hose for the optimal watering of plants; it helps to get the best image quality with the least amount of exposure.

Conclusion

By understanding these concepts with practical examples, you’re not just preparing for an exam; you’re equipping yourself with knowledge that can be applied in your day-to-day role as a dental assistant. Remember, patient safety is not just about avoiding mistakes; it’s about making informed choices.


© 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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Note: The content of this module is based on the resources provided, ensuring a full understanding of the factors that play a pivotal role in radiation safety. Thank you for trusting Coy Academy for your educational needs.

Exercise Files
208 Factors that influence radiation safety.mp3.mp3
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