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

Unit 2A: Sources of Radiation for Operators/Other Staff During Radiation Production

Learning Objectives

  • Comprehend the sources of radiation affecting operators and other dental staff during radiological procedures.
  • Understand the terms primary radiation, scattered radiation, absorption, radiolucent, and radiopaque.
  • Grasp the implications for both patient and operator exposure.

Introduction

This module aims to deepen your understanding of the radiation types that dental staff may be exposed to during radiological procedures. Additionally, we will look at how this radiation behaves upon encountering various materials, including human tissue. These concepts are integral to mastering the art and science of dental X-rays and are crucial for those preparing for the RHS exam.

Primary Radiation: The Main Event in X-rays

Firstly, primary radiation is what you might consider the “star of the show.” This radiation originates within the X-ray tube and directs its focus towards the patient or image receptor. It’s the primary source of data in our radiographic images.

Scattered Radiation: The Unruly Guest

Next, let’s delve into scattered radiation. Picture X-rays as light beams; now, imagine these beams hitting an obstacle like bone or dental fillings. They scatter—much like sunlight glaring off a car windshield—creating distortions and unwanted noise in the image. Learning to minimize this scatter is essential for obtaining crisp and clear radiographs.

Absorption: The Sponge Effect

X-rays don’t just pass through or scatter; they can also get absorbed by various materials. Think of this as a sponge soaking up water. Dense tissues such as bones are highly absorptive, contrasting with softer tissues that absorb fewer X-rays. This differential absorption is what allows us to differentiate various anatomical structures on an X-ray image.

Radiolucent and Radiopaque: The Artist’s Palette

Radiolucent structures appear darker on an X-ray because they let X-rays pass through with ease—think gums or cheeks. On the flip side, radiopaque areas block X-rays and appear lighter on the image. These would include bones and metal dental restorations.

Patient and Operator Exposure: Striking a Balance

As dental professionals, we’re always juggling the need to minimize radiation exposure with the necessity of gathering crucial diagnostic data. Understanding the characteristics of radiation and how it interacts with different materials helps us make informed decisions to balance these two needs effectively.

Conclusion

In this module, we’ve delved into the complexities of radiation, its types, and its behaviors. We’ve covered the foundational concepts of primary radiation, scattering, absorption, radiolucent, and radiopaque materials, and how these aspects influence both patient and operator safety. As you progress in your dental career, keeping these principles in mind will serve you well in becoming proficient at dental radiography.


© 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.

By the end of this module, you should be well-equipped to minimize radiation risks while maximizing the diagnostic utility of dental radiographs. Visit Coy Academy for more in-depth educational content tailored for dental assistants preparing for the RHS exam.

Exercise Files
203 Radiation Characteristics.mp3.mp3
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