Safe Interval for Dental X-Rays: Frequency and Risks - Dentistry

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Interval for X-ray imaging


Hello Doctor: I had a localized dental X-ray in mid-February, which revealed that all four of my wisdom teeth are horizontally impacted and have caused inflammation leading to cellulitis.
Therefore, I decided to have them extracted.
At the end of February, I had a full-mouth X-ray taken in preparation for the extraction of the left side, and I plan to have the right side extracted at the end of March.
Since the dental clinic for the extraction is different from the last one, I may need to have another X-ray taken.
I would like to know if this interval is safe and whether it exceeds the typical radiation exposure limits for an individual.

Le Xi, 20~29 year old female. Ask Date: 2020/03/18

Dr. Huang Tingfang reply Dentistry


Dear Miss Le Xi,
Hello! A full-mouth X-ray is twice the amount of a localized one, but the exposure is very minimal.
However, it is best not to have too many X-rays! Take care! Wishing you peace and smoothness in everything!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/03/18

More Info


When it comes to dental X-rays, understanding the frequency and associated risks is crucial, especially for someone like you who has undergone multiple imaging procedures in a short span of time. Based on the information you've provided, it seems that you have had a series of X-rays due to dental issues, including the extraction of impacted wisdom teeth.
Firstly, let's address the safety of the intervals between your X-ray procedures. The American Dental Association (ADA) and the American Academy of Oral and Maxillofacial Radiology (AAOMR) recommend that dental X-rays be performed based on the individual patient's needs rather than on a fixed schedule. This means that the necessity for X-rays should be determined by your dentist based on your dental health, history, and the specific procedures being performed.
In your case, you had a localized X-ray in February, followed by a full-mouth X-ray for the extraction of your left wisdom tooth, and now you are considering another full-mouth X-ray for the extraction of your right wisdom tooth. While it may seem that you are undergoing a lot of imaging, the cumulative radiation dose from dental X-rays is generally low. For example, a full-mouth X-ray typically exposes a patient to about 0.01 to 0.02 millisieverts (mSv) of radiation, which is relatively minor compared to other sources of radiation exposure, such as natural background radiation (approximately 3 mSv per year) or a single CT scan of the abdomen (which can be around 10 mSv).

Regarding your concern about exceeding safe limits, the International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are unlikely to cause significant health effects. Given that your dental X-ray exposures are well below this threshold, it is unlikely that you are at risk from the radiation exposure associated with these procedures. However, it is essential to minimize unnecessary exposure.
As for the timing of your X-rays, if your dentist determines that another full-mouth X-ray is necessary for the upcoming extraction, it is generally acceptable, especially if it is essential for ensuring the best treatment outcome. However, if you have concerns about the frequency of X-rays, you should discuss them with your dentist. They may be able to provide alternative imaging options, such as digital X-rays, which typically use less radiation than traditional film X-rays.

In summary, while you have had several X-rays in a short period, the radiation exposure from dental X-rays is relatively low, and the intervals between your procedures seem reasonable given the circumstances. It is always best to communicate openly with your dentist about your concerns and to ensure that each imaging procedure is justified based on your dental health needs. If you continue to have concerns about radiation exposure, consider discussing them with your healthcare provider, who can provide personalized advice based on your specific situation.

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