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19.1

The paralleling technique is also known as the E=extension cone paralleling technique, the right-angle technique, or the long-cone technique. The paralleling technique is one method that can be used to expose periapical and bite-wing image receptors.

An understanding of these basic terms is necessary before learning the paralleling technique.

Term

Definition

Parallel Moving or lying in the same plane; always separated by the same distance and not intersecting.
Intersecting Cutting across or through.
Perpendicular Intersecting at or forming right angles.
Right angle Measures 90 degrees and is formed by two perpendicular lines
Long axis of the tooth An imaginary line that divides the tooth longitudinally into two equal halves
Central ray The central portion of the primary beam of x-radiation, abbreviated CR.

Principles of Paralleling Technique

The receptor is placed in the mouth parallel to the long axis of the tooth being radiographed.

The image shows a diagram labeled "A," depicting a tooth with a highlighted root and a dashed blue line indicating the long axis of the tooth. The image shows a diagram labeled "B," depicting a molar tooth with a highlighted root within the gum, and a dashed blue line indicating the long axis of the tooth.
A tooth with a highlighted root and a dashed blue line indicating the long axis of the tooth. A molar tooth with a highlighted root within the gum, and a dashed blue line indicating the long axis of the tooth.

The central ray of the x-ray beam is directed perpendicular to the film and the long axis of the tooth. Below is a diagram of a dental x ray setup, showing the alignment of the long axis of a tooth, a receptor holder with the receptor, and the Position Indicating Device (PID). It highlights the central ray (CR) and the target-receptor distance for optimal imaging.

The image depicts a diagram of dental X-ray setup, showing the alignment of the long axis of a tooth, a receptor holder with the receptor, and the Position Indicating Device (PID). It highlights the central ray (CR) and the target-receptor distance for optimal imaging.

A beam alignment device must be used to keep the receptor parallel with the long axis of the tooth. The image below is a collection of various colored dental beam alignment devices, each consisting of a film holder and aiming ring, used to position and align dental x-ray films accurately.

The image shows a collection of various colored dental beam alignment devices, each consisting of a film holder and aiming ring, used to position and align dental X-ray films accurately.

 

Rules must be followed to obtain accurate images. Object-receptor distance must be increased to keep the receptor parallel with the long axis of the tooth, and target-receptor distance must be increased to ensure that only the most parallel rays are directed at the tooth.

The image shows a dental X-ray setup with a tooth diagram, indicating the long axis of the tooth, a receptor, and a receptor holder. A red line labeled "CR" (Central Ray) illustrates the alignment of the X-ray beam. The image shows a dental X-ray setup diagram labeled "B", with the long axis of a tooth, a receptor in its holder, and a line labeled "CR" indicating the central ray of the X-ray beam.
A dental x-ray setup with a tooth diagram indicating the long axis of the tooth, a receptor, and a receptor holder. A red line labeled “CR” (Central Ray) illustrates the alignment of the X-ray beam. A dental x-ray setup with a tooth diagram indicating the long axis of a tooth, a receptor in its holder, and a line labeled “CR” indicating the central ray of the x-ray beam.

Media Attributions

  • Iannuci: Dental Radiography, 6th Edition, Chapter 19, CC BY-NC-ND

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