2 radiologia oral

RADIOLOGIA ORAL

martes 26 de enero de 2010

Placa radiogràfica dental

Embolcall exterior protector. Paper negre a cada costat que protegeix de la llum. Pel·lícula (conté cristalls de bromur de plata). Plom.


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Radiologia oral

Característiques de les plaques:

- Simples o dobles.- Amb un punt d’identificació.- La part blanca va dirigida al focus.


Cons Curt Llarg


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Tècnica del paralelisme

Tècnica de la bisectriu


Radiografia convencional versus digital




Reveladores Manual:4 vasos:1. Revelador : 5’. En relació amb la tª.2. Aigua: 15-20”.3. Fixador: 10-15’.4. Aigua: 20’.Secat + muntatge.

Automàtica

(Habitació fosca)

L’esgotament del revelador disminueix la densitat i el contrast.A les 3-4 setmanes es canvien els líquids.


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Errors RX clares

- Errors de revelat:1. Sub-revelat ( t tª)2. Solució reveladora exhaurida3. “ “ diluïda4. “ “ contaminada5. Massa fixada

- Subexposició: I, t, ... insuficient

RX fosques

- Errors de revelat:1. Sobrerevelat: t, tª,... + llarg.2. Concentració de revelat massa

alta.3. Fixació inadecuada.4. Exposició accidental a la llum.

- Sobreexposició: I, t, ... massa aumentats.


Negatoscopi


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Tipus de radiografies:1. Intrabucals

Aletes de mossegada / Interproximals:

Inclouen les corones de les dents superiors i inferiors i la cresta alveolar, en una mateixa placa.

Important per a detectar càries i càlculs interproximals.

Radiografies periapicals:

Ens dóna detall de tot l’aparell periodontal.

En periodoncia es faran periapicals de tota la boca: seriada periapical


Oclusals: Agafa una arcada dental. Es radiografia paladar ( focus a la punta del nas) o terra de la boca (focus a la barbeta). Poden localitzar dents supernumeràries o incloses (3M), cossos extranys a glàndules salivals , fractures maxilars, quistes, tumors, estat dels sins maxilars...


2. Extrabucals Telerradiografia:Útil en ortodoncia

Ortopantomografia


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1 sola imatge de les estructures facials, incloent arcades superior i inferior i elements de suport. Avalua les relacions estructurals generals de dents i ós.

Avantatges: 1. Cobertura anatòmica àmplia2. Baixa dosi de radiació3. Bon examen4. Es pot usar en pacients amb poca

apertura

Desavantatges:1. Cost2. Poc detall


TC (TAC): teixits durs RMN: teixits tous (ATM)


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Posició del tub de RX (inclinació)


Patologies

Tractaments


MalaltiaPeriodontal



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Pérdua d’ós horitzontal Pérdua d’ós vertical


Obturació infiltrada

Càries


Munyó protèsic

Quist

Fractura radicular

Reabsorció radicular

Dentició mixta


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Implant dental Endodoncia

Corona metall-ceràmica


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Ortodoncia Obturacions: amalgama més radiopac que el composite


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Protecció radiològica


2 radiologia oral

Education