Assessing Radiation Exposure from Dental X-rays and Air Travel for Kids - Radiology

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Pediatric Computed Tomography (CT) Scan


Hello Dr.
Wang: My 10-year-old daughter has a suspected 0.5 cm bony hard mass in her mandible.
On June 9, she had a full-mouth X-ray taken at an orthodontic clinic, and on June 25, she had another full-mouth X-ray and a self-paid cone beam computed tomography (CBCT) at a major hospital.
She will be traveling to Europe on July 2.
Will these radiological examinations, combined with the radiation exposure from flying on an international flight, have any impact on her health?

Janet, 40~49 year old female. Ask Date: 2018/06/28

Dr. Wang Yifen reply Radiology


A 10-year-old female received a radiation dose of approximately 0.22 millisieverts from two full-mouth X-rays and one dental computed tomography scan.
The radiation dose from a round-trip international flight to Europe or the United States is about 0.16 millisieverts.
The total radiation exposure from these procedures has not exceeded the natural background radiation dose that individuals in Taiwan receive annually (approximately 1.62 millisieverts).
Therefore, this level of radiation exposure is unlikely to have any impact on your daughter's health, so there is no need for excessive concern.

Reply Date: 2018/06/28

More Info


When assessing the potential health impacts of radiation exposure from dental X-rays and air travel for children, it is essential to understand the context of the radiation doses involved and the relative risks associated with them.

In your case, your 10-year-old daughter underwent two full-mouth X-rays and a cone beam computed tomography (CBCT) scan. The estimated radiation dose from these procedures is approximately 0.22 millisieverts (mSv) for the X-rays and about 0.1 to 0.2 mSv for the CBCT scan, depending on the specific settings used. In total, this would amount to around 0.32 to 0.42 mSv.
In addition to these medical exposures, you mentioned that she would be traveling internationally, which also contributes to her radiation exposure. A round-trip flight from Taiwan to Europe typically exposes passengers to about 0.16 mSv due to cosmic radiation at high altitudes. Therefore, when combining the radiation from the dental procedures and the flight, your daughter’s total exposure would be approximately 0.48 to 0.58 mSv.

To put this into perspective, the average person in Taiwan is exposed to about 1.62 mSv of natural background radiation annually. This includes radiation from cosmic sources, terrestrial sources, and even radon gas. The total radiation exposure your daughter would receive from the dental X-rays and the flight is well below the annual background radiation level and is not considered harmful.

It is also important to note that the risks associated with radiation exposure are cumulative over a lifetime. However, the doses from diagnostic imaging, such as dental X-rays and CT scans, are relatively low. The potential for significant health effects, such as cancer, from these low doses is exceedingly small, especially when considering that the benefits of obtaining necessary medical information often outweigh the risks.

For children, who are more sensitive to radiation due to their developing tissues, it is crucial to minimize unnecessary exposure. However, the procedures your daughter underwent were likely justified given the clinical indications. It is always advisable to discuss any concerns with your healthcare provider, who can provide guidance based on the specific medical context.

In summary, the radiation exposure your daughter has received from the dental X-rays and the international flight is not expected to pose any significant health risks. The cumulative exposure remains well within safe limits, and there is no evidence to suggest that such exposures would adversely affect her health or future reproductive capabilities. If you have further concerns, it may be beneficial to consult with a pediatrician or a radiologist who specializes in pediatric imaging for more personalized advice.

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