Reference library.

Find a finding. Understand its look-alikes.

All entries

40 entries · A–Z
A dental technician positions an intraoral X-ray tube at a seated patient wearing a lead collar.

ALADA and ALARA

ALARA and ALADA are the two radiation-protection principles named in dental radiography guidance. ALARA — as low as reasonably achievable — constrains the…

A mandibular periapical radiograph, the alveolar crest running as a thin radiopaque line between the molar roots.

Alveolar crest

The alveolar crest is the alveolar bone crest — the interproximal bone landmark whose distance from the cemento-enamel junction is measured on bitewings.…

Bitewing radiograph of the right posterior teeth: the crowns of the upper and lower premolars and molars, with the interproximal bone crest between them, in one image.

Bitewing radiograph

A bitewing radiograph is the intraoral posterior view that shows the anatomical crowns and the interproximal alveolar bone level in a single image.…

Bitewing with cervical burnout on a mandibular premolar ringed in cyan and caries on a maxillary molar ringed in red, for contrast.

Cervical burnout

Cervical burnout is a radiolucency at the neck of a tooth caused by overpenetration of the thinner cervical tooth structure. It is an imaging artifact,…

Six intraoral radiographs graded for cone cut, each showing the straight unexposed border that cuts across the receptor where the beam missed it.

Cone cut

A cone cut is the part of a radiograph the X-ray beam never reached, because the beam and the receptor were not lined up. The region is blank and sharply…

A panoramic radiograph showing a well defined radiolucency in the mandible, its corticated border a thin radiopaque rim.

Corticated and non-corticated borders

A corticated border is a thin radiopaque line running around the edge of a radiolucent lesion on a radiograph. Cysts that arise within bone typically have…

Two bitewing exposures superimposed on one receptor, every tooth and the bite tab doubled and offset.

Double exposure

A double exposure is two radiographic images recorded on one receptor, one over the other. UK dental guidance lists it as an operator error under both…

Diagrams and periapical radiographs comparing correct vertical angulation with a foreshortened image from too steep an angle and an elongated one from too shallow an angle.

Elongation and foreshortening

Elongation and foreshortening are the two halves of one vertical angulation error. An elongated radiograph shows teeth longer than they are; a…

A mandibular molar periapical radiograph, bone loss opening the furcation between the mesial and distal roots.

Furcation involvement

Furcation involvement is loss of the bone between the roots of a molar, starting where the roots divide. On a radiograph it shows as a radiolucency in the…

Panoramic radiograph with a hoop earring sharp at the right edge and its ghost, a blurred magnified oval, projected higher over the maxillary incisors on the opposite side.

Ghost image

A ghost image is a radiopacity on a panoramic radiograph cast by an object that sat between the X-ray source and the machine's centre of rotation. It…

Periapical radiograph exposed through the back of the film packet, the lead foil's raised diamond pattern printed across the upper film.

Herringbone artifact

The herringbone artifact is the pattern a dental radiograph carries when the film packet was exposed from the wrong side: a repeating herringbone or…

A mandibular periapical radiograph, lamina dura visible as the thin radiopaque line following each root socket.

Lamina dura

The lamina dura is the thin layer of dense cortical bone lining a tooth socket. On a radiograph it reads as a fine radiopaque line running around the…

A leather lead apron and glove laid flat, the shielding whose collar casts a radiopaque band across a panoramic radiograph when it rides too high.

Lead apron artifact

A lead apron artifact is the shadow a protective apron or thyroid collar casts when it ends up in the primary beam. On a panoramic radiograph an apron…

Bitewing radiograph with two labelled rings on adjacent lower posterior teeth: a true carious lesion in red beside a Mach band in cyan — the dark band the eye invents next to real decay.

Mach band effect

The Mach band effect is an optical illusion in which the eye exaggerates contrast where two densities meet, creating an apparent dark band that is not…

A mandibular radiograph, the mental foramen a round radiolucency below the premolar roots.

Mental foramen

The mental foramen is the opening in the body of the mandible that carries the mental nerves and vessels [16]. On a radiograph it reads as a small round…

A panoramic radiograph of a full adult dentition, showing the sharp cortical outlines that patient movement blurs.

Movement artifact

Movement artifact is the image degradation produced when a patient moves during a radiographic exposure. On an intraoral radiograph it appears as…

A panoramic radiograph of a full dentition, including the maxillary midline where the nasopalatine canal sits.

Nasopalatine canal

The nasopalatine canal, also called the incisive canal, is a bony canal through the anterior maxilla that connects the oral and nasal cavities [1].

A mandibular periapical radiograph of two crowned molars, the trabecular bone below carrying fine nutrient canals.

Nutrient canals

Nutrient canals are passages through the alveolar bone that carry vessels and nerves to the teeth and their supporting structures.

Bitewing with a small radiolucent spot beneath the occlusal enamel of an unrestored maxillary molar, ringed.

Occlusal caries

Occlusal caries is a carious lesion on the pit-and-fissure surface of a posterior tooth. On a bitewing radiograph it stays largely invisible until it…

Two bitewings side by side: overlapped premolar contacts from poor horizontal angulation, and open contacts from correct angulation.

Overlapped contacts

Overlapped contacts are the superimposition of two adjacent proximal surfaces on a bitewing radiograph, caused by horizontal angulation error. Where the…

Panoramic radiograph with a dark band across the maxillary roots from the hard palate to the apices, the tongue not resting on the palate.

Palatoglossal air space

The palatoglossal air space is the air left between the tongue and the palate when the tongue is not held against the roof of the mouth during a panoramic…

Two panoramic radiographs: correct positioning with a gentle occlusal curve, and chin tipped down with an exaggerated upward curve.

Panoramic positioning errors

A panoramic positioning error is a fault in how the patient was placed in the machine, and it distorts the image rather than the anatomy. The focal trough…

Panoramic radiograph of an adult dentition, both arches curved across one image, with the maxillary sinuses above and the lower border of the mandible below.

Panoramic radiograph

A panoramic radiograph is a single image of both jaws, made by a source and receptor that rotate around the patient. Only a curved zone called the focal…

Periapical radiograph of three mandibular molars, each crown and root shown to the apex with the surrounding trabecular bone.

Periapical radiograph

A periapical radiograph is an intraoral view showing a whole tooth — crown, root and apex — together with the bone immediately around the root tip. That…

A maxillary periapical radiograph, the periodontal ligament space running as a thin radiolucent line around each root.

Periodontal ligament space

The periodontal ligament space is the thin radiolucent line between a tooth's root and the lamina dura, the space the periodontal ligament occupies. It…

A phosphor plate held in a phantom head while an intraoral X-ray tube is aimed at it.

Photostimulable phosphor plate

A photostimulable phosphor (PSP) plate is a reusable, cordless intraoral receptor. It stores the X-ray exposure as electrons trapped in a phosphor layer,…

Eight faulty film radiographs in a grid: underexposed, overexposed, blurred, partial, distorted, fogged, stained, and lead foil pattern.

Radiographic artifact

A radiographic artifact is a feature on a radiograph that comes from how the image was made rather than from the patient — from the operator, the…

Bitewing radiograph with a proximal radiolucency ringed at the mesial contact of a lower posterior molar, tooth 38, the site where depth is judged against the enamel-dentine junction.

Radiographic caries depth classification

Radiographic caries depth classification grades how far a proximal radiolucency has penetrated the tooth on a bitewing radiograph. The common ladder runs…

A darkroom safelight glowing green, the light source whose leakage fogs film and lifts the density of the whole radiograph.

Radiographic fog

Radiographic fog is unwanted density spread across a radiograph that raises the overall darkness and lowers contrast, leaving the image flat and grey.…

Bitewing radiograph with a numbered route drawn tooth by tooth: back to front along the upper arch, then back again along the lower arch, the same order every time.

Radiographic search pattern

A radiographic search pattern is a fixed route you follow across every radiograph, in the same order, every time. It exists because finding one…

Bitewing radiograph marking both ends of the greyscale: a radiopaque restoration in the upper right first molar and a radiolucent carious lesion in the lower right second molar.

Radiolucent and radiopaque

Radiolucent means dark on a radiograph; radiopaque means light. Which one a structure comes out as depends on how much of the beam it absorbed on the way…

Bitewing with a grey composite restoration on a mandibular molar outlined, beside amalgam fillings that read near-white.

Radiolucent restorative materials

Radiolucent restorative materials are fillings, bases, liners and cements that are less radiopaque than the tooth structure around them, so they read as a…

A clinician at a light box reading a panoramic radiograph, the review that decides whether a film is diagnostic or a retake.

Reject analysis

Reject analysis is a periodic audit that counts how many radiographs were taken but never used for diagnosis, and records why. In general-radiography…

Bitewing with a radiolucent zone left beneath a restoration on the maxillary second molar, ringed.

Residual caries

Residual caries is demineralised carious tissue that was left in place when a restoration was placed. Secondary caries is a lesion that developed next to…

Bitewing radiograph with a ring marking a restoration overhang projecting beyond the crown margin on the upper left first molar.

Restoration overhang

A restoration overhang is an extension of restorative material beyond the confines of the cavity preparation. On a bitewing radiograph it reads as a…

Bitewing with every restoration outlined: three radiopaque fillings and a full crown.

Restorations on a radiograph

A restoration on a radiograph is any filling, inlay, crown or bridge unit that appears inside the tooth outline as material the beam passes through…

Bitewing radiograph with a ring marking secondary caries at the margin of an existing restoration in the lower right first molar.

Secondary caries

Secondary caries is a carious lesion at the margin of an existing restoration. On a bitewing it shows as a radiolucency at the restoration's edge, most…

Intraoral radiograph with a truncated upper edge where the plate scanner dropped part of the image, and scratch lines running down the plate.

Sensor dropout

Sensor dropout is a mark on a radiograph produced by damage to the receptor rather than by anything in the patient. On a phosphor plate it is usually a…

A panoramic radiograph, an arrow marking a well defined radiolucency below the mandibular canal at the angle.

Stafne bone cavity

A Stafne bone cavity is a depression in the lingual surface of the mandible, usually holding part of the submandibular gland or fat. On a panoramic…

A wall mounted intraoral X-ray unit on an articulating arm, the tube head that is shifted between two exposures.

Tube shift and parallax

The tube shift technique locates an object buccal or lingual to its neighbouring teeth by comparing two radiographs taken with the X-ray tube in two…

Every entry covers appearance, look-alikes, and how to tell them apart.