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NEET MDS Lessons
Radiology

Fractures of the Zygomatic Arch

  • Structures:�Zygomatic arch, zygomatic bone.
  • Best Views:
    • Submento-Vertex View:�Provides a clear view of the zygomatic arch and helps assess fractures.
    • Waters View:�Useful for visualizing the zygomatic bone and maxillary sinus.
    • Reverse Townes View:�Can also be used to visualize the zygomatic arch.

Base of Skull

  • Structures:�Base of the skull, cranial fossae.
  • Best Views:
    • Submento-Vertex View:�Effective for assessing the base of the skull and related fractures.

Maxillary Sinus

  • Structures:�Maxillary sinus, zygomatic bone.
  • Best Views:
    • Waters View:�Excellent for visualizing the maxillary sinus and any associated fractures.

Fractures of Zygoma

  • Structures:�Zygomatic bone, zygomatic arch.
  • Best Views:
    • Waters View:�Good for assessing zygomatic fractures.
    • PA View:�Provides a frontal view of the zygomatic bone.
    • Reverse Townes View:�Useful for visualizing the zygomatic arch.

Nasal Septum

  • Structures:�Nasal septum, nasal cavity.
  • Best Views:
    • PA View:�Useful for assessing the nasal septum and any associated fractures.

Condylar Neck Fractures

  • Structures:�Mandibular condyle, neck of the condyle.
  • Best Views:
    • Lateral Oblique View (15�):�Good for visualizing condylar neck fractures.
    • Transpharyngeal View:�Useful for assessing the condylar region.

Medially Displaced Condylar Fractures

  • Structures:�Mandibular condyle.
  • Best Views:
    • Lateral Oblique View (30�):�Effective for visualizing medially displaced condylar fractures.

Coronoid Process of Mandible

  • Structures:�Coronoid process.
  • Best Views:
    • PA View of Skull:�Can help visualize the coronoid process.

Fractures of Ramus and Body of Mandible

  • Structures:�Mandibular ramus, body of the mandible.
  • Best Views:
    • Lateral Oblique View (15�):�Useful for assessing fractures of the ramus and body of the mandible.

Horizontal Favorable and Unfavorable Fractures of Mandible

  • Structures:�Mandible.
  • Best Views:
    • Lateral Oblique View (30�):�Effective for evaluating horizontal fractures.

Bony Ankylosis of TMJ

  • Structures:�Temporomandibular joint.
  • Best Views:
    • CT Scan:�Provides detailed imaging of bony structures and ankylosis.

Fibrous Ankylosis of TMJ

  • Structures:�Temporomandibular joint.
  • Best Views:
    • CT Scan:�Useful for assessing fibrous ankylosis.

Internal Derangement of the Disk

  • Structures:�TMJ disk.
  • Best Views:
    • MRI:�The best modality for evaluating soft tissue structures, including the TMJ disk.

Disk Perforation

  • Structures:�TMJ disk.
  • Best Views:
    • MRI:�Effective for diagnosing disk perforation.

Arthrography

  • Structures:�TMJ.
  • Best Views:
    • Arthrography:�Can be used to assess the TMJ and visualize the disk and joint space.

Radiographic films used in Dentistry

1.�Intraoral Periapical (IOPA) Film

  • Size 0:
    • Dimensions: 22 x 35 mm
    • For: Small children
    • MPD (Maximum Permissible Dose) for whole body: 0.1 Rem in 1 year
  • Size 1:
    • MPD for gonads/bone marrow: 0.5 Rem in 1 year
  • Size 2:
    • Dimensions: 24 x 40 mm or 32 x 41 mm
    • For: Anterior projections and adults
    • MPD for gestation period in relation to the fetus: 5 Rem
    • MPD for skin: 0.5 Rem in 1 year
  • Radiation Exposure:
    • Mean exposure from one IOPA: 300 mR
    • Mean exposure from improved dental X-ray techniques: as low as 110 mR

2.�Bitewing Film

  • Size 0:
    • For: Very small children
  • Size 1:
    • For: Children
  • Size 2:
    • For: Adults

3.�Occlusal Film

  • Size:
    • 3 times larger than size 2 film (57 x 76 mm)
    • Used for capturing larger areas of the dental arch.

4.�Screen Film

  • Size:
    • 8 x 10 inches
    • Used for extraoral projections in conjunction with an intensifying screen.

Additional Information

  • Erythema Dose: The amount of radiation necessary to produce a noticeable skin reaction, typically 300-400 R.
  • ALARA Principle: Stands for "As Low As Reasonably Achievable," emphasizing the importance of minimizing radiation exposure.

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