PRINCIPLES OF RADIOGRAPHIC

INTERPRETATION
DR SAMY I ALAGHA
A PROFESSOR&CONSULTANT OF
RADIOLOGY
GUIDELINES FOR ORDERING
DENTAL RADIOGRAPHS
MAKE RADIOGRAPHS ONLY AFTER A CLINICAL
EXAMINATION.
ORDER ONLY RADIOGRAPHS THAT DIRECTLY
BENEFIT THE PATIENT IN DIAGNOSIS
&TREATMENT.
USE THE LEAST AMOUNT OF RADIATION
EXPOSURE .
CLINICAL SITUATIONS NEED
RADIOGRAPHIC EXAMINATIONS
1-DENTAL CARIES
2-PERIODENTAL DISEASES
3-DENTAL ANOMALIES
4-GROWTH&DEVELOPMEN AND DENTAL MALOCCLUSION
5-OCCULT DISEASES
6-TMJ DISORDERS
7-IMPLANTS
8-PARANASAL SINUSES
9-TRAUMA


RADIOGRAPHIC INTERPRETATION
CLINICAL EXAMINATION
QUALITY OF DIAGNOSTIC IMAGE
NUMBER &TYPE OF AVAILABLE IMAGES
VIEWING CONDITIONS
IMAGE ANALYSIS
Systematic radiographic
examination>>>identify normal
anatomy&examinte the entire film
Inraoral images>>>examine the periapical
films before the bitewing films starting in the
RT maxilla to its LT then drop down in the LT
mandible to its RT
Extraoral images>> panoramic
films,cephalometric views&TMJ views
ANALYSIS OF INTRAOSSEOUS LESIONS
STEP 1:LOCALIZE THE ABNORMALITY
LOCALIZED OR GENERALIZED
POSITION IN THE JAWS
SINGLE OR MULTIFOCAL
SIZE
STEP 2:ASSESS THE PERIPHERY
&SHAPE
Is the periphery of lesion well defined or ill
defined?
SHAPE OF LESION>>>Circular or fluid filled
>>>Scalloped in cystic or
cystlike lesions
STEP3:ANALYZE THE INTERNAL
STRUCTURE
Air,Fat,or Gas
Fluid
Soft tissue
Bone marrow
Trabecular bone
Cortical bone &dentine
Enamel
Metal
STEP4:ANALYSE THE EFFECTS OF THE
LESION ON SURROUNDING STUCTURES
TEETH,LAMINA DURA,PERIODENTAL
MEMBRANE SPACE
INFERIOR ALVEOLAR CANAL&MENTAL
FORAMEN
MAXILLARY ANTRUM
SURROUNDING BONE DENSITY&TRABECULAR
PATTERN
OUTER CORTICAL BONE&PEIOSTEAL
REACTION
END