Optimizing radiation safety in dentistry: Clinical recommendations and regulatory considerations

Erika Benavides; Joseph R Krecioch; Roger T Connolly; Trishul Allareddy; Allison Buchanan; David Spelic; Kelly K O'Brien; Martha Ann Keels; Ana Karina Mascarenhas; Mai-Ly Duong; Mickie J Aerne-Bowe; Kathleen M Ziegler; Ruth D Lipman

doi:10.1016/j.adaj.2023.12.002

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Optimizing radiation safety in dentistry: Clinical recommendations and regulatory considerations

Journal article

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Peer reviewed

Optimizing radiation safety in dentistry: Clinical recommendations and regulatory considerations

Erika Benavides, Joseph R Krecioch, Roger T Connolly, Trishul Allareddy, Allison Buchanan, David Spelic, Kelly K O'Brien, Martha Ann Keels, Ana Karina Mascarenhas, Mai-Ly Duong, …

The Journal of the American Dental Association (1939), Vol.155(4), pp.280-293.e4

04/2024

DOI: 10.1016/j.adaj.2023.12.002

PMID: 38300176

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Abstract

BACKGROUND The value of dental radiographs to oral health care decision making must be balanced with radiation safety to minimize patient exposure and occupational risk of oral health care providers. This review summarizes recommendations and regulatory guidance regarding dental radiography and cone-beam computed tomography. An expert panel presents recommendations on radiation safety, appropriate imaging practices, and reducing radiation exposure. TYPES OF STUDIES REVIEWEDA systematic search run in Ovid MEDLINE, Embase, and Cochrane Database of Systematic Reviews identified relevant topical systematic reviews, organizational guidelines, and regulatory reviews published in the peer-reviewed literature since 2010. A supplemental search of the gray literature (eg, technical reports, standards, and regulations) identified topical nonindexed publications. Inclusion criteria required relevance to primary oral health care (ie, general or pediatric dentistry).RESULTSA total of 95 articles, guidance documents, and regulations met the inclusion criteria. Resources were characterized as applicable to all modalities, operator and occupational protection, dose reduction and optimization, and quality assurance and control.PRACTICAL IMPLICATIONS Understanding factors affecting imaging safety and applying fundamental principles of radiation protection consistent with federal, state, and local requirements are essential for limiting patient ionizing radiation exposure, in conjunction with implementing optimal imaging procedures to support prudent use of dental radiographs and cone-beam computed tomographic imaging. The regulatory guidance and best practice recommendations summarized in this article should be followed by dentists and other oral health care providers.

Details

Title: Subtitle: Optimizing radiation safety in dentistry: Clinical recommendations and regulatory considerations
Creators: Erika Benavides
Joseph R Krecioch
Roger T Connolly
Trishul Allareddy
Allison Buchanan
David Spelic
Kelly K O'Brien
Martha Ann Keels
Ana Karina Mascarenhas
Mai-Ly Duong
Mickie J Aerne-Bowe
Kathleen M Ziegler
Ruth D Lipman
Resource Type: Journal article
Publication Details: The Journal of the American Dental Association (1939), Vol.155(4), pp.280-293.e4
DOI: 10.1016/j.adaj.2023.12.002
PMID: 38300176
NLM abbreviation: J Am Dent Assoc
eISSN: 1943-4723
Language: English
Electronic publication date: 01/30/2024
Date published: 04/2024
Academic Unit: Radiology; Oral Pathology, Radiology and Medicine
Record Identifier: 9984555559802771

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