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Radiology

Bisecting angle technique 

Bisecting angle technique is a method used in dental radiography to obtain radiographs of teeth and surrounding structures. This technique involves positioning the X-ray beam perpendicular to an imaginary line that bisects the angle formed by the long axis of the tooth and the film or sensor. Here are the general guidelines for angulations when using the bisecting angle technique:

Anterior Teeth

  1. Maxillary Central Incisors:
    • Vertical Angulation: +40 to +50 degrees
  2. Maxillary Lateral Incisors:
    • Vertical Angulation: +40 to +50 degrees
  3. Maxillary Canines:
    • Vertical Angulation: +45 to +55 degrees
  4. Mandibular Central Incisors:
    • Vertical Angulation: -15 to -25 degrees
  5. Mandibular Lateral Incisors:
    • Vertical Angulation: -15 to -25 degrees
  6. Mandibular Canines:
    • Vertical Angulation: -20 to -30 degrees

Posterior Teeth

  1. Maxillary Premolars:
    • Vertical Angulation: +30 to +40 degrees
  2. Maxillary Molars:
    • Vertical Angulation: +20 to +30 degrees
  3. Mandibular Premolars:
    • Vertical Angulation: -10 to -15 degrees
  4. Mandibular Molars:
    • Vertical Angulation: -5 to -10 degrees

Key Points

  • Positioning: The film or sensor should be placed as close to the tooth as possible, and the X-ray beam should be directed perpendicular to the bisecting line.
  • Patient Comfort: Ensure that the patient is comfortable and that the film or sensor is properly stabilized to avoid movement during exposure.
  • Technique Variability: The exact angulation may vary based on the individual patient's anatomy, so adjustments may be necessary.

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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