Abstract:Several recommendations for dose reduction are made. These include the re-evaluation of the patterns and justification for prescribing some particular types of dental examinations as well as the avoidance of unnecessary irradiation by the use of rectangular collimation and high sensitivity F-speed films.
“…However, contemporaneous data on this topic within the European Union were limited to just two studies. Of these, the study conducted in 2004 (Aroua et al. 2004) found rectangular collimation was used in 15% of Swiss dental practices, whereas, in 2005, amongst Belgium dentists (Gijbels et al.…”
Section: Discussionmentioning
confidence: 99%
“…However, contemporaneous data on this topic within the European Union were limited to just two studies. Of these, the study conducted in 2004 (Aroua et al 2004) found rectangular collimation was used in 15% of Swiss dental practices, whereas, in 2005, amongst Belgium dentists (Gijbels et al 2005) only 6% of clinicians reported using this type of collimation. Several factors may have been instrumental in promoting rectangular collimation such as their recommendation within European guidelines (European Commission 2004), the simplicity of converting a circular open-ended to rectangular collimation using commercially available devices and finally knowledge of these devices garnered from several sources such as research studies in professional journals and/or attendance at courses on radiation protection.…”
Section: Contemporary Endodontic Practice Orafi and Rushtonmentioning
Both Endodontists and GDPs demonstrated compliance with guidelines relating to radiation protection being more significant amongst those clinicians working within specialist clinical practice.
“…However, contemporaneous data on this topic within the European Union were limited to just two studies. Of these, the study conducted in 2004 (Aroua et al. 2004) found rectangular collimation was used in 15% of Swiss dental practices, whereas, in 2005, amongst Belgium dentists (Gijbels et al.…”
Section: Discussionmentioning
confidence: 99%
“…However, contemporaneous data on this topic within the European Union were limited to just two studies. Of these, the study conducted in 2004 (Aroua et al 2004) found rectangular collimation was used in 15% of Swiss dental practices, whereas, in 2005, amongst Belgium dentists (Gijbels et al 2005) only 6% of clinicians reported using this type of collimation. Several factors may have been instrumental in promoting rectangular collimation such as their recommendation within European guidelines (European Commission 2004), the simplicity of converting a circular open-ended to rectangular collimation using commercially available devices and finally knowledge of these devices garnered from several sources such as research studies in professional journals and/or attendance at courses on radiation protection.…”
Section: Contemporary Endodontic Practice Orafi and Rushtonmentioning
Both Endodontists and GDPs demonstrated compliance with guidelines relating to radiation protection being more significant amongst those clinicians working within specialist clinical practice.
“…In the study carried out by Ilguly in 2005, 65.8% of dental practitioners were not aware of film speed. 4
,
5
…”
Section: Discussionmentioning
confidence: 99%
“…In the present study, the rate of digital radiography use was 7%, which is consistent with the results reported by Ilguy and Aroua. 2
,
3
,
5 The reason for limited use of digital imaging may be its high initial cost. The advantage of automatic processing is the reduction of processing time.…”
“…Une enquête effectuée en 1998 a démontré que plus de quatre millions d'examens radiologiques dentaires sont pratiqués annuellement en Suisse, soit plus de 40 % du nombre total d'examens à rayons X ; cependant, la contribution relative à la dose collective ne dépasse pas le 1 % (Aroua et al, 2004). Cette technique permet de mettre en évidence un grand nombre de pathologies, d'évaluer la croissance et le développement de la dentition, d'obtenir des informations durant les soins et d'établir rapidement le bilan dentaire d'un patient (EC, 2004).…”
Current situation of doses delivered to the patients in the field of dental radiology.The purpose of this paper is to present an overview of the doses delivered to the patients in the field of dental radiology. The technology progress in medical imaging will be discussed from a dose perspective. In this work, patient dosimetry has been performed for intra-oral, panoramic and CT dental examinations. Doses were estimated using appropriate dosimetric indicators such as the entrance surface kerma (ESK) and the kerma area product (KAP). These indicators are easily measurable and enable to estimate the effective dose for a standard patient. KAP values were measured for two intra-oral systems using D and E/F speed dental films, RADIOPROTECTION -VOL. 41 -N° 3 (2006) as well as a digital system based on the CCD technology. In addition, the KAP was measured on three orthopantomograms (OPGs) of various generations. Finally, in order to assess the dose delivered during dental implants planning, the kerma length product (KLP) and the computed tomography dose index (CTDI w ) were determined for a CT scanner using the Dentascan protocol and a new DVT (Digital Volume Tomography) dedicated system. Using E/F speed instead of D speed films allowed to reduce the KAP by a factor of 2 without significant loss of image quality. A further dose reduction by a factor of 6 was possible with digital systems but with an important degradation of the spatial resolution (variation of the MTF at 50% from 13 mm -1 to 5 mm -1 ). KAP measurements on OPGs showed that old systems delivered doses three times higher than a more recent devices. The new dedicated tomographic system enabled a reduction of the patient dose by a factor of 18 when compared with the Dentascan CT system.
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