牙科放射線學(xué)(1)陳玉昆副專家:高雄醫(yī)學(xué)大學(xué)口腔病理科

07-3121101~2755yukkwa@.twIntraoral

Radiography口內(nèi)攝影術(shù)第1頁(yè)學(xué)習(xí)目標(biāo)2.EricWhaites:Essentialsofdentalradiography&radiology1stedition,Chapter8,p.59-771.EricWhaites:Essentialsofdentalradiography&radiology3rdedition,Chapter8-10,p.75-116References:

懂得口內(nèi)片攝影術(shù)旳名稱理解口內(nèi)片攝影術(shù)旳適應(yīng)癥明白口內(nèi)片攝影術(shù)旳辦法3.NewmanME&FriedmanS:Extraoralradiographictechnique:Analternativeapproach.JEndod2023;29:419-214.KaohsiungMedicalUniversity,OralPathologyDepartment第2頁(yè)P(yáng)eriapicalRadiographyParallelingtechniqueBisectingangletechniquePositioningdifficultiesFilm&toothparallel&incontactIdealpositioning

ParallelX-raybeammeetingboththetooth&filmatrightanglesRef.1第3頁(yè)Forfilm&toothtobeparalleltheymustplacedsomedistanceapartFilm&toothparallel&incontactIdealpositioning

ParallelX-raybeammeetingboththetooth&filmatrightanglesRef.1Parallelingtechnique第4頁(yè)Film&toothparallel&incontactIdealpositioning

ParallelX-raybeammeetingboththetooth&filmatrightanglesShortspacerconeDivergingX-raybeamMagnificationoftheimageLongspacerconeNearparallelX-raybeamMinimalmagnificationoftheimageRef.1Parallelingtechnique第5頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockPatientpositioningMaxillaryincisorPositioningMaxillaryincisorRef.2Parallelingtechnique第6頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockMaxillarycaninePatientpositioningMaxillarycaninePositioningRef.2Parallelingtechnique第7頁(yè)MaxillarypremolarPatientpositioningPositioningMaxillarypremolarAnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockRef.2Parallelingtechnique第8頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockMaxillarymolarPatientpositioningMaxillarymolarPositioningRef.2Parallelingtechnique第9頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockMandibularincisorPatientpositioningMandibularincisorPatientpositioningRef.2Parallelingtechnique第10頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockMandibularcanineMandibularcaninePatientpositioningPositioningRef.2Parallelingtechnique第11頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockMandibularpremolarPatientpositioningMandibularpremolarPositioningRef.2Parallelingtechnique第12頁(yè)AnteriorPosteriorMetalsupportingindicatorrodWhitelocatorringBiteblockBiteblockPatientpositioningMandibularmolarPositioningMandibularmolarRef.2Parallelingtechnique第13頁(yè)P(yáng)osteriortooth橫放橫放左上、右下象限右上、左下象限Anteriortooth直放upperAnteriortooth直放lowerRef.4Parallelingtechnique第14頁(yè)高雄市牙醫(yī)師公會(huì)資料Parallelingtechnique第15頁(yè)FullmouthX-rayfilmsLeftPremolarsRightPremolarsPremolarsMolarsMolarsBitewingBitewingBitewingBitewingUpperLowerIncisorsIncisorsCanineCanineCanineCaninePremolarsMolarsMolarsRef.4第16頁(yè)AlveolarbonelevelisnotaccurateVerticalangulationtoosmallPeriapicalRadiographyParallelingtechniqueBisectingangletechniquePositioningdifficultiesRef.1第17頁(yè)Horizontalangle正照想要照旳牙齒UpperarchLowerarchAnteriorteeth2-3mmbeyondtheincisaledgeLongaxisofthefilmpacketverticalLongaxisofthefilmpackethorizontalPosteriorteeth2-3mmbeyondtheocclusaledgeRef.1Bisectingangletechnique第18頁(yè)MaxillarycaninePatientpositioningVerticalangleMaxillaryincisorPatientpositioningVerticalangleRef.2Bisectingangletechnique第19頁(yè)MaxillarypremolarMaxillarymolarRef.2Bisectingangletechnique第20頁(yè)MandibularincisorMandibularcanineRef.2Bisectingangletechnique第21頁(yè)MandibularpremolarsMandibularmolarsRef.2Bisectingangletechnique第22頁(yè)P(yáng)osteriortoothAnteriortoothBitefork鱷魚夾Ref.4Bisectingangletechnique第23頁(yè)P(yáng)osteriortooth右上象限TubeheadPosteriortooth右上象限Tubehead顯示片子最外緣橫竿顯示片子最低處Tubehead垂直bitefork橫竿得到正確之水平角Ref.4Bisectingangletechnique第24頁(yè)P(yáng)eriapicalRadiographyParallelingtechniqueBisectingangletechniquePositioningdifficultiesMandibularthirdmolarGaggingEndodonticsEdentulousalveolarridgeChildrenPatientswithdisabilities第25頁(yè)

Mandibularthirdmolar–Solution(1)

止血鉗Verticallinedroppedfromtheoutercorneroftheeye1cmabovethelowermandibularborderExternalcenteringpointRef.2第26頁(yè)

Mandibularthirdmolar-Solution(2)Apexof8toofardistallytoberecordedX-raytubeheadtorecordthesecond/thirdmolarcrownrelationshipX-raytubeheadtorecordtheapexofthirdmolarX-raytubeheadX-raytubeheadRef.1第27頁(yè)Endodontics–Solution(1)AnteriorteethReamer/fileFrontview

–filmattachedtoawoodenspatulaSideview

–film&thewoodenspatulaareheldparallelTothelongaxisofthetoothReamer/fileRef.1第28頁(yè)Endodontics–Solution(2)RubberdamPosteriortoothPacketholderReamer/fileRef.2第29頁(yè)Endodontics–Solution(2)左上右下右上左下Catalogueofmanufacturer,Dentsply第30頁(yè)Endodontics–Solution(2)Catalogueofmanufacturer,Dentsply第31頁(yè)Endodontics–Solution(2)左上右下左下右上Catalogueofmanufacturer,Dentsply第32頁(yè)Gagging-SolutionSteepdownwardangulationoftheX–raybeamFilmhorizontal(intheocclusalplane)SurroundstructurewillbedistortedRef.1第33頁(yè)

Edentulousalveolarridge-Solution

FilmpacketpositionMaxillaMandibleBiteblockunsupported--filmrotatesBiteblocksupported--filmstableCottonwoolrollsRef.1第34頁(yè)

Children-SolutionPatientswithdisabilities-SolutionMaxillaryincisorsRef.1第35頁(yè)ExtraoralRadiographicTechnique:AnAlternativeApproachMaxillarytechniqueFilmorsensor-55Filmorsensor-35建議使用sensor因kVP較低建議使用sensor因kVP較低MandibulartechniqueRef.3第36頁(yè)EndodontictreatmentChildrenRef.3ExtraoralRadiographicTechnique第37頁(yè)AABBCDRef.4ExtraoralRadiographicTechnique第38頁(yè)自製工具底片Ref.4ExtraoralRadiographicTechnique第39頁(yè)SRef.4ExtraoralRadiographicTechnique第40頁(yè)Ref.4ExtraoralRadiographicTechnique第41頁(yè)BitewingRadiographyHorizontalbitewingVerticalbitewingAdultAdultChildrenDownwardverticalangulationVerticalHorizontalChildAdultRef.2第42頁(yè)VerticalbitewingHorizontalbitewingRefs.2,4BitewingRadiography第43頁(yè)OcclusalRadiography

MaxillaryocclusalprojectionsUpperstandardocclusal(standardocclusal)Upperobliqueocclusal(obliqueocclusal)Vertexocclusal(vertexocclusal)第44頁(yè)

MaxillaryOcclusalProjections

UpperStandardOcclusal片子橫放突點(diǎn)朝上Ref.2第45頁(yè)

MaxillaryOcclusalProjections

UpperObliqueOcclusal65-70degree片子直放突點(diǎn)朝上片子直放盡量接近所要照之牙弓Ref.2第46頁(yè)

MaxillaryOcclusalProjections

VertexOcclusal突點(diǎn)朝上片子直放不建議常使用因kVP過(guò)高Ref.2第47頁(yè)OcclusalRadiography

MandibularOcclusalProjectionsLower90degreeocclusal(trueocclusal)Lower45degreeocclusal