Dental Radiography: Principles and Techniques

482 Pages·2016·42.04 MB·English

by  Joen Iannucci

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2015v1.0
DEN TAL
RADIO GRAPHY
Principles and Techniques
This page intentionally left blank
5 th
EDITIO N

D EN TAL
RAD IO GRAPHY
Principles and Techniques
Jo e n M. Iannucci,
DDS, MS

Professor of Clinical Dentistry
The Ohio State University
College of Dentistry
Columbus, Ohio
Laura Jans e n Ho w e rto n,
RDH, MS

Instructor
Wake Technical Community College
Raleigh, North Carolina
3251 Riverport Lane
St. Louis, Missouri 63043
DENTAL RADIOGRAPHY: PRINCIPLES AND TECHNIQUES, FIFTH EDITION ISBN: 978-0-323-29742-4
Copyright © 2017 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
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This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this eld are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
and using any information, methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety and the safety of others, including
parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identi ed, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
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and contraindications. It is the responsibility of practitioners, relying on their own experience and
knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each
individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material
herein.
Previous editions copyrighted 2012, 2006, 2000, and 1996.
Library of Congress Cataloging-in-Publication Data
Names: Iannucci, Joen M., author. | Howerton, Laura Jansen, author.
Title: Dental radiography: principles and techniques / Joen Iannucci, Laura
Jansen Howerton.
Description: 5th edition. | St. Louis, Missouri: Elsevier/Saunders, [2016] |
Includes bibliographical references and index.
Identi ers: LCCN 2016002397 | ISBN 9780323297424 (pbk.: alk. paper)
Subjects: | MESH: Radiography, Dental–methods
Classi cation: LCC RK309 | NLM WN 230 | DDC 617.6/07572–dc23
LC record available at http://lccn.loc.gov/2016002397
Content Strategist: Kristin Wilhelm
Content Development Manager: Ellen Wurm-Cutter
Content Development Specialist: John Tomedi, Spring Hollow Press
Publishing Services Manager: Julie Eddy
Project Manager: Abigail Bradberry
Design Direction: Miles Hitchen
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my son, Michael—
To my dad, Angelo—
To my mom, Dolores—
thank you or your everlasting love,
your encouragement, and a li e f lled with laughter.
To my students, past & present—
thank you or all you have taught me,
and or the sincere privilege o being a part o your li e.
To the faculty and staff on our radiology team—
thank you or your support, your sense o humor,
and or working with me to make radiology a true “destination” clinic
JMI
To my husband, Bruce, who inspires me every day of my life.
LJH
R E V I E W E R S
Joanna Campbell, RDH, MA Sheri Lynn Sauer, CDA, CODA
Instructor, Dental Hygiene Department Program Director/Instructor, Dental Assisting (Secondary)
Bergen Community College Eastland-Fairf eld Career and Technical Schools
Paramus, New Jersey Groveport, Ohio;
Instructor/Author/Speaker
Sharron Cook, CDA Radiography, OSHA Compliance and Blood-Borne Pathogens,
Instructor Nitrous Oxide Sedation Monitoring
Columbus Technical College Columbus Dental Society
Columbus, Georgia Columbus, Ohio
Leslie Koberna, RDH, BSDH, MPH/HSA, PhD Catherine Warren, RDH, MEd
Instructor, Dental Hygiene Program Instructor
Texas Woman’s University University o Arkansas or Medical Sciences
Denton, Texas Little Rock, Arkansas
vi
P R E F AC E
Welcome to the fth edition of Dental Radiography: Principles to clearly delineate the various learning features, and engages
and Techniques. The purpose of this text is to present the basic the student in the content. Enhanced line drawings are included
principles of dental imaging, and provide detailed information to improve the clarity in this highly visual subject area.
about imaging techniques. This text offers a straight-forward, The panoramic imaging chapter has been expanded to
reader-friendly format with a balance of theory and technical include more visuals. In the interpretation chapters of the text,
instruction to develop dental imaging skills. Our goal with this numerous dental images that illustrate a variety of conditions
fth edition, as with previous editions, is to facilitate teaching are now included. A dental image interpretation checklist is
and learning. also included.
ABOUT THIS EDITION ABOUT EVOLVE
The simplicity and organization of this text makes it exception- A companion Evolve website is available to students and
ally easy to use. To facilitate learning, the fth edition is divided instructors. The site offers a wide variety of additional learning
into manageable parts for both the student and faculty: tools and greatly enhances the text for both students and
• Radiation Basics instructors.
• Equipment, Film, and Processing Basics
• Dental Radiographer Basics
FOR THE STUDENT
• Technique Basics
• Digital Imaging Basics Evolve Student Resources offers the following:
• Normal Anatomy and Film Mounting Basics • Self-Study Examination. Over 250 multiple-choice ques-
• Image Interpretation Basics tions are provided in an instant feedback format. This helps
Each chapter includes a variety of features to aid in learning. the student prepare for class, and reinforces what they’ve
A list of objectives to focus the reader on the important aspects studied in the text.
of the material is presented at the beginning of every chapter. • Case Studies. Scenarios similar to those found on the
Key terms are highlighted in blue and bold typeface as they National Board Dental Hygiene Examination (NBDHE), as
are introduced in the text. A complete glossary of more than well as clinical and dental imaging patient ndings, are pre-
600 terms is included at the end of the book. Detailed, easy sented with challenging self-assessment questions. There is
to follow step-by-step procedures designed to guide the also a case scenario in each chapter followed by three to ve
student for the various intraoral and extraoral techniques. questions.
The material is organized in an instructionally engaging way • Labeling Exercises. Drag-and-drop device assembly and
that ensures technique mastery and serves as a valuable refer- labeling of equipment, along with positioning drawings and
ence tool. Summary tables and boxes are included throughout photographs.
the text. These provide easy-to-read synopses of text discussions • Dental Image Identi cation Exercises. Drag-and-drop lm
that support visual learners, and serve as useful review and mounting and digital imaging.
study tools. Quiz questions are included at the end of each
chapter to immediately test knowledge. Answers and rationales
FOR THE INSTRUCTOR
to the quiz questions are provided to instructors on the Evolve
website. Evolve Instructor Resources offers the following:
• TEACH Instructor Resource Manual. Includes the
following:
NEW TO THIS EDITION
• TEACH Lesson Plans. Detailed instruction by chapters
This edition updates and expands the chapters on digital and and sections, with content mapping.
three-dimensional imaging with the most current technology, • TEACH PowerPoint Slides. Slides of text and images
ensuring students are prepared to practice in the modern dental separated by chapter.
of ce. In addition, we have added a section on pediatric patients • TEACH Student Handouts. Exercises provide extra prac-
that includes new content on the deciduous and mixed denti- tice in the classroom.
tions to aid the student in the interpretation of these often • Test Bank in ExamView. Approximately 1000 objective-
challenging dental images. style questions with accompanying rationales, CDA and
Throughout the text, a Helpful Hint feature highlights NBDHE exam tags, and page/section references for text-
important material and offers tips to aid student understand- book remediation.
ing. The hints help the student to learn and to recognize and • Answers to Textbook Quiz Questions, Case Studies, and
prevent the most common technique pitfalls while providing a Case Scenarios. A mixture of ll-in-the-blank and short-
checklist to guide both the novice and the experienced dental answer questions for each chapter, with self-submission and
radiographer. instant feedback and grading.
Photographs have been updated throughout the text to • Image Collection. All the text’s images available electroni-
depict the newest equipment, and revised art includes new illus- cally for download into PowerPoint or other classroom
trations of anatomy and technique. These enhancements help lecture formats.
vii
viii Pr e f a c e
WORKBOOK AND LABORATORY MANUAL FROM THE AUTHORS
Dental Radiography: A Workbook and Laboratory Manual is an Are there any tricks to learning dental imaging? Most de nitely!
exciting new companion to the textbook, and seeks to provide Attend class. Stay awake. Pay attention. Ask questions. Read the
a complete and comprehensive solution for dental assisting book. Learn the material. Do not cram. Prepare for tests. Do
(DA) and dental hygiene (DH) educational programs. The rst not give up.
section of the Workbook contains written exercises and critical- We hope that you will nd the textbook and Evolve website
thinking exercises organized into seven modules that follow the to be the most comprehensive learning package available for
seven parts of the textbook, designed to offer students extra dental imaging.
practice and reinforce the material. The second section is struc-
tured as a Laboratory Manual, presenting the material and Joen M. Iannucci, DDS, MS
instructions needed for students to perform each of the radio- Laura Jansen Howerton, RDH, MS
graphic techniques, establishing competency in the radiography
clinic through active learning.