ABOMR study plan
ABOMR · Give each week a clear focus.
8 weeks · About 7 hours per week
Radiation physics and radiation biology
Explain photon interactions (photoelectric, Compton, coherent) and predict how kVp and tissue atomic number shift the dominant interaction
Derive and apply the inverse square law and half-value layer to calculate exposure changes at varying distances and filtration
Distinguish deterministic (threshold) from stochastic radiation effects and state the dose thresholds for erythema, epilation, and cataractogenesis
Compare dose metrics (absorbed, equivalent, effective) and convert between units (Gy/Sv, rad/rem) in worked problems
Summarize radiation-induced carcinogenesis risk models and the basis for ALARA and dose-reference levels in dental imaging
Your checkpoint
A one-page formula and threshold reference sheet plus 15 self-written calculation problems with worked solutions scoring at least 90% on a timed re-attempt
Imaging equipment and image acquisition techniques
Trace the intraoral image-formation chain from x-ray tube through receptor and identify where geometric and absorption unsharpness arise
Calculate magnification and describe how object-receptor distance and focal spot size govern spatial resolution
Compare intraoral receptor types (film, PSP, CMOS) on dose, dynamic range, and resolution
Sequence the steps of panoramic and cephalometric acquisition and predict the artifacts produced by patient positioning errors
Select exposure and technique factors for pediatric, edentulous, and gag-reflex patients and justify each adjustment
Your checkpoint
A comparative table of receptor types and a labeled list of at least 10 acquisition errors with their resulting image artifacts
Image processing, quality assurance, and radiation safety
Describe digital processing operations (windowing, contrast/brightness, sharpening, noise reduction) and explain how each alters diagnostic yield without adding information
Design a quality-assurance schedule for intraoral and panoramic equipment including collimation, kVp, exposure reproducibility, and receptor uniformity tests
Interpret a rejected-image log and propose corrective actions that reduce repeat rate
Apply occupational and patient dose-reduction measures (collimation, shielding, selection criteria) to clinical scenarios
Explain the legal and recordkeeping requirements for equipment logs and dosimetry in a dental practice
Your checkpoint
A written QA protocol for one intraoral and one panoramic unit with test frequency, acceptance limits, and a mock 30-day repeat-analysis summary
Normal anatomy and developmental anomalies of the maxillofacial region
Identify normal radiographic landmarks of the maxilla and mandible and distinguish them from pathologic findings
Map the anatomic spaces and foramina on panoramic and CBCT images and describe what each transmits
Classify developmental anomalies (cleft, dens invaginatus, taurodontism, supernumerary, fusion, concrescence) by their radiographic appearance
Differentiate radiolucent and radiopaque normal variants (e.g., mental foramen, submandibular fossa, torus) from disease in case-style vignettes
Correlate CBCT multiplanar anatomy with panoramic distortion to explain why a lesion appears in two locations
Your checkpoint
An annotated self-drawn landmark atlas of at least 40 maxillofacial structures with a 20-item self-quiz scoring 85% or higher
Interpretation of odontogenic and non-odontogenic cysts and tumors
Build a differential-diagnosis framework for radiolucent jaw lesions organized by location, margin, and effect on adjacent structures
Compare odontogenic cysts and tumors (radicular, dentigerous, odontogenic keratocyst, ameloblastoma, odontoma, cemento-osseous lesions) on key imaging features
Distinguish non-odontogenic and fibro-osseous lesions and state which require biopsy versus imaging follow-up
Apply the border-margin and internal-structure descriptors used in lesion characterization to at least 10 written vignettes
Explain the limits of radiography for lesion diagnosis and when advanced imaging changes management
Your checkpoint
A lesion differential matrix covering at least 12 entities plus written interpretations of 10 vignettes with justified top-three differentials
Imaging of inflammatory, traumatic, and metabolic bone disease
Recognize radiographic patterns of inflammatory bone disease (periapical, osteomyelitis, peri-implantitis) and their progression over time
Classify maxillofacial fractures by location and describe the radiographic projections or CBCT views that best demonstrate each
Identify signs of metabolic bone disease (hyperparathyroidism, Paget disease, osteoporosis) on dental and maxillofacial images
Differentiate osteoradionecrosis and medication-related osteonecrosis from routine infection using imaging and history
Sequence imaging decisions for trauma versus inflammatory presentations and justify each choice
Your checkpoint
A pattern-recognition decision tree for inflammatory, traumatic, and metabolic bone disease with 12 matching case vignettes and answers
Temporomandibular joint, salivary gland, and soft tissue imaging
Describe normal and abnormal TMJ imaging findings on panoramic, CBCT, and MRI and correlate them with clinical presentation
Compare imaging modalities for sialolithiasis, sialadenitis, and salivary gland masses and state the first-line choice for each
Identify soft-tissue calcifications (sialoliths, phleboliths, lymph nodes, carotid calcification) and state their clinical significance
Explain the role of ultrasound in head and neck soft-tissue evaluation and its limitations
Interpret written soft-tissue and TMJ vignettes and select the next best imaging study with justification
Your checkpoint
A modality-selection table for TMJ and salivary/soft-tissue indications plus 10 interpreted vignettes with next-step recommendations
Advanced imaging modalities (CBCT, CT, MRI, ultrasound, nuclear medicine) & Professional, ethical, and practice standards in oral and maxillofacial radiology
Compare CBCT, CT, MRI, ultrasound, and nuclear medicine on physical basis, dose, resolution, and clinical indications
Apply CBCT dose and field-of-view optimization principles and explain artifact sources (beam hardening, metal, motion)
Describe MRI weighting and contrast principles well enough to explain soft-tissue discrimination in the maxillofacial region
Apply ethical and professional standards: informed consent, appropriate use, referral, and documentation for imaging studies
Integrate all domains in a timed mixed-format practice set and analyze errors by domain
Your checkpoint
A full-length timed practice exam with a domain-by-domain error analysis and a written remediation plan for the two weakest domains
Milestones
Week 2: Score 85% or higher on a 20-item self-test covering radiation physics and acquisition techniques without notes
Week 4: Complete the landmark atlas and pass the 20-item anatomy quiz at 85% or higher; confirm weeks 1-3 formula and QA sheets are complete
Week 6: Correctly assign top-three differentials on at least 8 of 10 lesion vignettes and 10 of 12 bone-disease vignettes
Week 8: Achieve 75% or higher on the timed mixed practice exam with no domain below 60%, and submit a written remediation plan