timer kVp
Step-up
Auto Trans. PID
oil
filter
Step-down
mA Trans. collimator
exposure
switch
timer kVp
Step-up
Auto Trans. PID
oil
filter
Step-down
mA Trans. collimator
exposure
switch
high-speed
electron x-ray
+ decelerated
electron
Magnification
Decreased by:
Source-object distance
Object-film distance
16” FFD image
Target
16” from film Target
8” from film 8” FFD image
Film
Increasing the distance from the target of the x-ray tube (focal
spot, focus) to the object (teeth/film) (FFD = focus-film
distance) will result in an increase in sharpness and a
decrease in magnification. This results when a longer PID
(cone) is used.
Moving the film closer to the teeth will also increase sharpness
and decrease magnification.
8" FFD
12" FFD
Occupationally exposed
50 mSv (5 rem) NCRP*
General Population
5 mSv (.5 rem) NCRP
*National Council on Radiation Protection
The exposure a patient receives from a full-mouth
series of x-ray films is approximately the same as
the exposure received while traveling from New
York to LA on a plane. (Using F-speed film).
One-in one million chance of dying:
AFM
Smoking 1 cigarette
Riding a bicycle 10 miles
Driving a car 300 miles
Flying 1000 miles
Obviously, we don’t want to mention dying in
connection with x-rays, but it puts things into
perspective regarding the effects/risks of taking
radiographs.
Patient Protection
Added
2.5 mm
Total 70 kVp
Glass window Oil/metal barrier 1.5 mm
of x-ray tube
Inherent
The amount of filtration is regulated by the government
(NCRP). Any machine capable of operating at a kVp of
70 or above must have 2.5 mm aluminum equivalent of
total filtration. If the maximum kVp of the machine is 65,
only 1.5 mm aluminum equivalent is needed. The
manufacturer automatically provides this on x-ray
machines.
Collimation controls the size of the x-ray beam.
Allowed beam size is a maximum of 2.75 inches
(7 cm) in diameter at skin surface.
7 cm
6 cm If you switch from a 7
cm round PID to a 6
6 cm round
cm round PID, the
patient receives 25%
# 2 film less radiation.
(4.5 cm long) Switching from 7cm
round PID to
entrance rectangular PID
entrance reduces dose by
exit 55%.
exit
Lead Apron/
Thyroid Collar
Some people are suggesting
that lead aprons are not
needed. However, most feel
that any reduction in patient
exposure is beneficial and, since the cost and time
of placement of the apron are minimal, the use of
the apron is encouraged.
I recommend a lead apron with a separate, but
attached, thyroid collar for intraoral films. For
panoramic or ceph films, a double-sided apron with
no collar is used. There are multiple sources for
lead aprons.
Pregnancy
….the fetal exposure is only about 1 microGray for a
full-mouth series. Accordingly, the guidelines for
ordering films can be used with pregnant patients
just as with other patients.
6 fe f e et
et 6
90° 90°
Inspection
Every five years (private practice)
Inspection fee per machine
State Requirements
Radiation Safety Officer (Dentist, hygienist,
or assistant)
Notice to Employees (Must be prominently
displayed); available from state.
Safe Operating Procedures (List of x-ray
machines, settings, usage, etc.)
Instruction of Individuals (Signed form
indicating employee familiar with x-ray
procedures)
Contact the Ohio Department of Health, Radiologic
Technology section for information and guidelines to
satisfy above requirements. (614) 752-4319.
Ohio State Dental Board
(614) 466-2580
Indirect Digital
(Requires laser scan of sensor)
plastic
sensor sleeve*
* Protects film from saliva
CCD, CMOS
sensor
to computer
http://www.odont.au.dk/rad/Digitalx.htm
http://www.learndigital.net