Summary of the Conference on Radiation Exposure in Pediatric Dentistry

Nowak, Arthur J.; Creedon, Robert L.; Musselman, Robert J.; Troutman, Kenneth C.

doi:10.14219/jada.archive.1981.0359

Cited by 17 publications

(5 citation statements)

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“…Assim, o exame radiográfico deve ter a probabilidade de afetar o diagnóstico e tratamento do problema que, se não tratado, trará um risco à saúde maior do que o associado com a exposição radiográfica. Em vista disto, vários autores colocam que o exame radiográfico deve ser individualizado para cada paciente baseado nas suas prioridades clínica:, e história do paciente (1,2,5,10,13,14), sendo esta a maneira de determinar a necessidade, tipo e freqüência do exame radiológico.…”

Section: Necessidade Do Exame Radioráfico Em Odontopediatriaunclassified

“…Anomalias de Desenvolvimento e Erupção -Os dentes supranumerários e a ausência congênita de prémolares são as duas anomalias de desenvolvimento mais comuns em crianças (10,13). Deve-se fazer o exame radiográfico em uma idade ótima para detectar estes problemas, ou seja, 6 a 8 anos de idade.…”

Section: Situações Clínicas Com Indicação Para O Exame Radiográficounclassified

“…Na dentição decídua, se a face proximal dos decíduos não pode ser visualizada e inspecionada tatilmente então a radiografia deve ser feita para determinar a presença de cáries interproximais (10).…”

Section: Situações Clínicas Com Indicação Para O Exame Radiográficounclassified

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Radiologia em odontopediatria: importância e indicações

Borges¹,

Souza²,

Araújo³

1990

R. Fac. Odontol. Porto Alegre

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Ao fazermos o exame radiográfico em Odontopediatria devemos pesar o risco versus o benefício do exame já que a criança é mais suscetível aos efeitos danosos da radiação X. Assim, o exame radiográfico deve ser feito segundo as necessidades individuais do paciente. As radiografias obtidas devem ter valor diagnóstico e para isso a técnica radiográfica a ser utilizada deve ser escolhida cuidadosamente. A proteção do paciente deve ser feita com aventais e colares de chumbo.

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Section: Necessidade Do Exame Radioráfico Em Odontopediatriaunclassified

Section: Situações Clínicas Com Indicação Para O Exame Radiográficounclassified

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Radiologia em odontopediatria: importância e indicações

Borges¹,

Souza²,

Araújo³

1990

R. Fac. Odontol. Porto Alegre

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“…Concern about the potential risks of low dose radiation has prompted interest in the question of how often to perform dental radiographs [2,3]. Dental organizations have recommended that radiographs should not be performed with arbitrary frequency, but that the need for radiographs should be based on professional judgment in each individual case.…”

mentioning

confidence: 99%

Incorporating Individual Patient Preferences in Scheduling Bitewing Radiographs

Pliskin¹,

Shwartz²,

Gröndahl³

et al. 1985

Methods Inf Med

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SummaryConcern about the potential risks of low dose radiation has focussed increased attention on the question of how often to perform bitewing radiographs. To consider this question, a mathematical model was developed that describes the initiation and progression of dental caries on the approximal surfaces of permanent teeth. This model enables calculation of benefit as a function of the frequency of bitewing radiographs. The model does not, however, capture patients’ (and dentists’) subjective attitudes towards various outcomes such as dollar costs, radiation exposure, inconvenience of treatment, anxiety and pain. This paper presents a multiattribute utility approach to quantifying patient preferences for possible outcomes of decisions on radiographic frequencies. Five relevant attributes are considered and reduced to two, over which a quasi-additive utility function is found plausible. The paper demonstrates the assessment method and presents aggregate data from a group of individuals.

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“…Current recommendations on diagnostic radiography emphasize the need for careful consideration of all relevant factors, rather than the practice of routine radiographic examination of all patients (1)(2)(3). Risk/benefit analysis of the value of radiography in symptomless patients suggests a poor return in terms of diagnosis of covert pathology, with a consequently unacceptable cancer risk (4).…”

mentioning

confidence: 99%

Dental X‐ray exposure in a group of New Zealand children

Silverstein

Stokes

1983

Comm Dent Oral Epid

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The New Zealand School Dental Service provides dental care for children 2 1/2-13 yr of age, without using routine diagnostic radiographs. This study investigated the pattern of dental X-ray exposure in groups of New Zealand children. One group consisted of 100 children who had all treatment before the age of 13 years with the School Dental Service. The other group consisted of 82 children who were treated in the University of Otago School of Dentistry paedodontic programme. Children in both groups turned 13 years of age between 1977 and 1982. From age 13 years these children were cared for by contracting dentists. Radiographic histories were recorded from School of Dentistry charts, and from the area Principal Dental Officer. Cumulative radiation doses were calculated. Surfaces restored at age 13 were noted from Department of Health records. Results show that by age 13 children enrolled in the School of Dentistry paedodontic programme received a mean cumulative skin dose of 23.03 mSv. Thyroid dose was 0.242 mSv. Children treated in the School Dental Service received a mean cumulative skin dose of 1.01 mSv and a thyroid dose of 0.006 mSv. Cumulative radiation dose for both groups was low. There was no significant difference in the mean number of restorations placed at age 13 years despite an extremely low level of diagnostic radiography in the School Dental Service group.

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Summary of the Conference on Radiation Exposure in Pediatric Dentistry

Cited by 17 publications

References 0 publications

Radiologia em odontopediatria: importância e indicações

Radiologia em odontopediatria: importância e indicações

Incorporating Individual Patient Preferences in Scheduling Bitewing Radiographs

Dental X‐ray exposure in a group of New Zealand children

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