The use of dental radiographs update and recommendations (original) (raw)
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Radiation Safety In Dental Practice
CDA journal California Dental Association
Licensed dentists play an important role in maintaining radiation exposures of patients and staff as low as reasonably achievable (ALARA). Greater numbers of intra-oral radiographs are being requested and a wide range of other dental radiographic examinations (panoramic, cephalometric) are being performed on a routine basis with the addition of advanced imaging modalities (CBCT). Individuals who operate dental X-ray equipment must have a basic knowledge of the inherent health risks associated with radiation and must have demonstrated familiarity with basic rules of radiation safety as explained in this study guide. Licensed dentists should follow the FDA/ADA Guidelines for Prescribing Dental Radiographs. Digital imaging with photostimulable phosphor plates or solid state image receptors (i.e., CCD or CMOS receptors) forego the need for darkroom processing of film. However, quality assurance on maintenance of the receptors, phosphor plate scanners, computers and monitors take on more...
Radioprotection in Dentistry: knowledge and practices
Research, Society and Development, 2021
The present study aimed to identify the knowledge and attitudes of dental surgeons regarding the guidelines contained in Ordinance SVS/MS No. 453, dated June 1, 1998, in force until the year 2019 and later replaced with Collegiate Board Resolution (RDC) No. 330/19. Our objective was to identify the practices of professionals working in the dental field regarding the knowledge of the essential criteria for performing periapical, interproximal, panoramic, cephalometric or even cone beam computed tomography imaging exams. The research tool was a questionnaire consisting of 45 questions based on Administrative Rule 453/98, which addresses the requirements for the organization and operation of diagnostic radiology services. The questionnaire was sent to 150 dentists via institutional e-mail, and only 55 professionals returned it. The responses revealed that 64% of the dentists declared not to be aware of the guidelines of ordinance 453/98 and 49.1% did not know the basic principles of ra...
Radiography for the dental team
BDJ team, 2017
The safe and effective use of x-ray equipment is important to the protection of the patient, other members of the public and all members of the dental team. The risks associated with the necessary exposure to ionising radiation may be substantial, and must be minimised through meticulous adherence to good practice as set out in the following guidelines. These well-written, unambiguous guidelines are comprehensive yet conveniently presented. Building on considerations of administrative infrastructure and practical and procedural aspects of dental radiology, the guidelines helpfully deal with key issues pertaining to equipment, quality assurance, notification, risk management, training, protection files, testing and essential legal requirements-matters all fundamental to good working practice. The authors of the guidelines and the organisations they represent are to be congratulated on the thoroughness and outcome of the considerable body of work, which has led to this publication. In commending the guidelines to all general dental practitioners, I would wish to emphasise, as highlighted in the guidelines, that all radiographic examinations should have a net benefit for the patient with the exposure to ionising radiation being optimised for the intended purpose. I must also stress that all members of the dental team engaged in any aspect of radiography must be appropriately and adequately trained and have up-to-date knowledge and relevant skills. Radiographic examinations offer incalculable benefits to patients and as such properly form an integral element of everyday clinical practice. Each and every use of ionising radiation must, however, be safe and effective. Application of the following guidance will greatly assist in the realisation of this goal.
Radiation Protection in Dental Office-A Review
IP Innovative Publication Pvt. Ltd, 2017
The discovery of X rays by Sir Wilhelm Conrad Roentgen 1895 in Wurzburg, was the beginning of a revolutionary change in our understanding of the physical world. Health physics is concerned with protecting people from the harmful effects of ionizing radiation while allowing its beneficial use in medicine. Radiography as an has become an inseparable part of medical health care. This tool uses ionizing radiation which can harm both human and environment. It is used for both diagnostic as well as therapeutic purposes. As a diagnostic tool it has to be used with caution and ethics. Dental fraternity uses radiographs more alarmingly when compared to other medical specialist to diagnose and to know the treatment outcome. The more commonly used radiographs are intraoral periapical radiographs.
NCRP report No. 145: New dental X-ray guidelines: their potential impact on your dental practice
Dentistry today, 2004
The purpose of this article is to summarize the newest dental x-ray guidelines from the National Council on Radiation Protection and Measurements (NCRP) report No. 145, which was released in December 2003, and alert dentists to the potential impact on their office radiographic procedures.1 The NCRP is a nonprofit corporation chartered by Congress in 1964 to perform the following tasks: (1) Collect, analyze, develop, and disseminate in the public interest information and recommendations about (a) protection against radiation, and (b) radiation measurements, quantities and units, particularly those concerned with radiation protection. (2) Provide a means by which organizations concerned with the scientific and related aspects of radiation protection and of radiation quantities, units and measurements may cooperate for effective utilization of their combined resources, and to stimulate the work of such organizations. (3) Develop basic concepts about radiation quantities, units and measurements, about the application of these concepts, and about radiation protection. (4)Cooperate with the International Commission on Radiological Protection Units and Measurements and other national and international organizations, governmental and private, concerned with radiation quantities, units, and measurements and with radiation protection.
Journal of clinical and diagnostic research : JCDR, 2016
With advancement in diagnostic techniques, the utilization of radiologic examination has risen to many folds in the last two decades. Ionizing radiations from the radiographic examination carry the potential for harm by inducing carcino-genesis in addition to the diagnostic information extracted. Radiation doses utilized in the course of dental treatment might be low for individual examinations but patients are exposed to repeated examinations very often and many people are exposed during the course of dental care. Therefore, principles of radiation protection and safety are necessary for the dentists to follow to ensure minimum and inevitable exposure. The aim of this study was to investigate the knowledge and behaviour of general dentists practicing in the National Capital Region (NCR) regarding radiation safety during oral radiographic procedures. The study was a questionnaire based cross-sectional study. A total of 500 general dentists were contacted to participate in the study....
Published Guidelines on Taking Dental Radiographs: Are They Evidence Based
Guidelines for taking dental radiographs are not intended to be a standard of care or regulations, but rather serve as an adjunct to the dentist's professional judgement. As a result, compliance of dentists to the guidelines is variable. The following study reviewed the literature to determine if the current guidelines for taking dental radiographs were developed based on evidence. The search strategy included online databases of scientific journals, an internet literature search, censuses of the journals Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics and Dentomaxillofacial Radiology, and an expert opinion in the field of dental radiology. The search strategy yielded a total of 10 recent (1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007) dental radiographic guidelines that were analyzed in this study. The guidelines were found to be consistent with respect to patient types, relevant options, and potential harms of radiographs. The benefits and costs of dental radiographs were not described for the guidelines assessed and patient preferences were not included. While all the guidelines assessed were based on evidence for regarding radiation safety, no evidence was found to support the efficacy of the guidelines themselves as diagnostic aids in dental practice.
Radiation Safety Practices of Dental Hygienists in the United States
2019
Purpose: The As Low As Reasonably Achievable (ALARA) principle was developed to promote awareness and minimization of radiation exposure and is supported by radiation control and professional organizations. The purpose of this study was to determine licensed dental hygienists' current radiation safety practices.Methods: Data were collected with a 22 item, online survey administered to a convenience sample of 1,500 dental hygienists in the United States. Questions focused on respondents' use of the American Dental Association (ADA) radiographic examination selection guidelines, their individual dental practice policies, and hand-held portable x-ray device use and training. Cross tabulations were obtained using logistic regression and general linear models for significance at a 0.05 level.Results: A response rate of 38% (n = 566) was obtained. A majority of respondents had an associate's degree (62%), were over the age of 55 (41%), and had over 30 years of experience. Resp...
Radiation protection in dentistry
Radiation is the transmission of energy through space and matter. There are several forms of radiation, including ionizing and nonionizing. X-rays are the ionizing radiation used extensively in medical and dental practice. Even though they provide useful information and aid in diagnosis, they also have the potential to cause harmful effects.