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NEET MDS Lessons
Radiology

1. Postero-Anterior (PA) View of Skull

  • Head Position: Centered in front of the cassette; canthomeatal line parallel to the floor. For cephalometric applications, the canthomeatal line is 10° above the horizontal, and the Frankfort plane is perpendicular to the film.
  • Projection of Central Ray: Passes posterior to anterior, perpendicular to the film.
  • Important Features:
    • Used to examine the skull for disease, trauma, and sinuses.
    • Best for viewing the coronoid process; a PA view with a 10° tilt is called the Caldwell projection.

2. Lateral Skull or Cephalometric View

  • Head Position: Left side of the face near the cassette; midsagittal plane parallel to the film.
  • Projection of Central Ray: Directed towards the external auditory meatus, perpendicular to the film and midsagittal plane.
  • Important Features:
    • Assesses facial growth.
    • Reveals soft tissue profile.
    • Surveys skull and facial bones for disease and trauma.

3. Water's Projection

  • Head Position: Sagittal plane perpendicular to the film; chin raised so the canthomeatal line is 37° above horizontal.
  • Projection of Central Ray: Passes through the maxillary sinus.
  • Important Features:
    • Also known as Occipito-mental projection (variation of PA view).
    • Best for demonstrating zygoma fractures, paranasal sinuses, and nasal cavity.
    • Shows the position of the coronoid process between the maxilla and zygomatic arch.

4. Submentovertex (SMV) View

  • Head Position: Head and neck extended backward; vertex of the skull at the center of the cassette.
  • Projection of Central Ray: Directed towards the vertex of the skull.
  • Important Features:
    • Also called BASE, FULL AXIAL, or JUG HANDLE VIEW.
    • Best for viewing the base of the skull and zygomatic arch fractures.
    • Contraindicated in patients with cervical spondylitis.
    • For viewing zygomatic arches, exposure time is reduced to one-third of that used for the skull.

5. Reverse Towne's View

  • Head Position: Canthomeatal line oriented 25-30° downward.
  • Projection of Central Ray: Directed towards the occipital bone.
  • Important Features:
    • Frankfort plane vertically oriented and parallel to the film.
    • Best for viewing condylar neck fractures.
    • Condyles are better visualized if the patient opens their mouth widely.

6. Lateral Oblique Mandibular Body Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed towards the first molar region.
  • Important Features:
    • Demonstrates the premolar and molar region.
    • Best for viewing the inferior border of the mandible.

7. Lateral Oblique Mandibular Ramus Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed posteriorly towards the center of the ramus.
  • Important Features:
    • Often used for examining third molar regions of the maxilla and mandible.
    • Provides a view of the ramus from the angle to the condyle.

General guidelines for vertical angulations for common dental radiographs in children:

Anterior Teeth

  1. Maxillary Central Incisors:
    • Vertical Angulation: +40 to +50 degrees
  2. Maxillary Lateral Incisors:
    • Vertical Angulation: +40 to +50 degrees
  3. Maxillary Canines:
    • Vertical Angulation: +45 to +55 degrees
  4. Mandibular Central Incisors:
    • Vertical Angulation: -10 to -20 degrees
  5. Mandibular Lateral Incisors:
    • Vertical Angulation: -10 to -20 degrees
  6. Mandibular Canines:
    • Vertical Angulation: -15 to -25 degrees

Posterior Teeth

  1. Maxillary Premolars:
    • Vertical Angulation: +30 to +40 degrees
  2. Maxillary Molars:
    • Vertical Angulation: +20 to +30 degrees
  3. Mandibular Premolars:
    • Vertical Angulation: -5 to -10 degrees
  4. Mandibular Molars:
    • Vertical Angulation: -5 to -10 degrees

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