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incisors
canine
premolar
molar
Maxillary PA
BW
Mandibular PA
In moving from the maxillary periapical to the bitewing
and from the bitewing to the mandibular periapical, the
tubehead moves down and the beam is redirected
upward (opposite direction; decreased vertical
angulation).
Vertical movement
For the films above, we know that the tubehead was moved
distally from the premolar to the molar film. The zygomatic
process (red arrows) is located at the distal aspect of the 2 nd
molar on the premolar film and it is located over the distal
aspect of the 1st molar on the molar film. This indicates that
it moved mesially as the tubehead moved distally. We know
that the zygomatic process is buccal to the teeth and, using
the SLOB rule, it follows that the x-ray beam was directed
more mesially on the molar film (Buccal object moved
opposite to tubehead movement).
premolar molar
The
Is the
restoration
composite isrestoration
located on on
thetooth
buccal.
# 8The
(arrows)
tubehead
moves
locatedmesially
on the buccal
from the
or canine
lingual?film to the incisor film
(x-ray beam projected more distally) and the composite
moves distally, which is the opposite direction.
2 canine film
premolar film
The
The arrow
arrow in the canine
identifies film iscanal.
the lingual pointing
Thetotubehead
the guttamoves
percha from
mesially in which canal of the
the premolar filmmaxillary first premolar?
to the canine film (beam
directed more distally) and the gutta percha indicated by
the arrow also moves mesially. (See following slide).
lingual
D
buccal PI
PID
This
The
The is
red
Thepink the
post isbuccal
arrow
arrow is canal.
pointing
points
located in to The
ato
the tubehead
the
threaded
lingual gutta goes
percha
post.
canal. In the
As in
which
distally
which
canal
tubehead from
ofcanal
this thethis
of canine
maxillary
moves film
maxillary
left
distally toleft
second
from the
the premolar
first premolar?
premolar
canine film
is
film the
to
and
the the
post gutta percha
located?
premolar film, themoves mesially
post also moves to distally
be
positioned
to cover the over thethat
canal lingual
hascanal which
all gutta has the
percha.
threaded post.
premolar film 4 molar film
TheIstubehead movessecond
the maxillary distally from
the premolar
premolar film to the molar film.
(arrows)
Thedisplaced
second premolar also moves
to the buccal
distally,
or theoverlapping
lingual? the first molar
more in the molar film. In moving
from the premolar periapical to the
bitewing, the tubehead moves
down and the premolar also moves
down. The displacement is to the
premolar bitewing lingual.
incisor film 5 canine film
The
Is the
lateral
displaced
incisor
incisor
is displaced
(arrows)tolocated
the lingual.
on the
The
buccal
or the lingual?
tubehead moves distally from the incisor film to the
canine film. The lateral incisor also moves distally,
covering half the canine on the canine film.
6 canine film
premolar film
PID plac
ement fo
premola r
r film
root tip
10
11
premolar film