3. Extra-Oral Techniques

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  • 7/26/2019 3. Extra-Oral Techniques

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    N

    o

    Film

    placement

    Head

    Position

    Point of

    EntryAngulation

    1

    Lateral

    Oblique

    Projection

    (Body of

    mandible

    projection)

    entered

    o!er t"e

    body of

    t"e

    mandibl

    e

    #n bot"projections

    $

    %%% &"e

    "ead

    tipped '

    degrees

    toards

    t"e side

    being

    imaged*

    %%%%&"e

    c"in is

    e+tended ,

    ele!ated

    slig"tly

    -ust

    belo

    t"e

    inferior

    border of

    t"e

    mandible

    (belo

    t"e loer

    .) on t"e

    side

    opposite

    t"e

    cassette*

    &"e beam

    is directed

    upards

    (/' to

    /01)

    centered

    on t"e

    body of

    t"emandible

    ,

    perpendic

    ular to t"e

    2lm*

    2

    Lateral

    Oblique

    Projection

    (3amus of

    mandible

    projection)

    entered

    o!er t"e

    ramus of

    t"e

    mandible

    (#n bot"

    projections

    $ &"e

    patient

    must "old

    t"ecassette in

    position

    it" t"e

    t"umb

    under t"e

    edge of

    Point

    posterior

    to t"e

    t"ird

    molar

    region on

    t"e side

    opposite

    t"ecassette*

    &"e beam

    is directed

    upards

    (/' to

    /01)4

    centered

    on t"e

    ramus of

    t"e

    mandible,

    perpendicular to t"e

    2lm*

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    t"e

    cassette

    and t"e

    palm

    against t"eouter

    surface of

    t"e

    cassette)*

    Film

    placeme

    nt

    Head

    Position

    Point of

    Entry

    Angulati

    ons5

    3

    &rue

    Lateral

    67ull

    )DeadLateral(

    &"e

    patient is

    positioned

    in a

    manner so

    t"at t"e

    side oft"e face

    touc"es

    t"e 2lm

    &"e

    sagittal

    plane of

    t"e "ead is

    parallel tot"e 2lm*

    &"e +/ray

    tube

    "ead is

    positione

    d it"

    t"e

    central

    ray iscentered

    to t"e

    e+ternal

    auditory

    meatus*

    t"e

    central ray

    is

    perpendic

    ular to t"e

    sagittalplane and

    t"e 2lm

    4

    Postero/

    anterior

    8ie&"e

    patient is

    positioned

    facing t"e

    2lm

    %%%&"e

    "ead

    tipped

    forard so

    t"at t"e

    fore"ead ,

    tip of t"e

    nose touc"

    entered

    t"roug"

    t"e

    occiput*

    &"e 9/ray

    tube "ead

    is

    positioned

    it" t"e

    entral

    ray

    "ori:ontal

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    Note:

    The mouth

    in this view

    is closed

    t"e 2lm4

    t"e so/

    called

    fore"ead/

    noseposition*

    %%&"e

    radiograp"i

    c baseline

    (ant"o

    /meatus

    line) is

    "ori:ontal, at rig"t

    angles to

    t"e 2lm*

    (;ero

    angulation

    )

    5 Occipito/

    mental 8ie(ote$

    &"e

    mout" in

    t"is !ie

    is open*

    %%%&"e

    "ead

    tipped

    bac7 till

    t"e c"intouc" t"e

    cassette*

    %%%&"e

    radiograp"i

    c baseline

    is at ?@ to

    t"e 2lm*

    entered

    t"roug"

    t"e

    occiput*&"e

    central ray

    is"ori:ontal

    (;ero

    angulation

    )

    6

    3e!erse

    &ones

    8ie

    &"e

    patient is

    positioned

    facing t"e

    2lm

    %%%&"e

    "ead

    tipped

    forards in

    t"e

    fore"ead/

    entered

    t"roug"

    &"e 9/ray

    beam is

    aimed

    upards

    at 1*

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    nose

    position*

    >ote$

    &"e mout"

    is open*%%%&"e

    radi/

    ograp"ic

    baseline is

    "ori:ontal

    and at

    rig"t angle

    to t"e 2lm*

    t"e

    occiput*

    7

    6ubmento/

    !erte+

    8ie

    &"e 2lm is

    positioned

    be"ind

    t"e

    patient

    "ead

    >ote$

    &"e

    mout" is

    closed*

    %%&"e "ead

    is tipped

    bac7ards

    as far as is

    possible4

    so t"e

    !erte+ of

    t"e s7ulltouc"es

    t"e 2lm*

    %%%&"e

    radiograp"i

    c baseline

    is !ertical

    and

    parallel to

    t"e 2lm*

    &"e

    central

    ray is

    aimed

    upards

    from

    belot"e c"in

    &"e

    central ray

    is

    centeredon an

    imaginary

    line

    joining t"e

    loer 2rst

    molars.

    Postero/

    anterior

    cep"alometric

    t"e

    patient

    %%%% &"e

    Fran7fort

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    7

    !ie

    face

    positioned

    frontally

    to

    cassette(facing

    t"e 2lm)

    Put t"e

    plastic

    rapper

    of

    cep"alost

    ate earrods

    plane or

    Occlusal

    plane is

    "ori:ontal*(parallel to

    Coor)

    %%%%% Adjust

    Didsagittal

    plane in

    t"e center

    of nasal

    support