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Successful - Intraoral - Brochure - 1

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0% found this document useful (0 votes)
63 views20 pages

Successful - Intraoral - Brochure - 1

Uploaded by

Ahmed Younus
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 20

Dental Radiography Series

Successful
Intraoral Radiography
Successful Intraoral Radiography
Every dental professional would like to achieve the goal First, the film must be properly positioned to ensure
of producing consistent, quality intraoral radiographs. A proper geometry and prevent distortion and overlap.
quality intraoral radiograph will reveal maximum image Second, the exposure technique factors must be
detail with anatomic accuracy and optimal density and appropriate for the patient and the film selected.
contrast, providing the highest diagnostic yield. This And last, proper processing time, temperature and
pamphlet will address some of the common errors in handling requirements must be followed to produce
capturing and processing intraoral radiographs and explain a quality radiograph.
how to prevent and correct them. For similar information
on panoramic radiography, please refer to the publication
entitled “Successful Panoramic Radiography”.

Quality Radiography
The goal of all radiography should be to produce a
Positioning
high quality radiograph. Such a radiograph will exhibit
maximum detail to resolve fine objects. It will show
the teeth and anatomic structures accurately without
distortion or magnification. It will have the optimal density
and contrast (visual characteristics) to maximize its use
for the detection of dental disease. To create such a film,
Exposure Processing
the dental staff must pay attention to all three steps in
the production of the radiograph including: positioning,
exposure and processing. Figure 1 Three steps In producing a quality radiograph
Proper Film Positioning
Step 1: Proper Film Positioning
Film placement for proper anatomic coverage is beyond
the scope of this pamphlet and can be reviewed in any
quality dental radiography text. This document will discuss
improper film placement that can lead to errors such as
overlapped contacts and distorted teeth and roots. These
problems occur due to the fact that dental radiography
is a shadow casting technique. In other words, we cast
an image of the tooth onto the film. Shadow casting can
cause geometric distortions in the final radiograph such as
elongation, magnification and overlapping contacts.

Figure 2 Shadow casting

Figure 3 Excessive vertical angulation, Geometric distortion can be minimized by using a long
note inferior border of mandible visible,
elongation of roots. Correct by moving
x-ray source to object distance. This can be obtained
film further back into the mouth using a long cone (40 cm/16 inch) technique. Geometric
distortion can also occur if the film is not at right angles
to the beam. For this reason, it is recommended to always
use a film-holding and position indicating device (PID).
Many practitioners assume these devices can control
all angulation problems; however, they merely hold the
film perpendicular to the x-ray beam. They do not totally
prevent errors in the vertical and horizontal angulation of
the film to the tooth itself. This can lead to commonly seen
errors of overlapped contacts and vertical distortion of
teeth on the radiograph. These issues can be minimized by
proper use of the paralleling technique.

Figure 4 Distortion from film bending in Figure 5 Bent film corners causing black
corner of arch. Correct by placing film lines on film. Correct with proper film
further into center of the mouth placement, use soft film packets. Handle
film packets as carefully as possible

4
Distortion (vertical angulation)
Although film-holding devices position the film at right proper position
angles to the x-ray beam, they do not prevent rotation of
the whole device in a vertical axis. This rotation places the film packet

film at an angle to the tooth and can result in distortion


when the angle is significant. This commonly occurs
when the film is not placed far enough in the center of
the mouth and the film must be angulated to avoid the
slope of the palate or the mandibular vestibule. It can be
avoided by simply placing the film deeper into the center
of the mouth so that tipping is not necessary. Another film packet

type of distortion occurs when the film is bent when the


patient bites down. This can also be avoided by placing
the film deep enough into the mouth to avoid contact
with the palate. Bending of film corners for patient
Figure 6 Vertical angulation due to fulcrum rotation on lower molar
comfort can also cause errors, as the pressure of the bend
can cause partial film development. These bends appear as
black lines on the film.

Overlapped contacts
(horizontal angulation)
In order to maximize the amount of contact opening, the
beam should be directed at right angles to the contact
area. In the mandible this is fairly straightforward. In the
maxilla, however, the molar contacts are often directed
Figure 7 Improper horizontal mesially due to the triangular shape of the maxillary
angulation, contacts overlapped molars. This means that the beam must also be directed
from the mesial to open these contacts. Often times the
reverse is done. The beam is directed from the mesial in
the bicuspid area and at right angles or distal in the molar
region. This will most often result in overlapped contacts.
Contact areas should always be visualized prior to taking
bitewing radiographs.
Figure 8 Proper horizontal
angulation, contacts open

Angle for bicuspid

Angle for molar

Figure 9

5
Cone cuts Reversed films
Dental x-ray beams are collimated or restricted to a Dental x-ray film is marked with an indicator dot to help
diameter of 7 cm/2.75 inches at the end of the cone or indicate the tube side of the film and to help distinguish
even less when a rectangular collimator is used. When the patient’s right or left side. In addition, the film packet
the exit pattern of the beam is not aligned with the film, contains a sheet of lead foil which prevents unnecessary
part of the film will not be exposed to radiation and will radiation from passing through into the patient and
appear clear. This is known as a cone cut. Proper use reduces scatter radiation. This sheet of lead foil is marked
of position indicating devices (PIDs) will help to prevent with a special pattern. When a film is exposed from the
these cone cuts, which can occur with either round or wrong side, the pattern is visible on the radiograph. Due
rectangular cones. to the attenuation of the foil, the radiograph also appears
overall light in density.

Figure 10
Figure 11 Cone cut using Figure 12 Cone cut using
round cone rectangular cone

Figure 13 Reversed film, Figure 14 Foil from packet


note dot pattern on left showing pattern of dots
edge of radiograph, light
overall density

Radiograph Error Fix


Teeth elongated or shortened, cusps Excessive vertical angulation Correct film placement and reduce
don’t overlap, sinus structures or vertical angulation
inferior border of mandible visible
Contacts of teeth overlapped Improper horizontal angulation Visualize contact area and adjust
Dark lines on film Film bent Use of Carestream Dental Poly-Soft
packets and proper placement to
minimize any bending. Open packet
without excessive bending
Clear area on one edge of film either Cone cut Align cone with position indicating
in arc or straight device
Film light in density, unusual Packet was reversed and exposed Follow instructions on packet for
pattern across film (“tire tracks” through the back side, pattern is for proper orientation
“herringbone”) orientation from foil inside packet

Table 1 Film positioning errors

6
Film Exposure
Step 2: Film Exposure Influence of milliamperes
Most modern dental x-ray machines no longer allow for
Selecting a Film the adjustment of mA or milliamperage. Since the effect
Film selection is important to both radiographic success of increasing or decreasing mA is the same as for exposure
and to provide the lowest practical exposure to the time, it is common to combine the two and talk of mAs
patient. To achieve consistent quality radiographs you must or milliamp-seconds. In dentistry we are mainly concerned
use a consistent quality film. Low cost films may vary from with exposure time as discussed below.
batch to batch or may come from different manufacturers.
This makes establishing consistent exposure and
development technique factors very difficult. Influence of time
Dental films are provided in different speed groups. Film density (how light or dark the overall film is) is
D-speed films are the slowest speed films and F-speed directly related to exposure time. The longer the exposure
films are the fastest. time the more x-ray photons reach the film and expose
it. Therefore, the film is darker. The x-ray timer can be
INSIGHT dental film is an F-speed film that can provide an thought of as a faucet. It turns the flow of x-rays on or off.
additional 20% reduction in exposure over E-speed films If you open the faucet twice as long, you will get twice as
(and a 60% reduction in exposure over D-speed films) with many x-rays out of the machine. If you double the time,
consistent image contrast and quality. In accordance with the film will be approximately twice as dark.
the ALARA principle (keep doses As Low As Reasonably
Achievable), the use of F-speed film is highly encouraged.
For helpful exposure guidelines, please see pages 11 and
12. Using these guidelines, the practitioner can verify that
their exposure factors are within the suggested normal
ranges for good radiographic techniques.

Figure 16 Exposure time is like a faucet

Figure 15 Exposure time, F-speed represents a 60% reduction in


exposure over D-speed film

7
Figure 17 0.25 second exposure Figure 18 0.5 second exposure Figure 19 1.0 - second exposure
(underexposed) (properly exposed) (over exposed)

Radiograph Exposure Time Fix


Too dark Too long Use shorter time, fewer
impulses
Too light Too short Use longer time, longer
impulses

Table 2 Exposure time errors

Influence of peak kilovoltage


Many modern dental x-ray machines no longer allow the
adjustment of peak kilovoltage (kVp). The kilovoltage
affects both the quantity of the x-rays produced and their
average energy. The average energy is sometimes referred
to as the “beam quality.” The effect of peak kilovoltage
can be compared to a spray nozzle. It controls the force
of the emerging stream of x-rays, while the faucet (timer)
controls the volume.

kVp has two effects on the quality of the final radiograph. Figure 20 kV is like a spray nozzle
First, it affects the contrast or gray scale. Low kVp is like
opening the nozzle. The lower energy x-rays have less
penetrating power. This provides a high contrast image
with an obvious black and white appearance. High kVp is
like closing the nozzle. The beam is “harder” with higher
energy. High kVp gives a low contrast image, but with
Figure 21 Low contrast long gray scale above, high contrast short gray
more shades of gray to show subtle contrast changes. scale below
Second, using higher kVp produces more x-rays. This is
not a linear relationship, but rather the density of the film
varies as the square of the kVp. A good standard to
follow is:

An increase of 10 kVp => Divide exposure time by 2

8
An increase of 15 kVp = 2 X an Increase in Density

Figure 22 55 KvP Figure 23 70 KvP Figure 24 85 KvP Figure 25 Film mistakenly


shot at 90 KvP, all other
exposure factors were set
as normal

Although many modern x-ray machines do not allow Radiograph kV Setting


changes in kVp, modern DC (direct current) machines are Too dark Too high
actually equivalent to older machines operating at higher Too light Too low
voltages. For example, a modern 70 kVp DC machine has Too much contrast Too low
a beam quality similar to an older 80 kVp machine. Too washed out Too high

Other errors that can occur during exposure include Table 3 kVp errors

patient movement and double exposures. The best way


to avoid patient movement is to use an F-speed film to
achieve a short exposure time. Another way to decrease
patient movement errors is to be sure a headrest stabilizes
the patient’s head during film placement and exposure.
Double exposures are usually caused by operator
inattention. Keep unexposed films separated from exposed
films to help alleviate this problem. It is important to note
Figure 26 Patient movement, Figure 27 Double exposure,
that when a double exposure occurs there is usually a note blurring of image, soft not multiple images of teeth
corresponding blank film in the series. focus

Radiograph Error Fix


Blurring of structures Patient movement Use F-speed film for shorter exposure times. Remind
patient to hold still and use a head rest. Tube
movement is not as adverse as patient movement.
Multiple images on film Double exposure Exposed films should always be separated from
unexposed film while taking radiographs.

Table 4 Errors during exposure

9
Recommended exposure settings for Carestream Dental intraoral films
Ultra-speed*
Settings kV 60 65 65 65 70 70 70 80
mA 7 7.5 8 10 7 8 10 10
Maxillary Incisor 0.55 0.32 0.30 0.24 0.27 0.24 0.19 0.10
Cuspid 0.55 0.32 0.30 0.24 0.27 0.24 0.19 0.10
Bicuspid 0.73 0.43 0.40 0.32 0.37 0.32 0.26 0.13
Molar 0.82 0.48 0.45 0.36 0.41 0.36 0.29 0.14
20 cm/8 inches

Mandibular Incisor 0.46 0.27 0.25 0.20 0.23 0.20 0.16 0.08
Cuspid 0.46 0.27 0.25 0.20 0.23 0.20 0.16 0.08
Bicuspid 0.50 0.29 0.28 0.22 0.25 0.22 0.18 0.09
Molar 0.55 0.32 0.30 0.24 0.27 0.24 0.19 0.10
Bite-Wing Anterior (Incisor) 0.46 0.27 0.25 0.20 0.23 0.20 0.16 0.08
Posterior (Bicuspid) 0.55 0.32 0.30 0.24 0.27 0.24 0.19 0.10
Occlusal 0.91 0.53 0.50 0.40 0.46 0.40 0.32 0.16
Maxillary Incisor 2.19 1.28 1.20 0.96 1.10 0.96 0.77 0.38
Cuspid 2.19 1.28 1.20 0.96 1.10 0.96 0.77 0.38
Bicuspid 2.93 1.71 1.60 1.28 1.46 1.28 1.02 0.51
Molar 3.29 1.92 1.80 1.44 1.65 1.44 1.15 0.58
40 cm/16 inches

Mandibular Incisor 1.83 1.07 1.00 0.80 0.91 0.80 0.64 0.32
Cuspid 1.83 1.07 1.00 0.80 0.91 0.80 0.64 0.32
Bicuspid 2.01 1.17 1.10 0.88 1.01 0.88 0.70 0.35
Molar 2.19 1.28 1.20 0.96 1.10 0.96 0.77 0.38
Bite-Wing Anterior (Incisor) 1.83 1.07 1.00 0.80 0.91 0.80 0.64 0.32
Posterior (Bicuspid) 2.19 1.28 1.20 0.96 1.10 0.96 0.77 0.38
Occlusal 3.64 2.12 2.00 1.60 1.84 1.60 1.28 0.64

*Class: D-speed
Note: for large patients increase time by approximately 25%; for children and / or small patients decrease time by approximately 30%; to
convert to impulses, multiply by 60.

10
INSIGHT*
Settings kV 60 65 65 65 70 70 70 80
mA 7 7.5 8 10 7 8 10 10
Maxillary Incisor 0.25 0.14 0.14 0.11 0.12 0.11 0.09 0.04
Cuspid 0.25 0.14 0.14 0.11 0.12 0.11 0.09 0.04
Bicuspid 0.33 0.19 0.18 0.14 0.16 0.14 0.12 0.06
Molar 0.37 0.22 0.20 0.16 0.19 0.16 0.13 0.06
20 cm/8 inches

Mandibular Incisor 0.21 0.12 0.11 0.09 0.10 0.09 0.07 0.04
Cuspid 0.21 0.12 0.11 0.09 0.10 0.09 0.07 0.04
Bicuspid 0.23 0.13 0.12 0.10 0.11 0.10 0.08 0.04
Molar 0.25 0.14 0.14 0.11 0.12 0.11 0.09 0.04
Bite-Wing Anterior (Incisor) 0.21 0.12 0.11 0.09 0.10 0.09 0.07 0.04
Posterior (Bicuspid) 0.25 0.14 0.14 0.11 0.12 0.11 0.09 0.04
Occlusal 0.41 0.24 0.23 0.18 0.21 0.18 0.14 0.07
Maxillary Incisor 0.99 0.58 0.54 0.43 0.49 0.43 0.35 0.17
Cuspid 0.99 0.58 0.54 0.43 0.49 0.43 0.35 0.17
Bicuspid 1.32 0.77 0.72 0.58 0.66 0.58 0.46 0.23
Molar 1.48 0.86 0.81 0.65 0.74 0.65 0.52 0.26
40 cm/16 inches

Mandibular Incisor 0.82 0.48 0.45 0.36 0.41 0.36 0.29 0.14
Cuspid 0.82 0.48 0.45 0.36 0.41 0.36 0.29 0.14
Bicuspid 0.91 0.53 0.50 0.40 0.45 0.40 0.32 0.16
Molar 0.99 0.58 0.54 0.43 0.49 0.43 0.35 0.17
Bite-Wing Anterior (Incisor) 0.82 0.48 0.45 0.36 0.41 0.36 0.29 0.14
Posterior (Bicuspid) 0.99 0.58 0.54 0.43 0.49 0.43 0.35 0.17
Occlusal 1.65 0.96 0.90 0.72 0.82 0.72 0.58 0.29

*Class: F-speed
Note: For large patients increase time by approximately 25%; for children and / or small patients decrease time by approximately 30%; to convert to
impulses, multiply by 60.
In manual processing environment, the film is E-speed. Increase exposure time by approximately 20%.

11
Processing
Step 3: Processing Development CONTAMINATED OR DEPLETED CHEMISTRY = INCOMPLETE
Even with the excellent automatic processors available DEVELOPMENT = LIGHT FILM
today, many errors can occur during film processing. Many Developer must be replenished following manufacturer’s
of these errors are due to improper film handling, but recommendations or it will become exhausted. These
some can be caused by the processor itself. Processing is a recommendations are usually based on the amount of
chemical reaction therefore: radiographs processed. However, developer exhaustion
is determined by the surface area of the films processed
INCREASED TEMPERATURE = INCREASED DEVELOPMENT = not the number of films. For example, if large numbers
DARKER FILM of panoramic or cephalometric films are processed, more
INCREASED TIME = INCREASED DEVELOPMENT = frequent replenishment will be needed.
DARKER FILM

For these reasons, the manufacturer’s recommendations


for development time and temperature should be closely
followed. Automatic processors should still be checked
for developer temperature as heating elements can fail
or overheat. Proper attention to chemical dilution, mixing
and loading must also be followed. Fixer should always be
poured first into the processor as a small spill of fixer into
the developer can drastically weaken the developer:

Radiograph Problem Fix


Too light Temperature too low or time too Check temperature and adjust
short development time as needed

Too dark Temperature too high or time too Check temperature and adjust
long development time as needed
Too light Contaminated or weak developer Replace or replenish developer.
Follow dilution instructions
Too dark (fogging) Over concentrated developer Follow dilution instructions

Table 5 Processing errors

12
Manual Processing of Intraoral Carestream Dental Films

1 STIR SOLUTIONS 2 CHECK TEMPERATURES OF SOLUTIONS 3 CHECK DEVELOPMENT TIME


Dilute developer and fixer solutions as directed Check temperatures of solutions with an Refer to the table above and check the
on the containers. Use separate paddles for each accurate thermometer. Rinse the thermometer development time based on the temperature
solution to avoid possible contamination. Stir thoroughly in running water before checking the of the developer in preparation for step 5.
the solutions gently. This ensures uniformity of other solution. Developer temperature should
The times in the table are recommended for
solutions and temperatures. be within 20-24 °C. Fixer temperature should be
use with GBX Dental Developer.
within 15-30 °C.

4 LOAD FILM ON HANGER 5 IMMERSE FILMS IN DEVELOPER AND 6 AGITATE FILMS


START TIMING
Remove films from packets and attach carefully to a Dislodge air bubbles by vigorously moving film
multiple-clip hanger, avoid finger-marks, scratching Immerse the films smoothly and without pause; hanger in solution for 5 seconds. Do not raise out
or bending. this minimizes streaking. Start timing. of the developer solution.

7 RINSE THOROUGHLY 8 FIX ADEQUATELY 9 WASH THOROUGHLY


At the end of development time, quickly remove Place films in the fixer solution and agitate Remove hanger from fixer and place in wash
hanger from the developer and place in wash the hanger continuously for 2-4 minutes. section. Wash for 10 minutes in running water.
section for 30 seconds with clean running water See specific instructions for fixing times and Eight volume changes per hour are recommended.
at a temperature of 15-30 °C. Lift from water and temperatures. Extraoral film should be washed for 5 minutes.
allow to drain over the wash section.

10 DRY
Note: The times indicated are
Suspend hanger from a drying rack in dust-free
appropriate with correct exposure area. Use a fan to accelerate drying. When dry,
time of the intraoral films. remove films from hanger, mount and identify.
13
Handling
Film must be handled carefully under proper safelight powder-free gloves should contact the bare film prior to
conditions during processing. Most dental films processing. Unprocessed film should not come in contact
recommend red safety filters such as GBX-2 safelight filter. with wet or contaminated surfaces as this may lead to
If a daylight loader is used in a brightly lit room, the use of film spotting.
another type of filter can result in film fogging. Care must
also be taken when feeding film into a processor. Opening Carestream Dental Films with a ClinAsept barrier not only
the lid too soon on a daylight loader can result in room aids in infection control but also allows film to be handled
light fogging the trailing edge of the film. with clean hands after removal from the barrier envelope,
preventing discoloration and cross-contamination.
It can take up to 15-20 seconds for film to completely
enter an automatic processor. Film fed too quickly or After processing, films must not come into contact until
too close together can overlap or stick together. Other completely dry as the wet emulsions can stick together
errors can occur from emulsion tears, fingerprints, static and peel off the films when they are separated.
electricity and chemical spills onto the film. Only clean, dry,

Figure 28 Emulsion tear, Figure 29 Fingerprint, dirty Figure 30 Overlap of films


note white area under pontic finger had fixer on it leaving during processing
where no emulsion is left white mark on film

Figure 31 Stain from Figure 32 Light fog on left


incomplete film fixing/ edge of film from opening lid
washing or exhausted fixer on daylight loader too soon

14
Handling Errors
Radiograph Handling Problem Fix
Too dark (similar to fogging) Improper safelight Use GBX-2 Safelight Filters or filter with wavelength >520 nm
Random sized dark spots: Stored in humid or hot conditions Store film between 10 to 24 °C (50-75 °F) and between
v shaped, mottle “noise” 30-50% rH.
Dark rectangle on film Overlap during processing Feed films slowly or side by side
Dark edge on film Exposed to light before safely in Allow 15-30 seconds from last film to enter processor. Listen
processor for click or watch for ready light on processor to indicate
when safe to feed next film
Fingerprints Improper handling Clean, dry hands and hold the film on the edges
Dark spots Developer stains Keep darkroom clean, wipe up any spilled chemistry to avoid
spotting films
White spots Fixer stains Keep darkroom clean, wipe up any spilled chemistry to avoid
spotting films
Streaks or scratches Emulsion tears Never allow wet films to contact one another or fingernails,
emulsion is delicate when wet. Keep films away from
extreme sides of processor
Dark spots or lines in a pattern Roller marks Use Roller Transport Clean-up Film daily and/or clean rollers
with mild detergent and rinse throughly
Dark spots-branched or dots Static (most common in winter months) Add humidifer and or open packets slowly to minimize static
discharge. Do not refrigerate film
Yellowish color Poor fixing/washing or exhausted fixer Change chemistry

15
Summary of Intraoral Errors
Problem Error and Fix
Teeth elongated, cusps don’t overlap, sinus structures Excessive vertical angulation, correct film placement
or inferior border of mandible visible
Contacts of teeth overlapped Improper horizontal angulation, visualize contact area and adjust
Dark lines on corner of film Film bent, use of Carestream Dental Poly-Soft packets and proper placement
to reduce bending
Clear area on one edge of the film either Cone cut, use position indicating device
in arc or straight
Film light in density, unusual pattern across film Film was reversed and exposed through the back side, pattern is from lead foil,
(“tire tracks” or “herringbone”) assure correct side toward tube
Too dark Exposure too long, shorten time
kV too high, reduce kV
Processor temperature to high, reduce temperature
Development time too long, shorten time
Over concentrated developer, follow dilution directions
Improper safelight, follow recommendations
Too light Exposure too short, lengthen time
kV too low, raise kV
Processor temperature too low, raise temperature
Development time too short, increase time
Contaminated or weak developer (replace or replenish solutions)
Too much contrast kV low, adjust kv
Too washed out or gray kV high, adjust kV
Blurring of structures Patient movement, use F-speed film for shorter exposure time. Use head rest.
Multiple images on film Double exposure, separate exposed packets from unexposed packets
Mottle “noise” Stored in humid or hot conditions, store as directed on package
Dark rectangular area on film Overlap during processing, feed as directed
Dark edge on film Exposed to light before safely in processor, do not open or turn on light too
soon
Fingerprints Clean, dry hands and hold the film on the edges
Dark spots Developer stains, practice darkroom cleaniness
White spots Fixer stains, practice darkroom cleaniness
Clear streaks, splotches or scratches Emulsion tears, keep separated while wet
Dark spots in pattern Dirty processor rollers, clean processor daily
Dark spots branched or dots Static due to over-dry conditions, adjust humidity, open packets slowly

16
Carestream Dental Chemistry*
Chemistry for manual processing
Product Processing Ready to Use or Concentrate
Rapid Access Developer Developing: 15 sec. 20°C/68°F Ready to use
Rapid Access Fixer Fixing: 15 sec.** 20°C/68°F
Rapid Access Twin Pack Wash: 1 - 2 min. 20°C/68°F
(for archiving refix and wash as directed)
GBX Developer and Replenisher Developing: Concentrate – requires dilution
GBX Fixer and Replenisher 5 min. 20°C/68°F follow instructions on product
GBX Twin Pack 4 1/2 min. 21°C/70°F
4 min. 22°C/72°F
3 min. 24.5°C/76°F
2 1/2 min. 26.5°C/80°F
Rinse: 30 sec. agitating continuously
Fixing: 2-4 min. or 2X clearing time with
intermittent agitation
15.5-29.5°C/60-68°F
Wash: 10 min. in running water
GBX Developer and Replenisher see above Concentrate – requires dilution
follow instructions on product
GBX Fixer and Replenisher see above Concentrate – requires dilution
follow instructions on product

Carestream Dental chemistry for automatic processing


Product Processing Ready to Use
READYMATIC Chem Pack See processor’s manual Ready to use. Roller type processor
READYMATIC Developer and See processor’s manual Ready to use. Roller type processor
Replenisher
READYMATIC Fixer and Replenisher See processor’s manual Ready to use. Roller type processor
READYPRO Twin Pack See processor’s manual Ready to use. Rollerless type processor

*Check with distributor for availability in your area. All chemistries are not available in all countries.
**May need extra if near end of solution potency.

17
Ordering Information for INSIGHT Film
Size Description Code Films/Pkgs REF No
Size 0 Super Poly-Soft packets IP-01 100 867 5332
Size 0 Super Poly-Soft packets (double film) IP-02 100 128 0619
Size 0 Super Poly-Soft packets with ClinAsept barrier IP-01C 75 120 0328
Size 1 Paper packets IP-11 100 112 4981
Size 1 Paper packets (double film) IP-12 100 805 5402
Size 2 Super Poly-Soft packets IP-21 150 116 3401
Size 2 Super Poly-Soft packets (double film) IP-22 130 179 8628
Size 2 Super Poly-Soft packets with ClinAsept barrier IP-21C 100 153 9931
Size 2 Super Poly-Soft packets with ClinAsept barrier (double film) IP-22C 100 156 0390
Size 2 Paper packets IP-21 150 176 3960
Size 2 Paper packets (double film) IP-22 150 107 9086
Size 2 Bite-wing paper packets IB-21 50 180 7650
Size 3 Bite-wing paper packets IB-31 100 829 8929
Size 4 Occlusal paper packets IO-41 25 116 9143

18
Ordering Information for Ultra-speed
Size Description Code Packets/Package REF No
Size 0 Super Poly-Soft packets DF-54 100 122 8840
Size 0 Super Poly-Soft packets (double film) DF-53 100 122 8931
Size 0 Super Poly-Soft packets with ClinAsept barrier DF-54C 75 144 5360
Size 1 Paper packets DF-56 100 127 3747
Size 1 Paper packets (double film) DF-55 100 127 3721
Size 2 Super Poly-Soft packets DF-58 150 165 8194
Size 2 Super Poly-Soft packets (double film) DF-57 130 175 3664
Size 2 Paper packets DF-58 150 149 1737
Size 2 Paper packets (double film) DF-57 150 149 1752
Size 2 Bite-wing paper packets DF-40 50 839 3043
Size 2 Super Poly-Soft packets with ClinAsept barrier DF-58C 100 171 7131
Size 2 Super Poly-Soft packets with ClinAsept barrier (double film) DF-57C 100 898 7877
Size 3 Bite-wing paper packets DF-42 100 129 6771
Size 4 Occlusal paper packets DF-50 25 166 6163

19
Other Publications in the
Dental Radiography Series
• Exposure and Processing in Dental Film Radiography
• Guidelines for Prescribing Dental Radiographs
• Radiation Safety in Dental Radiography
• Successful Panoramic Radiography
• Quality Assurance in Dental Film Radiography

Would you like to know more?


For more information, call 800.933.8031 or visit carestream.com.

© Carestream Health, Inc. 2015. Carestream, INSIGHT, Ultra-speed, READYMATIC, and READYPRO are trademarks of Carestream Health.
8665 DE Intraoral Film BR 0917 CHSP-8545; Rev: 7

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