Question

"Patient: Female, 27 year old

Chief complaint: Patient: ""I have pain on my wisdom teeth ""
Background/or patient history: Patient reports pain on third molars, which is more significant on the mandibular right third molar and maxillary left third molars. There is no history of extraction of third molars.
Current Findings: on clinical evaluation, teeth # 1 and #16 have erupted. Tooth #17 is impacted. Part of the crown of tooth #32 is erupted in the mouth. The tissue overlying the crown appears to be inflamed.

A panoramic radiograph was acquired. Review the attached panoramic, based on your evaluation, what type of patient positioning error is present on this image? (Select all correct choices)
a. Tongue artifact
b. Chin tilted up
c. Head tilt
d. Lead apron artifact
e. Head rotation"

Answer 1

Based on the evaluation of the panoramic radiograph, the patient positioning error present on the image is head rotation. There is also a possible lead apron artifact.

Step-by-step explanation:

Based on the evaluation of the attached panoramic radiograph, the patient positioning error present in the image is head rotation. This can be seen by the misalignment and distortion of the dental arches. Head rotation occurs when the patient's head is not properly aligned with the imaging equipment, leading to a skewed image. It is important for the patient's head to be positioned correctly during dental radiography to ensure accurate interpretation of the image.

In addition to head rotation, there is also a possible lead apron artifact present. This artifact is caused by the patient wearing a lead apron during the radiographic examination, which can block or scatter radiation and create an unintended image artifact. It is important for the patient to remove any objects or clothing that may interfere with the imaging process to obtain a clear and accurate radiograph.