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

Anatomy & Dental Materials

Identifying Natural vs. Restorative Structures

🎯 Learning Objectives

  • Identify the radiographic appearance of enamel, dentin, and pulp.
  • Differentiate between Radiopaque and Radiolucent materials.
  • Recognize restorative materials like Amalgam, Composite, and Gutta-Percha.
  • Understand the appearance of dental implants and endodontic treatments.

1. Natural Tooth Structures

Tooth structures vary in density, which determines how much of the X-ray beam they block. You must know the “gradient” of density:

  • Enamel: The most radiopaque (whitest) natural component of the crown.
  • Dentin: Located under the enamel; appears slightly less radiopaque (light gray).
  • Pulp Cavity: The least dense structure; appears radiolucent (dark/black) because it contains soft tissue and nerves.
  • Periodontal Ligament (PDL): A thin radiolucent line surrounding the root.

2. Identifying Dental Materials

The RHS exam will ask you to identify materials based on their shape and density. Use this high-yield guide:

Material Appearance Key Feature
Amalgam Completely Radiopaque Irregular, jagged borders.
Gold Crown Completely Radiopaque Smooth, contoured borders.
Composite Varies (Gray to White) Often looks like “ghost-like” or less dense than metal.
Gutta Percha Radiopaque (Light Gray) Fills the root canals (Endodontics).

3. Implants and Orthodontics

Modern radiographs frequently show surgical or orthodontic hardware:

  • Dental Implants: Look like threaded metal screws embedded in the bone.
  • Orthodontic Brackets: Small square radiopaque shapes on the facial surfaces of teeth.
  • Retention Wires: Thin radiopaque lines usually seen on the lingual of mandibular anteriors.

🚨 DANB EXAM ALERT: Base Materials

Sometimes you will see a thin radiopaque layer underneath a large filling. This is a Zinc Oxide Eugenol (ZOE) base or liner. On the exam, don’t confuse this with recurrent decay! Recurrent decay will appear radiolucent (dark) under the filling.

Exercise Files
flash cards anatomy.pdf
Size: 1.31 MB