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What X-Ray machine settings should you use when exposing a maxillary occlusal radiograph on an adult?

1.10 mA, 87kVp, and 60 impulses
2.12 mA, 90kVp, and 60 impulses
3.10 mA, 90kVp, and 60 impulses
4.12 mA, 87kVp, and 40 impulses

1 Answer

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Final answer:

The correct X-ray machine settings for a maxillary occlusal radiograph should be determined based on the specific X-ray machine and protocols of the practice. Settings typically include the kVp, mA, and impulses, with the goal to minimize radiation exposure while ensuring image quality. The settings provided in the options seem unusually high, and practitioners should refer to their equipment's guidelines for accurate settings.

Step-by-step explanation:

The settings for an X-ray machine to expose a maxillary occlusal radiograph on an adult depend on various factors, including the specific machine being used and the protocols of the dental practice or imaging center. X-ray images are simple shadows formed by the absorption of X-ray photons by different tissues, and these photons must have enough energy to penetrate materials opaque to visible light, such as bone and teeth. The energy of the X-ray photons, and thus their ability to penetrate tissues, is determined by the kilovolt peak (kVp). A higher kVp setting allows X-rays to penetrate denser material. The milliampere-seconds (mA) setting impacts the quantity of X-ray photons produced, which affects the image's contrast. Impulses, or exposure time, determines the overall amount of radiation the patient will receive during the radiograph. Moderation of these settings is crucial to minimize the radiation exposure while ensuring diagnostic quality of the images.

Typically, dental X-rays, including maxillary occlusal radiographs, might use a kVp in the range of 60 to 70 kVp, hence the given options might be considered higher than usual. The mA settings generally range from 6 to 12 mA, depending on the type of radiograph and the specific machine. The exposure time is measured in impulses, where 60 impulses equate to one second. Practitioners aim for the lowest possible settings that still provide a diagnostically acceptable image, balancing the risk versus the benefit.

Because the specific correct settings can vary and the question does not provide enough detail to ascertain the correct answer among the options, it is crucial for the practitioner to refer to their X-ray equipment's operational guidelines and the radiograph technique requirements before setting up the machine.

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