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FAULTY RADIOGRAPHS
Melbia Shiny Sobhanam
Good quality radiographs should have:
 Image with optimum density & contrast.
 Image with minimum distortion.
 Image with sharp borders & maximum
details.
Various reasons for faulty
radiographs
1)Errors in operating the machine.
2)Errors in techniques.
3)Errors in processing & mounting.
 Kvp – speed, penetration power, energy of
Xray photons .
 mA – amount , intensity of current .
 S - time of current flow.
Errors in operating the machine
Lighter radiographs (underexposed/
underdeveloped radiographs).
 Exposure time less
 < KVp
 underdeveloped
Darker films (overexposed /overdeveloped /high
density)
 Exposure time >.
 Higher Kilovoltage peak. (burn out effect)
 Over developed.
Errors in technique
 Improper manipulation /bending of film .
 Phalangioma.
 Cone cut/partial image.
 Apical ends cut off.
 Crown cut off
 Region of interest not shown
 Tipping/tilting of occlusal plane
 Dot artifact
 Blurring
 Image shape distortion.
 Tyre track/herring bone pattern
 Double image
 Size distortion/less vertical angulation/
elongation
 More vertical angulation shortening
 Improper horizontal angulation.
 Cervical burn out/adumbration:
 Ornamental artifact
 Foreign body/restorative material
Errors in processing
 Exposure of film in day light.
 Contaminated film with developer before
processing/developer spots.
 Contaminated film with fixer before
processing/fixer spots.
 Film dropped into developer
 Film dropped into fixer
Standard dark room principle
 Developer solution - left
 Water - middle
 Fixer solution - right
 Film incompletely immersed in developer
solution /developer cut off
 Dust in developer solution
 Film incompletely immersed in fixer
solution/fixer cut off
 Dust in fixer
 Use of expired film
 Improper washing of films
 Warping of film
 Improper position of hanger
 Scratches on film
 Writing on film
 Film fog
light fog
radiation fog
chemical fog
deterioration of film
 Finger nail artifact - dark cresent shaped
 Improper drying
 Black streaks
 Smuge/finger prints
touched by fingers contaminated by
developer/fluoride.
 Over lapped films
 Air bells
 Reticulation/orange peel appearance
 Static electricity/grass root/tree
like/lightening marks
 Frilling
hot processing solution
 Dark flow marks
vigorous agitation.
 Crimping artifact
remove from film holder.
Errors in OPG
1)Ghost image
is a radiopaque artifact produced
when radiodense object is penetrated
twice.
2)Lead apron artifact
cone shaped artifact
 Thyroid collar
3)Lips not closed
dark radiolucent shadow that obscures
anterior teeth.
4)Tongue not in contact with
palate/palatoglossal air space
5)Frankfort plane upward
R L
6)Frankfort plane downwards
7)Teeth position anterior to focal trough
8)Teeth position posterior to focal
trough
9)Midsagittal plane not centered
R L
10)Position of spine/spine shadow ghost
11)Blurring – due to patient movement
R
Bibliography
1)Diagnostic imaging of jaws Langland & Langlais.
2)Oral radiology White & Pharoah .
3) Essentials of dental radiology Eric Whaites.
4)Manuel of dental & oral radiology john wright.
5)Fundamental of dental radiology Manson &
Hing.
6)Radiology for dental professionals Stabulus
Savage.
7)Radiogra phic imaging for dental auxillaries Miles
,Dis & Jensen.
Faulty     radiographs

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Faulty radiographs