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Recap the production of x- rays
Machine turned “on”
Electrical current (Amperage mA) goes to cathode
Electrons “boil off”
Thermionic Emission
Exposure button pressed so Voltage (kV) sends electrons to anode
Collide with target & become x-rays
Exit through:
—> Aluminum Filter
—> Collimator
—> PID cathodeanode
How does X-ray work?
X-Rays pass through easily —→ X-rays aren’t permitted to pass
through
Higher density structures and materials absorb more radiation permitting less x-rays to travel through the structure or material &
reach the dental x-ray film or senso
Radiolucent (RL)
structures appear dark or black
Radiolucent structures lack density; they permit x-rays to pass with little or no resistance
Examples: air spaces and pulp tissue
Radiopaque (RO)
structures appear white or light
Radiopaque structures are dense and resist passage of the x-ray beam
Examples: enamel, bone, amalgam

Radiographic Density
refers to the overall darkness or blackness of a processed
radiograph/image.
Radiographic Contrast
refers to the degrees of blackness between adjacent areas on an image
What are the exposure values?
mA
kV
T
Distance
Why understand the concepts of density and contrast?
Changes in settings will affect:
• a patient’s exposure to radiation
• the quality of the image for diagnosis
Voltage
A measurement of force
the penetrating ability of the x-ray beam.
X-ray Beam QUALITY
The power behind the x-ray
When voltage is increased, the speed of the electrons is?
Increased
The electrons strike the target with greater force and energy, resulting in a more penetrating x-ray beam
Lower voltage (kVp)
Altering the voltage alters the wavelengt
Higher voltage (kVp)
kilovoltage peak (kVp) = maximum peak voltage
^kVp = ^ penetrating power
^kVp= ^ darkness
Electromagnetic spectrum
Wavelength determines energy and penetrating power

Lots of shades of grey
low contrast, long scare contrast
Few shades of grey
high contrast, short scale contrast
Contrast equals what?
shades of grey
kVp affects what?
Contrast
Contrast is controlled by?
kV only
low kV= high contrast
high kV= low contrast
Amperage
the amount of x-rays.
X-ray Beam Quantity
mA regulates the temperature of the filament, therefore:
• More mA
• More heat
• More electrons
• More x-rays
An increase in____ affects the ___ of
the resulting radiograph
mA, density
mA has no effect on contrast
Exposure time (T)
Exposure time affects the length of time that electrons move across the tube gap:
high T = increase in number of x-rays
high T = increase in overall density of the radiograph
high T = increase in intensity of beam
INVERSELY RELATED TO mA: if one increases the other must decrease to maintain density.
Distance
As x-rays travel away from the anode they lose?
energy
Intensity
the total energy in an x-ray beam.
The sum of all the factors:
kVp
mA
T
distance
The INTENSITY of the x-ray beam is affected by :
high kVp = high energy and high intensity
high mA = high number of x-rays and high intensity
high T = high number of x-rays and high intensity
high distance = low intensity
As x-tray travels they?
lose energy / intensity
We have to compensate this loss of intensity by increasing
other exposure factors (kVp, mA, exposure time).
INVERSE SQUARE LAW: double the distance = 1/4 th
The x-ray beam that exits from a short PID is?
more intense than the beam exiting from a longer one
Kilovoltage (kV)
Kilovoltage affects the speed of the electrons moving across the
gap:
high kVp = faster electrons
high kVp = shorter wavelength x-rays
high kVp = a higher energy beam
Decrease kV
• Fewer shades of grey
• High contrast
• Short Scale
Increase kV
• Lots of shades of grey
• Low contrast
• Long Scale
KVP RULE
if increase kV by 15 then decrease T by ½ OR if decrease kV by 15
then double T
high kVp = increased penetrating ability
high kVp = increase intensity
high kVp = an increase in density
high kVp = a decrease in contrast
Milliamperage (mA)
Milliamperage affects the number of the electrons
available to move across the gap:
high mA = increase in number of x-rays
high mA = increase in overall density
high mA = increase in intensity of beam
Time (T)
Exposure time affects the length of time that electrons move across the tube gap:
high T = increase in number of x-rays
high T = increase in overall density
high T = increase in intensity of beam
INVERSELY RELATED TO mA: if one increases the other must decrease to maintain density
Target to Receptor Distance (TRD)
Any time TRD is changed there must be a change to other exposure factors
higher TRD = reduce intensity of beam because they have further to travel
What does kV control?
•Quality (Power)
•Density
•Contrast
What does mA control?
•Quantity (amount)
•Density
What are some of the exposure factors that will affect the density (darkness) of the radiograph?
mA, T, kV, and distance
mA affects number of x-rays
T affects number of x-rays
kV affects intensity
distance affects intensity
What exposure factors affect the contrast of a radiograph?
kVp only!
Kilovoltage affects the quality of the beam - its
penetrating ability!
The more penetrating the beam, the lower the contrast.
What exposure factors affect the intensity of the x- ray beam?
kVp, mA, T & distance
kVp affects the energy of the beam
– more energy = more intensity.
mA affects the amount of x-rays
– more x-rays = more intensity.
T affects the amount of x-rays
– more x-rays = more intense.
distance - the further x-rays must travel, the less intense
they will be.
If