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

The Nature of X-Rays & Ionization

The Science Behind the Beam

🎯 Learning Objectives

  • Define Ionization and its role in dental radiography.
  • Understand the properties of Electromagnetic Radiation.
  • Identify the relationship between wavelength and energy.
  • Recognize the physical properties of X-rays.

1. What is an X-Ray?

X-rays are a form of Electromagnetic Radiation. They are high-energy waves that behave like both waves and particles (called photons). Unlike light waves, X-rays have enough power to penetrate solid objects.

The Golden Rule of Wavelength:

In dental radiography, we want Short Wavelengths. Why? Because shorter wavelengths correspond to higher energy and greater penetrating power. Long wavelengths are “lazy”—they lack the energy to penetrate the patient and instead are absorbed by the skin, increasing radiation risk.

2. Ionization: Why We Use Lead Aprons

X-rays are “Ionizing Radiation.” This means they have enough energy to knock an electron out of its orbit around an atom. This creates an Ion Pair (a negative electron and a positive atom).

  • The Biological Impact: When ionization occurs in human cells, it can damage DNA and cause chemical changes in the tissue.
  • Safety Link: This is exactly why we use the ALARA principle (As Low As Reasonably Achievable) to minimize these atomic collisions.

3. Properties of X-Rays

For the RHS exam, you must memorize these specific characteristics of X-rays:

Invisible
No Mass / No Weight
No Electrical Charge
Travel at Speed of Light
Travel in Straight Lines
Cause Fluorescence

🚨 DANB EXAM FOCUS: Hard vs. Soft X-rays

Hard Radiation: Short wavelengths, high energy, high penetration. (Good for dental imaging!)

Soft Radiation: Long wavelengths, low energy, low penetration. These are usually removed by the Aluminum Filter in the tubehead to protect the patient.