In order to investigate the effect of the use of faster emulsion speed x-ray film on radiograph quality (a study directed ultimately at decreasing the exposure of the patient and/or operator to x-radition), individual and comparative evaluations of the quality of x-ray images resulting from the exposure of the same areas of the mouth using x-ray film of three different emulsion speeds were made. One film of each of four different areas in the mouth was exposed with each of the three x-ray films (DuPont standard slow, S-1, moderately fast, D-1, and very fast, “Lightning Fast”) in each of thirty-five patients. All films were processed under conditions standard for all three films. Blind study and evaluation of the resulting roentgenograms revealed that, in terms of both individual excellence and comparative performance, use of both the moderately fast and slow standard speed films was found to result in roentgenograms superior to the very fast films in a greater percentage of instances. There was relatively little to choose in terms of over-all clarity, variations in density, and visibility of detail between the moderately fast and slow speed standard films. However, many films exposed with the very fast x-ray film were judged excellent and many were judged to be best in performance when compared with the two slower films. This suggests that it is possible to obtain radiographs of the highest quality using the very fast speed film and indicates that further study of some of the critical factors in exposure time, target-film distance, and processing may result in a technique productive of very fast films of uniformly highgrade excellence. Although at present the routine use of very fast film with the short-cone technique is not indicated on the basis of this investigation, increased study of the use and performance of x-ray films with faster emulsion speeds seems highly desirable. Since the exposure of the slow and the moderately fast speed films was found productive of relatively equally excellent films, in terms of both individual quality and comparative performance, increased use of the moderately fast speed film is definitely indicated, due to decreased radiation exposure of the patient and the operator. Where maximum excellence of films is essential, as in the study of difficult to diagnose lesions or when magnification of radiographs is anticipated, the use of the standard slow speed film is still indicated.
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