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Common Artifact & Errors In
Intraoral Periapical
Radiograph
Dr jyoti sharma
Subharti dental college
•Introduction
•Ideal radiograph
•Artifact
•Errors
•Types of errors
•Projection errors
•Exposure errors
• processing errors
•Types of artifacts
•Take home message
•Conclusion
CONTENTS
INTRODUCTION
When satisfactory x-ray machine, film and darkroom
equipment are available and properly used, radiographic
quality depends on the ability of the clinician to expose
the film properly. The understanding of film exposure
technique is based on knowledge of an ideal radiograph.
Ideal radiograph is one which has desired density and
overall blackness and which shows the part completely
without distortion with maximum details and has the
right amount of contrast to make the details fully
apparent
(H.M Worth)
Ideal radiograph
IDEAL RADIOGRAPH
• Complete area of interest , complete
film
• Density , contrast
• Sharpness
• Distortion
Artifact!!!!
What are ARTIFACT????
• An unwanted density on the radiograph that
interferes with diagnosis
Or
• Any optical density that is not an anatomy
• Can be controlled when the cause is identified.
• Due to equipment pitfalls.
• Film emulsions and packaging
• Exposure artifacts
• Processing
What are errors ?
Mistake Is Not A Mistake Till U Don't Do It
Instead Doing It Not Is A Bigger Mistake
Life Is All About Learning From Mistakes
Making Errors/Mistake Are Part Of Life
NEED TO CHECK
•Film placement technique
•Exposure
•Darkroom processing
solution sequence
ERROR
Blank image
The majority of the errors produced can be
categorized into groups:
I. Operator and Technique
II. Exposure errors
III. processing errors
IV.Radiographic artifacts
TECHNIQUES
Paralleling technique
Bisecting angle technique
Bitewing technique
Avoid Technique Error
Correctly exposing intraoral receptor
Include 4 basic steps:
• Receptor placement
• Vertical (angulations alignment)
• Horizontal (Angulations alignment)
• Central ray centering
Technique errors
vertical alignment
error
foreshortening elongation
Decrease vertical
angulation
Elongation
FORESHORTENING
Over angulation
Incorrect horizontal angulation
magnification
Source-object distance large
one should look at his own self;
Before pointing out a finger on
others
Operator errors :
Patient preparation error
Radiographic artifacts
Blurred images
Bending of film
Radiopaque artifact
Blurred image
Blurred image
Bending of film
•Reversed film(Herring bone
effect tyre track
appearance)
•Double image
•Apices cut off•Dot artifact
•Dropped film corner•Crown not shown
(Specific region not
showing)
Flim placement errors
Double image
Reversed film Tyre track
appearence
Dot artifact
Apices cut off
Crown not shown
Correction: increase amount of film showing ,not
1/8th of the film should be below or above the
crown
Dropped Film Corner
IF Edge Of Film Is Not Parallel To The
Occlusal Surface Of Teeth
Partial image (cone cut)
Asuan – Egy.
II. Exposure errors.
Blank image.
Low density image.
High density image.
Image with high and low
contrast.
Blank image
A film that doesn’t receive radiation
will have no image and will appear
clear.
Low density (faint) imageHigh density
Density-degree OR GRADATION OF
“BLACKNESS” ON A RADIOGRAPHIC FILM.
High contrast and low contrast
Difference in degree of blackness on radiograph
III. Processing errors
Processing include several variables:
•Development time
•Fixing time
•Processing temperature
•Chemical activity
III. Processing errors
Chemical
errors:
•Light image
•Dark image
•Reticulation
•film fog
Film Handling
errors:
•Partial images
•Overlapped film
processing errors
• Stain on film
• Yellowish brown
discoloration.
• Roller mark
• Dark flow marks
• Emulsion peel
• Grainy appearance
• Dark box
Dark radiograph Light radiograph
Reticulation.(orange peel appearance)
Partial images
Film fog
Overlapped film processing
Stain on film
DEVELOPER STAINS
Yellowish brown discoloration
Dark flow mark
Emulsion peel
Grainy appearance
Roller mark
Dark box
Radiographic artifacts
Exposure and processing artifact
• Black line
• Black spot
• Black crescent
• Static smudge
• Static tree
• Black patch
• White spot
• Air bubbles
• Streaking
• Lightening bolt type
• Phalangioma
Black spot
Black line
Black patch on film
Black crescent
Static electricity
Black smudgeBlack tree
Rapid opening of film from film
packet in the period of low humidity
Lightening bolt like artifacts
White spot or
patch
Air bubbles
Streaks on film
phalangiomaPhalangioma
Storage and handling artifact
• Brittleness on radiograph
• Finger prints
• finger nail
• Clip mark
• Black area
• Metallic silver artifact
• Vigorous staining
BRITTLENESS ON RADIOGRAPH
Black finger print
White finger print mark
Finger nail artifact
Clip mark
Black area
Metallic silver defect artifact
Vigorous staining
Judgement
Clinical
aspect
Patient
exposure
TAKE HOME MESSAGE
SHAPE DISTORTION
ALIGNMENT
IDEAL
RADIOGRAPH
Learn from the mistakes
of other we won’t live
long enough to make all
by ourself“”
Chanakya
• PRINCIPLES OF DENTAL
IMAGING – by Langland and
Langlais
• DENTAL RADIOGRAPHY AND
RADIOLOGY- by Eric whites
• ORAL RADIOLOGY PRINCIPLES
AND INTERPRETATIONS –by
White and Pharaoh
• TEXTBOOK OF DENTAL AND
MAXILLOFACIAL RADIOLOGY –by
Freny R. Karjodkar
REFERENCES
Dr. SANGEETA MALIK
Senior lecture Dept. of Oral medicine and Radiology (SDC)
Dr. SUMIT GOEL
Senior lecturer Dept. of Oral medicine and Radiology (SDC)
Dr . SWATI GOEL
Senior Lecturer Dept of oral medicine and radiology (SDC)
ALL POST GRADUATES
Dept of oral medicine and radiology (SDC)
ACKNOWLEDGEMENTS
Artifact and errors in intraoral periapical radiograph.ppt

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Artifact and errors in intraoral periapical radiograph.ppt

Editor's Notes

  1. an object formed by humans, particularly one of the interest to archaeologists
  2. Is the appearance of the interproximal surfaces of the adjacent teeth over each other. This is due to improper Horizontal Angulation due to improper alignment of the Central Ray through the contact points i.e. not parallel to interproximal surfaces
  3. correction:keep unexposed and exposed flim in different receptacle and label exposed
  4. Over development Inadequate fixation Developer temperature too high Accidental expose to light & improper safe light Correction- Use time temperature method Lower temperature to 70degree celcius Use all safety precaution Maintain safe light as per recommended requirments
  5. Sudden extreme temperature changes in processing Or weakened fixer solution Correction- Maintain uniform processing temperature Replace fixer solution
  6. Abrasion of Image during processing or due to prlong water wash
  7. When
  8. Due to dirty roller or freign material on roller rough spot on roller Correction film handling is extreamly sensitive process particularly before and after processing good habit in gental handling of film must be practice
  9. Automatic developers have a "dark box" with hand holes in the side. The film is unwrapped in the dark box. If light can enter the box through the wrist-holes, this pattern commonly emerges. Dark areas appear where light reaches the film. Normal areas are where the fingers and thumbs were holding the film during unwrapping, protecting it from the light
  10. Dust particles on finished image causes emulsion peel
  11. Crescent shaped black lines - i) fingernail pressure on the film ii) excessive bending the film. Crescent shaped white lines - cracked intensifying screen
  12. e
  13. Failure to agitate during development Insufficient fixing Contaminated was water Corrections Agitate films on immersing them in the developer Use time temperature method for processing Wash flim in fresh running water
  14. Unbalaced processing temprature excessive fixer acidity