KEMBAR78
Dental Radiography Guide | PDF | Mouth | Dentistry
Scribd
Upload
227 views23 pages

Dental Radiography Guide

Bitewing radiographs are used to detect interproximal caries and evaluate periodontal status and restorations. The film is placed parallel to the crowns of the upper and lower teeth and stabilized when the patient bites down on the tab. The x-ray beam is directed through the tooth contacts using a positive vertical angulation. Patient preparation includes a lead apron and removing appliances. The image provides detail of the interproximal areas that cannot be seen clinically.

Uploaded by

Ahmad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
227 views23 pages

Dental Radiography Guide

Bitewing radiographs are used to detect interproximal caries and evaluate periodontal status and restorations. The film is placed parallel to the crowns of the upper and lower teeth and stabilized when the patient bites down on the tab. The x-ray beam is directed through the tooth contacts using a positive vertical angulation. Patient preparation includes a lead apron and removing appliances. The image provides detail of the interproximal areas that cannot be seen clinically.

Uploaded by

Ahmad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 23

RADIOGRAPHY

Prof- Baha’ Moh’d H. Ewissat


Bitewing Radiograph

• It take its originally named from the


technique which require the patient to bite
on the wing which attached to the intra-
oral film.
indications

• Detection of caries specially interproximal


one. And the progression of the caries.

• Periodontal status.

• Restoration examination.
principles
• The film is placed in the mouth parallel to
the crowns of both the upper and lower
teeth.
• The film is stabilized when the patient
bites on the bitewing tab.
• The central ray of the x-ray beam is
directed through the contacts of the teeth,
using a positive vertical angulation.
Radiographic procedure

• Patient preparation
• Patient position
• Film used, position
• Cone position (vertical and horizontal)
direction
• Exposure factors
Patient preparation

• Same as periapical radiograph


• Seat , explain the procedure
• Lead apron
• Remove any removable appliance
• Tube head to the side of exposure
• Adjust the kvp, mAs.
Patient position

• Midsagittal plane must be perpendicular to


the floor.

• Occlusal plane must be parallel to the floor


by keeping the ala-tragus plane parallel.
Film used

• Bitewing film has a film tab projection


from the exposure surface, and it can be
constructed by placing a standard
periapical film size 2 on a bitewing loop.

• For the child size 1 or 0 some time are


used with loop.
Bitewing
Bitewing can be done by using film holder
as periapical radiograph
Film positioning (no film holder)
• Roll film over index finger with tab facing
you.
• Bend the four corners gently.
• Placed the film in the patient mouth by
placing the lower half between the tongue
and the mandibular teeth and the anterior
border should be at the middle of the
canine.
• Hold the film in the place by placing the tab
on the occlusal surface, the posterior part
should touch the lingual surface of 2nd and
3rd Mandibular molars.

• The film should be placed in an angle to


prevent overlapping on the film.

• Ask the patient to bite gently not to change


the position of film and hold biting.
Cone position

• Horizontal angulation:

• Direct the central ray through the


interproximal embrasures of the crowns of
the teeth
• place the horizontal edge of the cone
parallel to the film
• Vertical angulation:

• It should be positive degree angulation +5


to +8° to the occlusal plane to compensate
the palatal inclination of the film against
the palate.
Exposure factors

• Kv 72
• mA 10
•S 0.8
Types of bitewing

• Posterior bitewing “normal bitewing”


Vertical bitewing

• When the diseased area cant be seen on


normal bitewing as root caries or
advanced bone loss.
Reversed bitewing
• Some children can’t tolerate placement of
bitewing film, so the is placed on the buccal
side.

• The child bite on the tab and the x-ray beam


directed from the opposite side and the
exposure must be increased 4 -5 times.

• The radiograph does not have same detail as


normal bitewing but useful.
THE END

You might also like