General Infection Control and Clinic Rules are Strictly Enforced!
Always clean and do standard infection control steps in the room before you start. This includes wiping down the X-ray head, arm, chair, tube head, sensor, and keyboard. When you are finished taking images, disinfect and clean the room again just as you did before you started.
Prior to Seating your Patient
Before you seat the patient, type the patient’s number into axiUm and go to the “In Progress” tab. Ensure that an FMX has been treatment planned and financially approved (P* removed). If not, then go ahead and treatment plan it, have faculty swipe it, then have the patient consent to it, sign for it, and pay.
Prior to Taking any Radiographs
Seat the patient, discuss what you are going to be doing, and ask if the patient has any questions.
Next, you must ask 4 questions before taking the first image:
The background and response to these patient inquiries are:
After the patient has answered all 4 questions:
Technique Tips and Guidelines for Taking Radiographs
Place the lead shield around the patient. Be certain that the thyroid collar is snug and closed with the Velcro. You should not be able to see the patient’s neck if the thyroid collar is properly placed and closed. It might be best to place this as soon as the patient is seated so you do not forget after asking the 4 questions.
Clinic Tip: Always check that the sensor is in the center of the ring.
Blue: anterior PAs, Yellow: posterior PAs, Red: BWXs
Note: You are NEVER authorized to do re-takes without faculty approval.
If you have not captured what you need on the image, STOP and get help. Do not proceed and take more images. This is the time to correct your technique. It is your responsibility that the patient receives the least amount of radiation while capturing excellent diagnostic images. There are many tips and tricks you will be taught during this clinical block experience. With your first patients, every mouth will seem very small and narrow, the roots very long, and the palate low. As you gain experience, you will find that you will be able to acquire an excellent set of images regardless of the challenge. Come prepared and you will learn this aspect of patient care more easily!
If you are having trouble with long roots in PA images, ask a tech for help with the bisecting angle technique!
We do NOT diagnose in radiology block. If a patient asks about an image be sure to let them know that the diagnosis will be made with his/her student dentist during the exam.
Interpretation of Radiographs
When you complete the Radiology Interpretation form, it is essential that you record on the form only the findings you see on the radiographs. Clinical observations of the patient’s mouth do not count. Review the Guidelines for Radiographic Interpretation. You must then complete the Radiology Report on axiUm. Fill out the paper version and the Axium version of the Radiology Report and obtain signatures/swipes from faculty for both as well.
Diagram of findings to note on interpretation form