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DANB's CDA (CDA) Practice Tests & Test Prep by Exam Edge - Related Blogs



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DANB's Certified Dental Assistant - Blogs Sample Questions

A white part is in the palate on a film. What is the most likely cause?





Correct Answer:
tongue bar.
when observing a white part on a radiographic film in the area of the palate, it is essential to consider various factors that could contribute to such an appearance. one common cause is the presence of a tongue bar, a type of oral jewelry.

during the process of taking a panoramic radiograph, which is a dental x-ray that provides a broad view of the entire mouth, it is standard procedure to remove all metal objects, including jewelry, that can interfere with the image quality. metal objects, particularly those made of dense materials, appear distinctly on x-rays due to their high atomic number, which makes them highly radio-opaque. this means they block the x-rays from passing through, leading to the appearance of white shadows on the developed film.

the tongue bar, if not removed, can cast a radio-opaque shadow over the soft palate area on the radiograph. this appears as a white part on the film, which might be mistaken for an abnormality or artifact. the soft palate is situated close to where a tongue bar would be located when the tongue is in a resting position, hence why the shadow is projected onto this area on the x-ray.

this scenario often occurs because tongue bars and similar types of oral jewelry are sometimes overlooked during the preparation for a panoramic radiograph. patients may not realize the need to remove such items, or they may forget to mention them to the dental practitioner.

in conclusion, when a white shadow is observed in the area of the palate on a dental radiograph, one should first check for the presence of any oral jewelry like a tongue bar. ensuring that all such items are removed before taking radiographic images helps in avoiding misinterpretation of the results and ensures the accuracy of the diagnostic process.