Of all the film placements, which one is the most likely to elicit the gag reflex?
The maxillary molar film
Why is it important to have proper patient and equipment preparations in regards to a sensative gag reflex?
to limit the amount of time the film remains in the mouth
What are the precipitating factors responsible for initiating the gag reflex?
What areas are most likely to elicit the gag reflex?
lateral posterior third of tongue
What is the proper exposure sequencing in preventing the gag reflex
start with anterior films
move to premolars
then to molars
What are the two reactions that occur prior to the gag reflex?
cessation of respiration
contraction of the muscles in the throat and abdomen
strong involuntary effort to vomit
retching that is elicited by stimulation of the sensitive tissues of the soft palate region. It is a protective mechanism of the body that serves to clear the airway
What attitudes should the dental radiographer convey to the patient?
a confident attitude
patience, tolerance, and understanding
reassuring to the patient
What must the radiographer be aware of to effectively manage the patient with a hypersensative gag reflex?
patient and equipment preparations
film placement and technique
helpful hints for preventing the gag reflex
What steps are important to remember in following proper film placement and technique in regards to a pt with gag reflex?
each film must be placed and exposed as quickly as possible
avoid sliding the film along the palate
demonstrate film placement before actual placement
List 6 helpful hints in reducing the gag reflex
never suggest gagging
reassure the pt.
suggest breathing-deeply through the nose
try to distract the patient
try to reduce tactile stimuli
use topical anesthetic
physical or mental impairment that substantially limits one or more of an individuals major lifetime activities
problems with vision, hearing, or mobility
proper communication with vision impairment
using clear verbal communications and keep the patient informed
never gesture to another individual infront of a blind person
proper communication with hearing impairment
ask caretaker to act as an interpreter
used gestures or written instructions
face patient and speak clearly and slowly
proper care with mobility impairment
assist in transfering patient to dental chair
sometimes perform procedures with pt in wheel chair
ask care taker to assist in holding radiographs, providing them with a lead apron and thyroid collar
substantial impairment of mental or physical functioning that occurs before the age of 22 and is of indefinite duration
examples of developmental disabilitys
epilepsy and other neuropathies
What are some helpful hints in treating a pt with a disability?
don't ask personel questions about a disability
offer assistance to a person with a disability
talk directly to the person with a disability
examples of pts with specific dental needs
is a child, derived from the greek work pedia meaning child
what must the dental radiographer be aware of in treating a pediatric patient?
prescribing of radiographs
pt and equipment preparations
What does the prescribing of radiographs for pediatric pts depend on?
age and cooperation
What special attention must be devoted to the pediatric patient in regards to proper patient and equipment preparation?
explanation of procedure (blanket, camera, picture)
lead apron must be used
exposure factors reduced
film size (0,1,2)
occlusal (2 or occlusal film)
What are some helpful hints for managing a pediatric patient?
confident, patient, and understanding
show and tell
reassure the patient
the branch of dentistry concerned with the diagnosis and treatment of diseases of the dental pulp within the tooth. usually involves the removal of the dental pulp from the pulp chamber and canals within the tooth, and then filling up the empty pulp chamber and canals with materials such as gutta percha or silver points
one who has undergone root canal therapy
What is the technique of exposure recommended in an endodontic patient?
pt without teeth
Why does an edentulous pt need a radiographic exam?
detect the presence of root tips, impacted teeth, and lesions (cysts, tumors)
identify objects embedded in bone
establish the position of normal anantomic land marks (mental foramen) relative to the crest of alveolar ridge
observe the quantity and quality of bone that is present
what types of radiographic exams might the edentulous pt have?
combination of periapical and occlusal
What is the most common radiographic exam for edentulous patients?q
When will you use periapical method in edentulous pts?
if pano isn't available, or if anything out of the ordinary is noticed on a pano
What are some tips in using periapical examination in edentulous pts?
use cotton rolls for paralleling technique
fomr should be positioned so that 1/3 or it extends beyond the edentulous ridge
How many films are used in the occlusal and periapical examination?