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Any suggestions for using the bisecting technique?

In school, we used XCP kits 99% of the time when taking x-rays- evening using digital. I’ve been told that most offices don’t use XCP kits, but rather use bisecting (tabs, snap a ray). Since I have VERY little experience with this technique, I’m very worried how I will adapt in private practice.



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6 Answers

Tabs for bitewings are tricky when you first start using them. The trick……..take your finger or Cotton tipped applicator and place on top of the molars….line the collminator parallel to your finger. Place the xray and have pt slowly bite together. Then place on top of premolars and make sure parallel etc….. You will notice a difference. It will help to open up contacts unless the teeth are overlapped. Also raise the headrest for the pt so their chin is parallel and perpendicular to the floor. Raise the chair up so you aren’t bending over to see.

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All the XCP’s really do for you is to line of the xray head. It takes some practice, but over time you will get your angles down. For now, I wouldn’t worry about it though, I have only worked in one office that didn’t use XCP’s except for BWX where tabs are normally used.
You will adapt just fine. šŸ™‚

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I’ve worked in three different offices and all of them had XCP’s. But I would practice taking radiographs without the XCP while you are still in school that way you can have the help of your teacher and are still in a learning environment. We were required to take FMX’s using the snap a ray and I can tell you that it’s tricky, but you will get the hang of it!

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We use digital in our office with XCP.

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Its good to know that many offices use XCP’s. The bisecting technique is a hard one to master.

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Our office uses digital radiographs and I don’t use the XCP kits. Every digital sensor we’ve purchased in the ten years or so I’ve been working there did come with an XCP kit though, so I imagine most offices will have them if you need them. Digital radiographs can be tricky to master, since the sensor doesn’t have any “give” to it like a traditional film might. But you’ll learn plenty of tricks to get the shots you want. Also I feel like the textbook way of teaching the bisecting angle technique makes it sound harder than it is in real life practice. All you’re really doing is imagining an axis down the center of the tooth and an axis down the center of the film and splitting the difference. Then you aim perpendicular to that difference. It becomes kinda natural with practice. My xrays were kinda (okay, really) horrible when I first started out, and now I’m regularly pointing out to my boss how “textbook perfect” they are. Hey, someone’s gotta pat me on the back, I’m not too proud for it to be me… šŸ™‚ You’ll get the hang of it, I promise.

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