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CENTURY INTERNATIONAL INSTITUTE OF DENTAL SCIENCE & RESEARCH CENTER

Department Of Oral Medicine & Radiology 2010-2011 OBJECT LOCALIZATION TECHNIQUES

Submitted by Shabhana . B IV th BDS, Part 1.

Tube Shift Technique 5. Introduction 2. Conclusion 9. Bibliography [Type text] .Contents 1. Stereoscopy 7. Localization Technique 4. Indications 3. Radiographic Technique for Localization of Impacted Teeth & Foreign Bodies 8. Right Angle Technique 6.

Tube shift technique [Buccal object rule or clarks rule] 2. y The dental radiograph is a two dimensional picture of a three dimensional object. Indications y y y y y y y y y Foreign bodies Impacted Teeth Unerupted Teeth Retained Roots Salivary Stones Jaw Fractures Broken needles and instruments Root positions Filling Materials Localization Techniques 1.Introduction y These are methods to locate the position of a tooth or an object in the jaws. Stereoscopy [Type text] . Right angle technique 3. y Localization is used to overcome this lacune. y It fails to depict buccolingual relation or depth of the object. it depicts the object in the superior ± inferior and antero posterior relationship.

y Different vertical angle is used trying to locate a horizontally aligned images. the object in question is said to be positioned lingually. Method y y Two radiographs of the object taken. First radiograph with proper technique and angulation as prescribed. Interpretation y If the dental structure seen in the second radiograph appears to have moved in same direction as the shift of PID. y Second radiograph is with changing the direction of the central ray either with a different horizontal or vertical angulation and keeping all other parameter equivalent to the first radiograph. Example: Root Canals. y Different horizontal angle used when trying to locate vertically aligned images. Example: Mandibular Canal.Tube shift technique y y Buccal object rule or clarks rule The basic principle is that relative position of the radiographic images of two separate objects changes when the projection angle at which the project was made is changed. [Type text] .

y If the object appears to have moved in a direction opposite to the shift of PID. [Type text] . y Evaluate the relationship of margins of bony fractures. y Also used in cases in which the interpretation of images produced at right angle might be difficult. Method y A periapical radiograph is taken to show the position of the object superior-inferiorly and anterio posteriorly. y Two radiographs when studied together. y Next occlusal radiograph is taken. y SLOB rule ± SAME SIDE LINGUAL OPPOSITE SIDE BUCCAL. Right Angle Technique y Here two projections are taken at right angles to each other which helps to localize an object in the maxilla or mandible. then object in question is said to be positioned buccally. which will show the object¶s buccolingual and anterio posterior relationship. helps to localize the objects in all three dimension. Stereoscopy y It is used to determine the location of small intracranial calcification and multiple foreign bodies in dense or thick section.

y Between exposure. y Assessment of bone shape when the placement of dental implant is considered. the tube is shifted from right eye to left eye position. patient is maintained in position. film is changed.y Stereoscopic imaging requires the exposure of two films. so that brain can fuse the two images. y Assessment of the relationship of the mandibular canal to the root of the unerupted mandibular third molars. the film are viewed with a stereoscope that uses either mirrors or prisms to coordinate the accommodation and convergence of the viewers eye. one for each eye and thus deliver twice amount of radiation to patient. Incisor Zone y y Stereoscopic Lateral profile y Occlusal [Type text] . Radiographic Techniques For Localization Of Impacted Teeth & Foreign Bodies Maxillary Area 1. Determination of root configuration of the teeth that require endodontic therapy. y y For morphology of temperomandibular joint area. y After processing. y This technique is popular for the evaluation of bony pockets in patient with periodontal diseases.

Third Molar Zone y y y Oblique Occlusal [Type text] . Posterior Zone y y Occlusal Periapical Periapical Lateral Oblique 3. Bicuspid & Molar Zone y y Mandibular Area 1. Incisor Zone y y Periapical Lateral profile y Occlusal 2.2. Cuspid Zone y y y Stereoscopic Lateral profile Occlusal Periapical Occlusal 3.

[Type text] . y This two methods.Conclusion y In clinical practice. right angle technique and tooth shift technique are frequently used to obtain such three dimensional information. y The dentist may wish to use radiograph to determine the location of a foreign object or an impacted tooth within jaw. the dentist must often derive from a radiograph three dimensional information concerning patients.

By Freny R Karjodkar y Oral Radiology Principles & Intrepretation (6th Edition) Chapter Number.Bibliography y Dental & Maxillo Facial Radiology (2nd Edition) Chapter Number. Page Number. Michael J Pharoah [Type text] . Page Number By Stuart C White.