Concerns About Radiation Exposure from Dental X-rays and CT Scans - Radiology

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Upper abdominal contrast-enhanced computed tomography (CT) scan with dental X-ray?


Hello, I am 19 years old and female.
I would like to ask if the dental X-rays I had done last year in November (two times) and the abdominal CT scan with contrast in early April of this year, followed by a panoramic dental X-ray and two additional dental X-rays from April to May, would lead to excessive radiation exposure and increase my cancer risk? Thank you! I am really worried!

Cheng Xiaojie, 10~19 year old female. Ask Date: 2021/06/07

Dr. Zhang Zheng'ang reply Radiology


Hello, Ms.
Cheng! Due to medical necessity, undergoing X-rays and CT scans is more beneficial than harmful, and there is no need to consider whether it increases the risk of cancer.

Reply Date: 2021/06/07

More Info


It's completely understandable to be concerned about radiation exposure, especially when undergoing multiple imaging procedures like dental X-rays and CT scans. Let's break down the information regarding radiation exposure from these procedures and the associated cancer risk.

Firstly, it's important to note that all medical imaging that involves radiation, including X-rays and CT scans, does expose patients to some level of ionizing radiation. However, the doses from dental X-rays and even CT scans are relatively low compared to other sources of radiation exposure, such as natural background radiation or certain medical treatments.

For dental X-rays, the radiation dose is quite minimal. A typical dental X-ray exposes a patient to about 0.005 to 0.01 millisieverts (mSv) per image. In your case, if you had multiple dental X-rays, the cumulative dose would still be low. For instance, two full-mouth X-rays would amount to approximately 0.02 mSv.
On the other hand, a CT scan of the abdomen can expose a patient to a higher dose, typically around 10 mSv, depending on the specific type of scan and the settings used. However, this is still considered safe when the scan is medically necessary.
The International Commission on Radiological Protection (ICRP) states that doses below 100 mSv do not result in observable health effects, including cancer. Your cumulative exposure from the dental X-rays and the CT scan, even when added together, is likely to be well below this threshold. For example, if we consider your total exposure from the dental X-rays (let's say around 0.1 mSv for simplicity) and the CT scan (approximately 10 mSv), your total exposure would be around 10.1 mSv, which is still within a safe range.

Moreover, the risk of developing cancer from low doses of radiation is very small. The risk is often described in terms of a lifetime risk increase. For instance, a dose of 10 mSv might increase the lifetime risk of cancer by a very small fraction, often cited as about 1 in 1,000. This means that while there is a theoretical risk, it is quite low, especially when weighed against the benefits of obtaining necessary medical information through imaging.

In your case, the dental X-rays were likely necessary for diagnosing and treating your dental issues, and the CT scan was performed to provide critical information about your abdominal health. The benefits of these procedures often outweigh the risks associated with the radiation exposure.

It's also worth mentioning that medical professionals are trained to minimize radiation exposure whenever possible. They will only recommend imaging studies when they are clinically justified, and they often use techniques to reduce the radiation dose, such as adjusting the settings on the machines or using protective gear like lead aprons.

In conclusion, while it's good to be aware of radiation exposure, the levels you have experienced from your dental X-rays and CT scans are not likely to significantly increase your cancer risk. If you have ongoing concerns, it’s always a good idea to discuss them with your healthcare provider, who can provide personalized advice based on your medical history and the necessity of the imaging studies. Remember, the goal of these procedures is to ensure your health and well-being, and the benefits typically far outweigh the risks involved.

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