Ch. 19 End of chapter quiz

Size 1 receptor

H

No. 2 size receptor

G

XCP aiming ring, posterior

F

XCP aiming ring, anterior

E

Rinn XCP indicator arm, posterior

A

Rinn XCP indicator arm, anterior

B

Rinn XCP bite-block, posterior

C

Rinn XCP bite-block, anterior

D

What happens to the image when the object-receptor distance is increased?

Magnification & Distortion

What piece of equipment is required to hold the receptor parallel to the long axis of the tooth in the paralleling technique?

Beam alignment Device

What do the letters X, C, and P refer to?

Extension cone paralleling

What size receptor is typically used with the anterior Rinn XCP instrument?

size 1

What size receptor is used with the posterior Rinn XCP instrument?

Size 2

Which beam alignment devices are recommended for use with the paralleling technique to reduce radiation exposure of the patient?

XCP

How is the patient's head positioned before exposing receptor?

Max arch parallel to the floor

Why is an increased target-receptor distance required in the paralleling technique?

to avoid image magnification

Which describes the relationship of the central ray to the receptor in the paralleling technique?

90 degrees to the receptor and long axis of the tooth

Which definition is incorrect?

a) parallel: always separated by the same distance

b) intersecting; to cut through

c) right angle: formed by two parallel lines

d) central ray: central portion of the x-ray beam

c) right angle: formed by two parallel lines

Which describes the relationship between the receptor and the long axis of the tooth in the paralleling technique?

The receptor and the tooth are parallel to each other.

Which describes the distance between the receptor and the tooth in the paralleling technique?

a. The receptor is placed as close as possible to the tooth.

b. The receptor is placed away from the tooth and toward the middle of the oral cavity.

c. Either a or b.

d. None of the above.

b. The receptor is placed away from the tooth and toward the middle of the oral cavity.

Which are correct?

1. Anterior receptors are placed horizontally.

2. Anterior receptors are placed vertically.

3. Posterior receptors are placed horizontally.

4. Posterior receptors are placed vertically.

2&3

Which of the following about the exposure sequence for periapical receptors is incorrect?

a. anterior receptors are always exposed before posterior receptors

b. either anterior or posterior receptors may be exposed first.

c. in posterior quadrants, the pre molar receptor is always exposed before the molar receptor.

d. when exposing anterior receptors, work from the patients right to left in the maxillary arch and then work form left to right in the mandibular arch.

b. either anterior or posterior receptors may be exposed first.

Which of the following about the lack of parallelism between the receptor and the long axis of the tooth is correct.

a.If the lack of parallelism is greater than 30 degrees, the image is generally acceptable.

b. If the lack of parallelism is less than 20 degrees, the image is generally acceptable.

c. If the lack of parallelism is less than 50 degrees, the image is generally acceptable.

d. If the lack of parallelism is greater than 50 degrees, the image is generally acceptable.

b. If the lack of parallelism is less than 20 degrees, the image is generally acceptable.

Which are advantages of the paralleling technique?

1. increased accuracy

2. simplicity of use

3. ease of duplication

4. ease of receptor placement

a. 1, 2, 3, and 4

b. 1, 2, and 3

c. 2, 3, and 4

d. 1, 3, and 4

b. 1, 2, and 3

T/F The advantages of the paralleling technique outweigh the disadvantages.

True

State the basic principles of the paralleling technique.

1. The receptor is placed in the mouth parallel to the long axis of the tooth being radiographed.

2. The central ray of the x-ray beam is directed perpendicular (at a right angle) to the receptor and the long axis of the tooth.

3. A beam alignment device must be used to keep the receptor parallel with the long axis of the tooth. The patient cannot hold the receptor in this manner.

Describe why a beam alignment device must be used in the paralleling technique.

To position the receptor parallel to the long axis of the tooth and maintain the receptor in position during exposure of the tooth.

State the five rules of the paralleling technique.

1. Receptor placement. The receptor must be positioned to cover the prescribed area of teeth to be examined.

2. Receptor position. The receptor must be positioned parallel to the long axis of the tooth. The receptor and beam alignment device must be placed away from the teeth and toward the middle of the oral cavity

3. Vertical angulation. The central ray of the x-ray beam must be directed perpendicular (at a right angle) to the receptor and the long axis of the tooth

4. Horizontal angulation. The central ray of the x-ray beam must be directed through the contact areas between teeth

5. Receptor exposure. The x-ray beam must be centered on the receptor to ensure that all areas are exposed. Failure to center the x-ray beam results in a partial image on the receptor or a "cone-cut."

Discuss the patient and equipment preparations that must be completed before using the paralleling technique.

Patient preparation

o Following infection control procedures and preparation of the tx area and supplies, the pt should be seated.

Equipment preparation

o After pt is prepared equipment must be prepared before the exposure of any receptors.

Discuss the exposure sequence for 15 periapical receptor placements using the paralleling technique.

Anterior:

1. Assemble the anterior Rinn XCP instrument.

2. Begin with the maxillary right canine (tooth #6).

3. Expose the maxillary anterior teeth working from the patient's right to the patient's left.

4. End with the maxillary left canine (tooth #11).

5. Next, move to the mandibular arch.

6. Begin with the mandibular left canine (tooth #22).

7. Expose all the mandibular anterior teeth working from the patient's left to the patient's right.

8. Finish with the mandibular right canine (tooth #27).

Posterior:

1. Begin with the maxillary right quadrant.

2. Assemble the posterior Rinn XCP instrument for this

area.

3. First, expose the premolar receptor (teeth #4 and 5),

then expose the molar receptor (teeth #1, 2, and 3).

4. Without reassembling the posterior Rinn XCP

instrument, move to the mandibular left quadrant.

5. First, expose the premolar receptor (teeth #20 and 21), then expose the molar receptor (t

Summarize the guidelines for periapical receptor positioning with the paralleling technique.

1. If using film, the white side of the film always faces the teeth ("white in sight"). When using a sensor, position the sensor toward the x-ray tube according to manufacturer directions.

2. The anterior receptors are always placed vertically. 3. The posterior receptors are always placed horizontally.

4. If using film, the identification dot is always placed in the slot of the bite-block, toward the occlusal end of the film. ("Place the dot in the slot.")

5. When placing the receptor in the mouth, always lead with the apical end of the receptor, and then rotate the beam alignment device.

6. When positioning the beam alignment device, always place the receptor away from the teeth and toward the middle of the oral cavity.

7. When positioning the beam alignment device, always center the receptor over the area to be examined (as defined in the prescribed placements).

8. When positioning the beam alignment device,

Explain the modifications in the paralleling technique that are used for a shallow palate, bony growths, or a sensitive premolar region.

Cotton rolls. As a result, however, periapical coverage is reduced.

Vertical angulation. To compensate for the lack of parallelism, the vertical angulation can be increased by 5 to 15 degrees more than the Rinn XCP instrument indicates. However, image distortion occurs as a result.