Concerns About Radiation from Multiple Full Mouth X-rays and 3D CT Scans - Radiology

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Concerns regarding full-mouth X-rays and 3D full-mouth computed tomography (CT)?


Hello, doctor.
I have had two full-mouth X-rays and two out-of-pocket 3D cone beam computed tomography scans within three days.
Should I be concerned about radiation exposure? Thank you for your response.

Lin Zhi-jie, 20~29 year old female. Ask Date: 2019/05/21

Dr. Wang Yifen reply Radiology


Hello, according to the American Society of Radiologic Technologists, the radiation dose from two full-mouth X-rays is approximately 0.02 millisieverts, while the dose from two full-mouth CT scans is about 0.4 millisieverts, totaling approximately 0.42 millisieverts.
The International Commission on Radiological Protection (ICRP) report 103 states that doses below 100 millisieverts (including single or multiple exposures) do not cause clinical functional damage.
However, since radiation effects can accumulate, it is essential to discuss the necessity of the examination with your physician before proceeding, unless it is medically necessary and unavoidable.
Wishing you safety and health.

Reply Date: 2019/05/21

More Info


When it comes to concerns about radiation exposure from multiple dental X-rays and 3D CT scans, it is essential to understand the context of the radiation doses involved and the associated risks.
In your case, you mentioned having two full mouth X-rays and two 3D full mouth CT scans within three days. According to the American College of Radiology and the Radiological Society of North America, the radiation dose from a full mouth X-ray is approximately 0.01 millisieverts (mSv) per exposure. Therefore, two full mouth X-rays would amount to about 0.02 mSv. On the other hand, a 3D CT scan typically delivers a higher dose, approximately 0.4 mSv per scan. Thus, two 3D CT scans would contribute around 0.8 mSv. In total, your cumulative exposure from these procedures would be approximately 0.82 mSv.

To put this into perspective, the International Commission on Radiological Protection (ICRP) states that doses below 100 mSv are unlikely to cause any significant clinical harm. The average person is exposed to about 3 mSv of natural background radiation annually from various sources, including cosmic rays, radon, and terrestrial sources. Therefore, your exposure from these dental procedures is relatively low and falls well below the threshold of concern.

However, it is crucial to note that radiation exposure is cumulative over time. While the doses from dental X-rays and CT scans are generally low, repeated exposure can add up. This is why it is always advisable to discuss the necessity of each imaging procedure with your healthcare provider. They can help assess whether the benefits of the imaging outweigh the potential risks associated with radiation exposure.

In terms of safety measures, dental professionals are trained to minimize radiation exposure. They use lead aprons and thyroid collars to protect sensitive areas from scatter radiation. Additionally, advancements in imaging technology have led to lower radiation doses while maintaining diagnostic quality.

If you have ongoing concerns about radiation exposure, you might want to consider discussing alternative imaging modalities with your healthcare provider. For instance, Magnetic Resonance Imaging (MRI) does not involve ionizing radiation and can be a suitable alternative for certain diagnostic needs, although it may not always be applicable depending on the specific clinical situation.

In summary, while your recent imaging procedures have resulted in some radiation exposure, the levels are relatively low and within safe limits according to established guidelines. It is always prudent to have open discussions with your healthcare provider about the necessity of imaging studies and any potential alternatives that may be available. Your health and safety are paramount, and ensuring that you receive appropriate care while minimizing unnecessary exposure is a shared goal between you and your healthcare team.

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