ROLE AND METHODE:

ORAL RADIOGRAPHIC EXAMINATION

LYDIA KUNTJORO
RADIOLOGY DEPARTMENT
MEDICAL FACULTY OF DIPONEGORO UNIVERSITY
BASIC RADIOLOGI

• EQUIPMENT : x ray mechine and film

• RADIATION PROTECTION : protection from the harmfull effect of X-ray
• RADIOGRAPHY : techniques in producing various radiographic images
• RADIOLOGY : interpretation  understanding from 3D to 2D
• RADIOGRAPHY SHADOW : RADIOOPAQ ( white), RADIOLUCENT ( black)
• Shadow density is effected by :
• Type of material
• Thickness or density of material
• Shape of the object
• Intesity of X ray beam used

i : cylinders from front
ii: same shape different material : A plaster, B plastic, C metal, D wood
iii: same shape different material of cylinders object
i : 4 cylinders from front view, made of plaster
ii: plan vies wirh varying internal design and thickness
iii: radiograph similar cylinders, similar shape and material, differenct
density, produce defferent images
3D 2D
Quality of radiographic images

• Contrast
• Geometry : position of film, object, and X ray beam
• Object and film should in close together as possible
• Object and film should be parallel to on another
• X ray tubehead shoul be postioned so the beam meet the object and film in
the right angles
• Characteristic of the X ray beam
• Image sharpness and resolution
X ray beam characteristic
 IMPORTANT : INFECTION CONTROL
• Training infection control procedure and monitoring for all staff
• All clinical staff should ne vaccinated against Hep B
• Open wounds on the hand should be covered with waterproof
dressing
• Medical gloves
• Eye protection
• Mask
• Film packets and holder should be placed on disposiblle trays to
ovoid contamination
• Prevent salivary contamination of film packets, should be placed in
small barrier envelopes
• Digital radiography sensors must also be placed inside appropriate
barrier envelopes
• Contaminated displosable tray should be discharded into suitable
clinical waste disposable bag
Types of dental radiographs

INTRAORAL EXTRAORAL
• Periapical • Obique lateral
• Bitewing • Various skull radiograph
• Occlusal • Dental panoramic
pantomogram
• Cephalometri
DENTAL RADIOGRAPH INTRAORAL
PERIAPICAL (1)
DENTAL RADIOGRAPH INTRAORAL
BITEWING (2)
DENTAL RADIOGRAPH INTRAORAL
BITEWING (2)
DENTAL RADIOGRAPH INTRAORAL
OCCLUSAL (3)
DENTAL RADIOGRAPH EKSTRAORAL
TRUE LATERAL, OBLIQUE LATERAL (1)
VARIOUS OBLIQUE LATERAL RADIOGRAPH
BIMOLAR TECHNIQUE
VARIOUS SKULL RADIOGRAPH

A. Standard occipitomental (0 derajat OM)

B. 30 derajat OM , 45 derajat OM
C. PA skull
D. PA jaw
E. Reverse Towne’s
F. Rotated PA
G. True lateral skull
H. Submento-vertex ( SMV)
I. Transcranial
J. Transpharyngeal
STADARD OM

30 DERAJAT, 40 DERAJAT OM
PA SKULL PA JAW
REVERSE TOWNE TOWNE
ROTATED
TRUE LATERAL

SMV
DENTAL PANORAMIC/ PANTHOMOGRAM
Cephalometri
THANK YOU

• Whaites E. Cawson R. A. Essensitial of Dental Radiography and

Radiology. 3rd ed. Churchil Livingston. Edinburgh: 2003