Chapter 5: Radiology Flashcards
Image Gently
An initiative of The Society for Pediatric Radiology where dental professionals are expected to respect ALARA
Educational materials and resources for dental professionals
ALARA
As Low As Reasonably Achievable
Principle when exposing patients to ionizing radiation and to individualize and personalize prescription of radiographs to each patient
Biological risks of diagnostic dental radiation
Deterministic effects not at play
Stochastic effects are - the younger an individual and faster tissue grows, the higher the potential risk to develop a fatal cancer from being exposed to ionizing radiation
Dental radiographic exposure contribute ___% of total lifetime healthcare x-ray dose
2.5%
Guidelines for radiographs for patients in primary dentition at new patient exam
Individualized radiographic exam consisting of selected periapical/occlusal views and/or posterior bitewings if proximal surfaces cannot be visualized or probed
Guidelines for radiographs for patients in primary dentition at recall exam
With caries or high risk: Posterior bitewing exam at 6-12 month intervals if proximal surfaces cannot be visualized
Without caries or low risk: posterior bitewing exam at 12-24 month intervals if proximal surfaces cannot be examined
Guidelines for patient with periodontal disease
Clinical judgment as to need for and type of radiographic images
Guidelines for patient to monitor growth and development
Clinical judgment as to need for and type of radiographic images for primary and transitional dentition
Guidelines for patients in transitional dentition at new patient exam
Individualized radiographic exam consisting of posterior bitewings with panoramic exam or BWs and select PAs
Guidelines for patients in transitional dentition at recall
High caries risk/clinical caries: BWs 6-12 month intervals
No caries/low risk: BWs at 12-14 months
Guidelines for patients in permanent dentition at new patient exam
Individualized radiographic exam with posterior BWs, with panoramic exam or posterior BWs and select PAs. Full mouth intraoral radiographic exam preferred when patient has clinical evidence of generalized dental disease or history of extensive dental treatment
Guidelines for patients in permanent dentition at recall
High risk/caries: posterior bitewing at 6-12 month intervals
Low risk/no caries: BWs 18-36 month intervals
Radiation Protection Principles (3)
Justification Principle
Optimization Principle
Limitation Principle
Justification Principle
exposure only justified if there is no other way to obtain information and only after review of patient’s dental and medical history and clinical examination
Optimization Principle
One should always try to obtain best quality images
