DENTAL ASSISTING PROGRAM
DENT 1051
DENTAL RADIOGRAPHY II
CLINIC MANUAL
2023
2
DENT 1051
2023
STUDENT NAME: _______________________
RAD CLINIC DAY & TIME: ________________
Developed by Renee Polsoni BA, CDA II
2
3
RADIOGRAPHY FLOOR PLAN
My Room Letter & DXTTR’s Name: __________________________
My Chart Id #: _________________________________
3
4
INTRODUCTION
Radiography pre-clinic classes will begin with attendance and decorum check followed by a
demonstration or information given by your instructors. The information provided by your
instructor will assist you in completing your required assignments or evaluations. At the end of
each radiography clinic, you must get checked out by your instructor.
You will be responsible for ensuring that any evaluation sheets provided to you in RAD preclinical remains with your instructor in the radiography clinic. When assignments sheets are
being used only original sheets will be accepted. Photocopies will NOT be accepted and will
accumulate late grades. The schedule for both lecture and practical exercises and their evaluation
is detailed in the course outline. Below is a summary of the Dent 1051 Radiography practical
assignments, their due dates, and percentage of the final grade. Please note, this schedule may
change as resources and circumstances require.
Summary of Dent 1051 Practical Assignments:
Due Week:
PAR FMS 2
Week 3
Total of 50%
Practical
9%
Timed Rx (Prescription)
Week 4
4%
Occlusals (OCC)
Week 7
4%
Bisecting
Week 9-13
11%
Paedo Radiographs
Week 9-13
7%
Panoramic (PAN)
Week 9-11
Week 12
Required to DC
15%
Paralleling Peer Placement
Week 13/14
Required to DC
Save As: “your name, FMS 2, DXTTR name”
Save As: “your name, Timed Rx, DXTTR name”
SAVE AS: “your name, Occlusals, DXTTR name”
Save As: “your name, Bisecting, DXTTR name”
SAVE AS: “your name, PEDO, DXTTR name”
Timed Exit Exam
SAVE AS: “your name, Timed Exit Exam, DXTTR name”
MISSION STATEMENT:
The Dental Assisting Program endorses the concept that the profession of dental assisting is a
discipline with its own body of knowledge, research, competencies, and standards of practice
guided by a Code of Ethics. The attitudes and actions of the program are grounded in a
collaborative approach to teaching within a learner-centered environment. All facets of the
program embrace the dental assistant as an integral member of the dental team and there is an
intra-professional and inter-professional focus. The program strives to achieve excellence in the
4
5
development of entry to practice dental assistant. The graduate participates in the delivery of oral
health and well-being in society as a member of the dental team.
RADIOGRAPHY CLINICAL PROCEDURES
PARTICIPATION:
The profession of dental assisting is deeply rooted in clinical practice. Development of competent
and safe practice as a student dental assistant requires considerable time and the integration of
theoretical concepts with psychomotor skills.
Unlike theoretical knowledge that can be memorized and tested in the classroom, safe clinical
practice as a dental assistant is only achieved through ongoing clinical experience with numerous
yet diverse clinical experiences over time.
Students must meet the set standard number of hours for clinical hours as reported to the Ministry
of Advanced Education and Skills Development and the Commission on Dental Accreditation of
Canada. This standard is not related to achieving a grade level in the clinical course, but an overall
program requirement. For this reason, regular attendance and full participation in the clinical
sessions are necessary for the development of competent and safe clinical practice by GBC
students. Students who miss more than 2 radiography clinics in the semester, run the risk of not
being able to demonstrate radiation safety and ability to complete outcomes safely and
competently while in the clinical environment. Subsequently a grade of F can be assigned to the
practical portion of the course. Any exceptions to this policy are at the discretion of the Program
Chair, in consultation with the Program Coordinator and the course Professor.
CLINICAL PARTICIPATION:
Participation in all scheduled clinical sessions in the Dental Assisting Program is mandatory.
Students are required to practice their clinical skills in the clinic independently or with a partner when
indicated, in preparation for clinical evaluations.
Students are responsible to schedule outside work and personal obligations without interference in
clinical participation. Students need to be alert while in the clinic. Fatigue can have a negative
impact on student / patient safety. Participation and student success are strongly linked therefore
it is strongly recommended that students keep outside employment to a minimum (12 to 15 hours
per week)
5
6
LATE ARRIVAL:
Students are expected to arrive to radiography on time. Students are responsible for notifying the
lead professor of the course at their George Brown College staff email address if they believe they
may be arriving late.
Students who are significantly late for RAD clinics may not be admitted to clinic. Late arrivals can
have an impact on safety and the ability to complete outcomes. Students who demonstrate a
pattern of late arrivals and/or early departures from clinic will be put on clinical probation.
ABSENCE FROM CLINICAL PRACTICE:
There are no make-up clinics in this course. As attendance for all clinical sessions is mandatory,
the only acceptable absence is serious illness or a death in the family. All absences require
appropriate documentation validating the inability to attend a clinical session. With the
appropriate documentation a student may be eligible for a make-up clinic. Students are
responsible for ensuring that they have obtained all material missed during their absence to ensure
they are ready for all evaluations.
Students absent for any scheduled evaluations, must notify the lead professor within 24 hours of
the test/assignment by GBC email and must present documentation for the absence. Rescheduling
of the evaluation will be at the discretion of the professor.
PREPARATION FOR CLINICAL PRACTICE:
Students are expected to arrive to clinic prepared with all required armamentarium listed for their
assignment. There is a labelled photo of your radiography materials for your reference. Students
are also expected to be ready to participate in the scheduled clinical activity for each clinical
session. This includes attending theory classes and completing any required readings and viewing
videos prior to attending radiography clinic. A student who demonstrates that they are
unprepared for clinic can pose a risk with respect to safety for those in the radiography clinic and
may be asked to leave.
Students who demonstrate a pattern of inadequate preparation will be issued an incident report
and asked to meet with the program coordinator and/or the student success specialist where
required.
Ensure you have reviewed the George Brown College School of Dental Health (SDH) Clinics/Labs
Policies and Procedures Manual, posted on Blackboard under Course Essentials. Students must
always follow the radiation safety protocol stated in this policy while in radiography clinic. A hard
copy and e-copies are also available in the Radiography Lab.
6
7
MEETING COURSE OUTCOMES:
Students who exhibit a breach in academic integrity during any radiography clinical setting will
be given a grade of zero for the assignment or test being worked on. Students will also be
referred to the Chair, School of Dental Health, for further decisions regarding authorization to
continue in the current course.
For more information refer to the GBC Academic Integrity Policy, posted on Blackboard under
Course Essentials or on the GBC website.
DECORUM/ATTIRE:
This summary Decorum list for Dental Radiography follows the same protocols that are stated in
the SDH Clinics/Labs Manual. Decorum will be evaluated during each session.
a)
Name tag. Clean and pressed GBC DA scrub uniform with long sleeved black or white tshirt. Street clothes NOT permitted under uniform
c)
Short natural nails ONLY, NO polish, enhancements, or lacquered nails
d)
Hair and long ponytails must be secured off face and collar, (always have extra hair ties)
e)
Shoes- Closed toes and heel. Must have smooth surface & easily cleanable and designated
for indoor clinical use only
f)
Only permitted but discouraged (plain smooth wedding band without elevated stones,
watch must be covered by gloves or a sleeve)
g)
Personal protective equipment worn (masks, gloves, safety glasses/shield, gowns)
*NOTE: Decorum may be evolving due to COVID Protocol. Students must adhere to any updates
put in place. Students who do NOT meet the required decorum for the radiography clinic will be
asked to leave until requirements can be met. If decorum protocol cannot be met, participation
will be recorded as absent for the day.
PROFESSIONALISM
Images are NEVER to be exposed on clients without a DDS prescription and a staff member present.
For digital assignments, students must ensure that they are only using the radiography manikin
chart ID number that they were assigned. Assignments must be saved correctly. ONLY
assignments placed in the student’s assigned chart will be graded. Students must never delete any
images from the manikin or client records. The system keeps track of images taken or deleted. No
images may be removed or transferred for any reason from the manikin or client charts. Failure to
comply with any of the above or taking part in acts of academic dishonesty is considered a breach
of academic integrity under the GBC Academic Integrity Policy and will result in disciplinary actions
including a grade of “0”.
Students in radiography pre clinic must have a room check completed and be signed out by a staff
member. All digital sensors and equipment must be accounted for.
7
8
MAINTENANCE OF RADIOGRAPHY CLINIC
Each student is responsible for cleaning his/her own work area and operatory as well as correctly
storing the equipment at the end of each session. Student's working area will be monitored for
maintenance protocol. Please refer to the STUDENT RESPONSIBILITES FOR DAILY MAINTENANCE
OF THE RADIOGRAPHY CLINIC form on the following page.
8
STUDENT RESPONSIBILITES FOR DAILY MAINTENANCE OF THE
RADIOGRAPHY CLINIC
(Adapted from the current version of the GBC School of Dental Health Radiography Policies and Procedure Manual)
1. At the end of each radiography clinic the student is responsible to ensure the following
maintenance protocol for their working area/ radiography operatory is met.
a)
All DXTTRs (Dental X-Ray Training and Teaching Replica) must be returned with their
mouth protection to their specified DXTTR storage cabinet. The first class of the day
may be required to set up DXTTR’s the last class of the day may be required to
return DXTTR’s for storage. (Set up and storage will be explained and demonstrated
in rad clinic to all students.)
b)
Protective aprons must be clean and hung on the hooks provided in their
operatories. They are NOT to be folded or left on the dental chair or the floor.
c)
The x-ray scissor arm must be folded together and placed against the wall, tube
head and PID pointed down towards the floor. X-ray unit is to be switched off at the
end of the last clinic of the day.
d)
Log off and Turn Off computer monitors upon leaving your rad clinic. The dental
chair must be upright and elevated to its highest position.
e)
Operatories are to be kept litter free, dispose of all garbage from your operatory to
the central garbage area. Place all recyclable items in the recycle bin. Ensure all preclinical infection prevention and control barriers are disposed of appropriately
before leaving the operatory.
f)
Mobile dental carts must always be returned to the operatory in their appropriate
positions.
g)
Replenish surface disinfectant, paper towels, tissue, soap, head rest and tray
covers, cups, and any infection prevention and control barriers when required.
ANY CHANGES TO STUDENT RESPONSIBILITIES WILL BE DISCUSSED IN RAD CLINIC.
IT IS THE STUDENTS' RESPONSIBILITY TO MAINTAIN ALL AREAS OF THE RADIOGRAPHY CLINIC IN A
CLEAN AND ORDERLY STATE. ANY STUDENTS NOT PARTICIPATING IN THE MAINTENANCE OF THE
RADIOGRAPHY CLINIC WILL RECEIVE AN INCIDENT REPORT AND WILL BE REQUIRED TO WRITE A
ONE PAGE REPORT ON MAINTENANCE OF THE RADIOGRAPHY CLINIC.
9
Operator Protection Policy for the Dental Radiography Clinic
(Adapted from GBC School of Dental Health current Radiography Policies and Procedure Manual)
To avoid any unnecessary occupational exposures to radiation, these are the following protection
measures that must be adhered to by staff and students in the George Brown College Dental
Radiography clinic. Note: students are ONLY permitted into the radiography clinical area under
direct staff supervision.
1.
Never push the x-ray exposure button unnecessarily.
2.
Always know the path of the primary beam and work as far from it as possible.
3.
Always use all protective barriers that are available.
4.
Never place any part of your body in the path of the primary beam. (I.e., never hold a dental
5.
Always operate the radiographic unit at lowest kVp and mA to obtain the required
diagnostic information. Always follow the ALARA principle. (As Low As Reasonably Achievable)
6.
Never enter or work in a room during radiographic exposure.
radiographic receptor in a client's mouth, ensure use of beam alignment instruments)
Radiation safety is important to everyone. When working with the radiation equipment, take the
time to think about safety, and develop work habits which minimize your exposure to radiation.
You should always be aware of the hazards of ionizing radiation and minimize the dose you receive
by utilizing:
DISTANCE:
Staying as far away from the radiation source as possible. (6 Feet from tube head, 90-
SHIELDING:
Working behind protective barriers to reduce your radiation exposure as set out in
the HARP Act.
Minimize your time spent near ionizing radiation. If using film, always use the
fastest film speed available so that you may use the shortest exposure times.
TIME:
135 degrees from primary beam)
(Carestream Insight E/F Speed Film)
10
INFECTION PREVENTION & CONTROL BARRIER PLACEMENTS FOR
RADIOGRAPHY X- RAY UNITS
(Adapted from GBC School of Dental Health Radiography Policies and Procedure Manual)
INFECTION CONTROL BARRIER PLACEMENTS FOR
X-RAY UNITS
INFECTION CONTROL BARRIERS PLACEMENTS
FOR X-RAY CONTROL PANEL
The following infection control barrier placements must be followed when working in the radiography
clinic for mannequin and/ or client use. There are photographs found in all radiography operatories, which
demonstrate all the correct radiography barrier placements.
• 4 barriers are placed on the x-ray unit arms and tubehead.
• The control panel, power switch and the exposure button outside the room require barriers.
• For the overhead light, barriers are required on the on/off switch and handles.
• The delivery tray requires barriers on the handles.
• A headrest cover is required for the dental chair.
• If using a direct sensor, you will need a barrier placed on the sensor, keyboard, and mouse.
• For the Panoramic unit, head guides and control panel require barriers.
11
SUMMARY OF RADIOGRAPHY INFECTION CONTROL PROCEDURES
Before Client Exposure
During Client Exposure
After Client Exposure
Treatment Area
The following areas must be
barriered and/or disinfected:
Receptor Handling
Receptor handling procedures
must include the following:
After completed exposures
X-ray machine
dental chair
work area
protective apron
Supplies and Equipment
The following must be prepared
prior to seating your client:
Image receptors
Computer, mouse,
keyboard
Beam alignment devices
Disposable container and
other sundries
Client Preparation
The following must be performed
before placing gloves:
Pre-procedure mouth
rinse for client
Adjust chair & headrest
Place protective apron
Have client remove any
metallic objects or dental
appliances
Radiographer Preparation
The following must be completed
prior to client exposure:
Washing hands
Gown, Mask, Safety
glasses, Gloves
Assemble beam
alignment devices with
gloved hands
after exposure, remove
excess saliva from
receptor with tissue
if film place in disposable
cup
Beam Alignment Devices
Beam Alignment devices must be
handled as follows:
Transfer receptor holders
from work area to
client’s mouth and back
to work area
Never place receptor or
Beam alignment device
on uncovered work area
remove gloves
wash hands
remove protective apron
dismiss client
After Client dismissal
Return to operatory to
decontaminate
Re-glove
Remove barriers and
dispose of all
contaminated items
Spray disinfectant and
wipe all surfaces required
Decontamination area
Clean receptor holders
Re-bag holders
Submit to dispensary for
sterilization
Adapted from Box 16-2 pg.148, Dental
Radiography, Principles and Techniques
5thed., Iannucci and Howerton, 2022
12
DENT 1051
ASSIGNMENTS
13
Example of Optimal Images for a FMS
(Max Anteriors may vary from 3-5 exposures)
Max Molars and Pre Molars
Molar BW
Mand Molars
and
Max Centrals, Laterals and K9s
Pre Molar BW and Molar BW
Pre Molar
and Pre Molars
Max Pre Molars and Molars
Mand Centrals, Laterals and K9s
Mand Pre Molars and
Molars
Images from: Howerton, L., & Iannucci, M. (2012). Dental radiography
principles and techniques. (4th ed.). St. Louis, Missouri: Elsevier
14
Example of Optimal Direct Receptor Images for a FMS
*Please note subtle differences in your FMS Digital Requirements with a direct receptor*
•
•
6 ANT PAs OR 8 ANT PAs with a direct receptor for a FMS may be prescribed! It is the preference of the DDS
Reminder: Exception for DXTTR assignments- Premolar PAs and Premolar BW’s will only require mesial to the pulp of the 4’s for full placement
marks.
Images from: Howerton, L., & Iannucci, M. (2012). Dental radiography
principles and techniques. (4th ed.). St. Louis, Missouri: Elsevier.
15
BW MOUNTING
MIDLINE
QUAD 1
Posterior
Anterior
MOLAR
Posterior
QUAD 2
Anterior
Anterior
36
46
QUAD 4
Created by GBC Radiography Staff, 2014
Anterior
QUAD 3
HELPFUL HINTS
1. Feel for ID dot-‘Pimple not a Dimple’
2. Landmark Mandibular 6- Large crown two wide roots count forward to midline
3. Look for a smile at occlusal plane- A frown usually means upside down
4. Premolars located close to your nose, molars out by your ears
Posterior
MOLAR
PREMOLAR
PREMOLAR
46
Posterior
36
ID Dot- ‘a pimple not a dimple’
16
CRITERIA ABBREVIATIONS
EB
exposed backwards
MTG
mounting
ID
identification dot
IPAC
infection prevention and control
S
safety: operator or client
B
bending (of receptor)
CM
crease marks
FN
fingernail marks
FP
fingerprints
SC
scratches
PL
placement
OL
overlap (horizontal angulation)
EL/FS
elongation/foreshortening (vertical angulation)
CC
cone cut
COMP
composition
WC
wrong chart
DEJ
dentino-enamel junction
PM
premolar
M
molar
HBW
horizontal bite-wing
VBW
vertical bite-wing
PA
periapical
PSP
photo-stimulable phosphor
17
DIRECT PARALLELING FMS 2 ASSIGNMENT
ASSIGNMENT:
Utilizing your Rinn XCP instruments and direct receptor, expose the prescribed images using the
paralleling technique on DXTTR.
ARMAMENTARIUM:
1. XCP instruments
2. #2 Direct Receptor provided
3. PPE & Infection control barriers
4. DXTTR with protective apron
5. Assignment hand in sheet
PROCEDURE:
Your instructor will briefly review the procedure for exposing Periapicals using direct digital and the
Paralleling technique. Upon completion of exposing the required images, correctly mount them
into the appropriate mounts provided by the software and be sure to save your work. *Ensure you
have saved into your correct chart ID! Digital images must be saved as instructed on your
summary of practical assignments page. Complete your Self-Evaluation.
EVALUATION:
Each image is worth 5 marks. Refer to your detailed evaluation criteria provided for you on
Blackboard. Only assigned images will be graded! Protocol for IPAC and Safety from the GBC
Radiography Policies and Procedure Manual must be followed. Academic dishonesty will not be
tolerated. Hand in this assignment on the due date during your regularly scheduled rad clinic time.
Late assignments are subject to a penalty and/or are not accepted. Please refer to the Assignment
Policy in your Course Outline and Meeting Course Outcomes in your manual for details.
NOTE: Grades will be deducted for:
1. Any incomplete information on the hand in sheet (-2 marks)
2. Not saving an assignment EXACTLY as requested (- 2 marks)
3. Self-evaluation not completed with both a GRADE and the REASON for the grade (-2 marks)
4. Using the wrong digital chart ID number (-7 marks). ALWAYS double check to ensure you are in
your own pre-clinical chart!!
5. Break in IPAC &Safety per image (-3.5 marks), Unable to demonstrate how to correct break in
IPAC & Safety (-7 marks).
18
PARALLELING TIMED PRESCRIPTION ASSIGNMENT
ASSIGNMENT:
The student will use the paralleling technique to expose the mock prescription provided. The GREY
BOXES are the 7 mock prescribed views! The time allotted for this evaluation is 40 minutes which
includes the set-up of IPAC, Software and PPE.
ARMAMENTARIUM:
1. Appropriate receptors
2. XCP instruments
3. DXTTR with protective apron
4. PPE & Infection control barriers
5. Mock Prescription
6. Assignment hand in sheet
PROCEDURE:
Using the appropriate receptors and the prescription provided, expose the required views in the
allotted time. Full barriers and PPE must be used and will be evaluated. Once all prescribed views
have been exposed, one retake may be exposed in the allotted time. You must indicate to your
instructor which image will be re-exposed.
Only expose the grey boxes as they are the prescribed views. Upon completion of exposing the
prescribed images, mount them into the appropriate mounts provided by the software and ensure
you are using your correct chart ID! Digital images must be saved as instructed on your summary
of practical assignments page.
EVALUATION:
The exposure button can only be depressed a total of 8 times which includes one retake for this
prescription. Anything more than 8 depressions of the exposure button is considered a breach in
academic integrity and your assignment will be given a mark of 0. Digital images are numbered
and kept track of within the software. Exposing images that are not part of the prescription will
be given a mark of 0. Any images not saved in the mount once the time expires, will not be
graded.
Each image is worth 5 marks. Refer to the detailed evaluation Criteria provided for you on
Blackboard. Protocol for IPAC and Safety from the GBC Radiography Policies and Procedure
Manual must be followed. IPAC and Safety will be monitored and evaluated throughout the entire
timed portion of this evaluation. Academic dishonesty will not be tolerated. Hand in this
assignment on the due date during your regularly scheduled rad clinic time. Late assignments are
subject to a penalty and/or are not accepted. Please refer to the Assignment Policy in your Course
Outline and Meeting Course Outcomes in your manual for details.
NOTE: Grades will be deducted for:
1. Any incomplete information on the hand in sheet (-2 marks)
2. Not saving an assignment EXACTLY as requested (- 2 marks)
3. Self-evaluation not completed with both a GRADE and the REASON for the grade (-2 marks)
4. Using the wrong digital chart ID number (-7 marks). ALWAYS double check to ensure you are in
your own pre-clinical chart!!
5. Break in IPAC & Safety (-3.5 marks), Unable to demonstrate how to correct break in IPAC & Safety (-7 marks).
19
BISECTING ASSIGNMENT
ASSIGNMENT:
Utilizing the bisecting technique and size 2 PSPs, expose the PA and VBW images assigned on your
assignment sheet.
ARMAMENTARIUM:
1. BAI instrument
2. #2 PSP receptors
3. PPE & Infection control barriers
4. DXTTR with protective apron
5. Assignment hand in sheet
PROCEDURE:
Your instructor will demonstrate the procedure for using the Bisecting Angle technique. Upon
completion of exposing the required views, scan, mount and save the images in your chart ID.
Digital images must be saved as instructed on your summary of practical assignments page.
Complete your Self-Evaluation.
EVALUATION:
Each image is worth 5 marks. Refer to the detailed evaluation Criteria provided for you on
Blackboard. Only assigned images will be graded! Protocol for IPAC and Safety from the GBC
Radiography Policies and Procedure Manual must be followed. Academic dishonesty will not be
tolerated. Hand in this assignment on the due date during your regularly scheduled rad clinic time.
Late assignments are subject to a penalty and/or are not accepted. Please refer to the Assignment
Policy in your Course Outline and Meeting Course Outcomes in your manual for details.
NOTE: Grades will be deducted for:
1. Any incomplete information on the hand in sheet (-2 marks)
2. Not saving an assignment EXACTLY as requested (- 2 marks)
3. Self-evaluation not completed with both a GRADE and the REASON for the grade (-2 marks)
4. Using the wrong digital chart ID number (-7 marks). ALWAYS double check to ensure you are in
your own pre-clinical chart!!
5. Break in IPAC & Safety (-3.5 marks), Unable to demonstrate how to correct break in IPAC &
Safety (-7 marks). Will be recorded in the comments section of your hand in sheet.
20
PAEDODONTIC ASSIGNMENT
ASSIGNMENT:
1. Utilizing the bisecting technique and size 1 PSP’s expose two bitewing exposures and four
periapical exposures on DXTTR JR. Expose one left quadrant and one right quadrant when
exposing the posterior PA’s.
2. Utilizing the pediatric occlusal technique and size 2 PSP’s expose a maxillary and mandibular
occlusal exposure on DXTTR JR.
ARMAMENTARIUM:
1. 2 - #1 bitewing PSP, 4 - #1 PA PSP, 2- #2 Occlusal PSP
2. BW tabs and BAI instrument
3. PPE and Infection control barriers
4. DXTTR Junior with protective apron
5. Assignment hand in sheet
PROCEDURE:
Your instructor will demonstrate the procedure for making exposures on a paedodontic patient
using the bisecting technique and DXTTR JR. Remember the specific icon changes that are required!
Upon completion of exposing the required 8 images, scan, save and mount your images into the
appropriate mounts provided by the software. Digital images must be saved as instructed on your
summary of practical assignments page.
*Note: time management, preparedness, and speed and accuracy will be very much required for
this assignment as each student will have reasonable but controlled access and time to the limited
Pedo DXTTRS that we have available.
EVALUATION:
Each image is worth 5 marks for a total of 40 marks. Refer to the detailed evaluation Criteria
provided for you on Blackboard. Protocol for IPAC and Safety from the GBC Radiography Policies
and Procedure Manual must be followed. Academic dishonesty will not be tolerated. Hand in this
assignment on the due date during your regularly scheduled rad clinic time. Late assignments are
subject to a penalty and/or are not accepted. Please refer to the Assignment Policy in your Course
Outline and Meeting Course Outcomes in your manual for details.
NOTE: Grades will be deducted for:
1. Any incomplete information on the hand in sheet (-2 marks)
2. Not saving an assignment EXACTLY as requested (- 2 marks)
3. Self-evaluation not completed with both a GRADE and the REASON for the grade (-2 marks)
4. Using the wrong digital chart ID number (-7 marks). ALWAYS double check to ensure you are in
your own pre-clinical chart!!
5. Break in IPAC & Safety (-3.5 marks), Unable to demonstrate how to correct break in IPAC &
Safety (-7 marks). Will be recorded in the comments section of your hand in sheet.
21
OCCLUSAL ASSIGNMENT
ASSIGNMENT:
1. Expose, process, and mount any 3 of 4 adult occlusal images demonstrated.
ARMAMENTARIUM:
1. Size #4 PSP plates distributed in class
2. PPE and Infection Control barriers
3. DXTTR with protective apron
4. Assignment hand in sheet
PROCEDURE:
Your instructor will demonstrate the procedure for adult maxillary and mandibular occlusal
radiographs. Upon completion of exposing the occlusal images, scan, save and mount the images
into the appropriate mounts provided by the software and be sure to save your work. Digital
images must be saved as instructed on your summary of practical assignments page.
EVALUATION:
CRITERIA
1. Correct side of PSP plate exposed (1 mark) (NOTE: backward PSP is undiagnostic and results in a zero for
that image)
2. Correct VA & HA used to produce the required view without distortion (2 marks)
3. Cone cut not present in required area, all required anatomy present (1 mark)
4. Correctly mounted (1 mark)
Each image is worth 5 marks for a total of 15 marks.
Protocol for IPAC and Safety from the GBC Radiography Policies and Procedure Manual must be
followed. Academic dishonesty will not be tolerated. Hand in this assignment on the due date
during your regularly scheduled rad clinic time. Late assignments are subject to a penalty and/or
are not accepted. Please refer to the Assignment Policy in your Course Outline and Meeting Course
Outcomes in your manual for details.
NOTE: Grades will be deducted for:
1. Any incomplete information on the hand in sheet (-2 marks)
2. Not saving an assignment EXACTLY as requested (- 2 marks)
3. Self-evaluation not completed with both a GRADE and the REASON for the grade (-2 marks)
4. Using the wrong digital chart ID number (-7 marks). ALWAYS double check to ensure you are in
your own pre-clinical chart!!
5. Break in IPAC & Safety (-3.5 marks), Unable to demonstrate how to correct break in IPAC &
Safety (-7 marks). Will be recorded in the comments section of your hand in sheet.
22
PANORAMIC RADIOGRAPHY ASSIGNMENT
ASSIGNMENT:
Utilizing the panoramic technique, set up the machine and correctly position your peer to be ready
to acquire the exposure.
ARMAMENTARIUM:
1. Panoramic machine
2. PPE and Infection control barriers
3. Peer group
4. Panoramic assignment form
PROCEDURE:
Your instructor will demonstrate the procedure for setting up the digital panoramic machine and
correctly positioning a client prior to making an exposure. You will work with your group to discuss
and demonstrate the correct procedure required to set up the machine and a client for a diagnostic
exposure. No actual exposure will be made.
EVALUATION:
Protocol for IPAC and Safety from the GBC Radiography Policies and Procedure Manual must be
followed. IPAC and Safety will be monitored and evaluated for this assignment. This assignment is
required to a Demonstrates Competency. To demonstrate competency the operator must be able
to discuss and demonstrate the panoramic technique safely and competently. A maximum of 2
attempts is allotted. If a needs retry (NR) is required, the opportunity to reattempt the skill will be
scheduled by the instructor.
23
EXIT EXAM (Timed)
ASSIGNMENT:
Utilizing your Rinn XCP instruments and direct receptor, expose the 10 assigned images in the
allotted time using the paralleling technique.
ARMAMENTARIUM:
1. XCP instruments
2. #2 Direct Receptor provided
3. PPE & Infection control barriers
4. DXTTR with protective apron
5. Assignment hand in sheet
PROCEDURE:
There is a 37-minute time limit. The set-up of IPAC, Software and PPE is included in the 37-minute
time limit. Exposures can be repeated only within the allotted time! Exposures can only start
once the timer starts.
Upon timed completion of this assignment, only the images that are mounted will be graded!
Ensure you save your work into your correct chart ID! Digital images must be saved as instructed
on your summary of practical assignments page.
EVALUATION:
Academic dishonesty will not be tolerated. Please refer to the Assignment Policy in your Course
Outline and Meeting Course Outcomes in your manual for details. Protocol for IPAC and Safety
from this manual must be followed. IPAC and Safety will be monitored and evaluated throughout
the entire timed portion of this evaluation.
1. Every tooth surface and surrounding periapical tissue must be seen at least once on this
assignment to receive a grade of 10/10.
2. If one area of tooth surface or surrounding periapical tissue cannot be seen on this assignment, a
grade of 7/10 will be received.
3. If two areas of tooth surface or surrounding periapical tissue cannot be seen on this assignment,
a grade of 5/10 will be received.
4. If three or more areas of tooth surface or surrounding periapical tissue cannot be seen on this
assignment, a grade of 0/10 will be received.
5. If any IPAC and/or safety errors are made, a grade of 5/10 will be received.
24
PEER PLACEMENT ASSIGNMENT
ASSIGNMENT:
Placement of an intra oral direct sensor on a peer.
ARMAMENTARIUM:
1. A peer in rad clinic
2. PPE and Infection control barriers
3. Direct Receptor
4. Sterilized XCP ORA Ring and Rod
5. All other disposable sundries will be supplied
PROCEDURE:
Your instructor will demonstrate the procedure for set up and placement of a digital intra oral
receptor on a peer. You will work with your peer client to demonstrate your ability to place a
direct sensor and tubehead and to manage your peer client while utilizing the correct IPAC
guidelines. No actual exposure will be made. A general treatment note of this procedure must
be documented in the electronic health record and signed off by your instructor.
EVALUATION:
Protocol for IPAC and Safety from this manual and the GBC WAVE Policies and Procedure Manual
must be followed. IPAC and Safety will be monitored and evaluated for this assignment. This
assignment must be completed to a Demonstrated Competency. To demonstrate competency the
operator must demonstrate less than 4 noncritical errors, and 4 placements with minimal guidance.
On the Evaluation form, bolded criteria are critical errors and will be deemed Needs Retry. If a NR
is received, the student has a 2nd opportunity to repeat this skill to demonstrate completion of the
outcomes safely and competently while in the clinical environment. GBC radiography IPAC & Safety
protocol must be adhered to and evaluated. Please ensure Peer Comments are completed upon
submission of your evaluation.
25
REFERENCES
Iannucci, Joen M.; Howerton, Laura J. Dental Radiography Principles and Techniques,
6th edition, 2022, Elsevier, Inc.
26