
for Devices and Radiological Health (CDRH) of the US
Department of Health and Human Services (USDHHS), has
documented that dental film development is a major problem
(Reference #15). In a typical full mouth intra oral
radiographic examination, a patient is subjected to 14 to
20 exposures.
The entrance exposure of overlapped areas
is high and can be excessive unless the film is properly
developed.
Dental radiographic
exposure guidelines have
been established by the FDA
for a routine intraoral
bitewing examination for "D"
and
"E" Speed Dental Film
(Reference #15).
These are listed in Table V.
Using the facility's clinical techniques measure the
exposure with an ionization chamber positioned at the
appropriate SSD. The obtained value should be compared to
the appropriate values in Table V.
If the exposures per
film are higher than the appropriate range, the film is
probably being under developed.
If the measured exposures
are low and the
HVL
measured in Section III-6 is not excessive,
the film is
probably being over developed.
This leads to fogging of
the processed films which diminishes radiographic contrast
and overall image quality.
Over or under development
normally is caused by an improper combination of film,
chemistry, development time and/or temperature.
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