10.3

Processing Problems and Solutions

In order for images to be of diagnostic use, they must be free of error. The types of errors that can occur are time and temperature errors, chemical contamination errors, film handling errors, and lighting errors.

Time and Temperature Errors

For time and temperature errors, underdeveloped film (light) can occur, which is inadequate development time, developer solution too cool, depleted, or contaminated developer solution. Overdeveloped film (dark) can happen, which is excessive developing time and developer solutions that are too concentrated or too warm. Reticulation of emulsion (cracked) is when reticulation is caused by a sudden temperature change between solutions.

In the Iannucci & Howerton, Dental Radiography Principles & Techniques, 6th Edition textbook on page 101, refer to figure 10-4. And on pages 100 to 102, refer to figures 10-14, 10-15, and 10-16.

Dental bitewing X-ray showing upper and lower teeth with no apparent issues, but the image is cropped and lacks clarity, suggesting potential time or temperature processing errors. A diagnostic radiograph with images that exhibit proper density and contrast. Dental X-ray showing teeth with slight overexposure due to underdeveloped film appears light.
A diagnostic radiograph with images that exhibit proper density and contrast. An underdeveloped film appears light.
Dental X-ray showing underexposed teeth, resulting in a dark and unclear image, because of overdeveloped film. Dental X-ray with a reticulation pattern, indicating film emulsion damage due to temperature errors in processing.
An overdeveloped film appears dark. Reticulation- A film with a damaged emulsion appears cracked.

Chemical Contaminations Errors

Chemical contamination errors include developer spots which is when the developer comes in contact with film before processing. A neat work area can prevent errors like developer splash. Another error is fixer spots, which is when the fixer comes in contact with the film before processing, and yellow-brown stains occur when exhausted developer or fixer, or there is insufficient fixation time or rinsing.

In the Iannucci & Howerton, Dental Radiography Principles & Techniques, 6th Edition textbook on page 101, refer to figure 10-5. And on page 103, refer to figures 10-17, 10-18, and 10-19.

Dental X-ray showing a set of upper teeth with visible dental fillings and signs of cavities and developer spots appear dark or black. A dental X-ray depicting multiple teeth with dental work and amalgam fillings, with some areas possibly indicating decay and fixer spots appear light or white.
Developer spots appear dark or black. Fixer spots appear light or white.
Dental X-ray showing a set of teeth with some having large fillings and dark areas that could be indicative of decay or damage and a number of processing errors may result in a yellow-brown film: exhausted developer or fixer, insufficient fixing time, and insufficient rinsing.
A number of processing errors may result in a yellow-brown film: exhausted developer or fixer, insufficient fixing time, and insufficient rinsing.

Film Handling Errors

Film handling errors are developer cut-off, which is when a straight white border represents the undeveloped part of the film, resulting from insufficient developer levels, and fixer cut-off, which is when a straight black border represents the unfixed part of the film resulting from insufficient fixer levels. Overlapped films can occur when white or dark areas appear on the film where overlapped—and air bubbles, which are white spots where air is trapped on the film surface.

In the Iannucci & Howerton, Dental Radiography Principles & Techniques, 6th Edition textbook on page 102, refer to figure 10-6. And on pages 104 – 105, refer to figures 10-18 through 10-25.

A dental X-ray showing three teeth with a clear image of the roots and surrounding bone structure, with a potential indication of a dental issue on one tooth and developer cut-off appears as a straight white border on a film on the top. X-ray of upper teeth with a canine and molars, one tooth showing a large filling or restoration and fixer cutoff appears as a straight black border on a film on the right.
Developer cut-off appears as a straight white border on a film. Fixer cutoff appears as a straight black border on a film.
Dental X-ray showing both upper and lower teeth with amalgam fillings, and a horizontal overlapped film across the image. Dental X-ray highlighting several teeth with arrows pointing to the air bubbles on the image.
Overlapped film. Air bubbles appear as tiny white spots. See where arrows are pointed.

More problems of film handling are fingernail artifacts, which are when black crescent-shaped marks appear, fingerprint artifact that shows a black fingerprint, and static electricity that shows thin, black, branching lines. You can prevent this from occurring by slowly opening film packets to prevent static electricity from damaging the film. And scratched film can appear as white lines in the imaging.

In the Iannucci & Howerton, Dental Radiography Principles & Techniques, 6th Edition textbook on pages 100-106, refer to figures 10-23 through 10-28.

Dental X-ray showing three teeth with one exhibiting a root canal treatment and a dental crown in place with a fingernail artifact appearing as a black, crescent-shaped mark on the bottom of the image. Dental X-ray showing a set of teeth with some distorted areas due to movement or improper film handling. A black fingerprint artifact appears on the film at the top.
A fingernail artifact appears as a black, crescent-shaped mark. A black fingerprint artifact appears on the film.
Dental X-ray showing teeth with a large filling and static electricity appearing as black branching lines on the far left tooth. Dental X-ray showing teeth with a vertical white artifact resembling a scratch on the film.
Static electricity appears as black branching lines. Scratches appear as thin white lines.

Lighting Errors

Light leaks and fogged film are lighting errors. If a light leak error occurs, the exposed area will appear black, and a fogged film will appear gray and lack image detail and contrast.

In the Iannucci & Howerton, Dental Radiography Principles & Techniques, 6th Edition textbook on page 103, refer to figure 10-7.

Dental X-ray showing a tooth with a root canal treatment and adjacent teeth with a portion of the film exposed to light appears black on the left. Dental X-ray with an uneven exposure that is a fogged film appearing gray and lacks detail and contrast.
A portion of the film exposed to light appears black. A fogged film appears gray and lacks detail and contrast.

Practice Makes Perfect

Answer the multiple-choice questions to familiarize yourself with the different processing errors.


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