Radiation Exposure: Safety Concerns and Dental X-rays - Radiology

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Radiation issues


Hello, doctor.
I have undergone one abdominal CT scan without contrast, approximately five abdominal X-rays, four chest X-rays, ten single panoramic X-rays, and three full-mouth X-rays.
However, my teeth still feel a bit uncomfortable, and I'm unsure if I can have more X-rays.
I'm worried that my dental issues might just be due to my anxiety.
This month, I have already seen the dentist four times, and I'm also concerned about the risk of radiation increasing my chances of developing cancer.
How long after exposure should I wait before undergoing any tests to assess this risk? Thank you.
Additionally, I would like to know if an abdominal CT scan could affect fetal health.
Lastly, I have received 2 millisieverts of radiation in 2020, 2 millisieverts in 2021, and I have already had one full-mouth and four single panoramic X-rays this year.
Can I have more X-rays? Thank you.

Judy, 20~29 year old female. Ask Date: 2022/04/24

Dr. Wang Yifen reply Radiology


Hello, the decision to perform a radiological examination is based on the physician's professional judgment regarding the necessity of the examination, adhering to the principles of medical justification and optimization of exposure.
There are no restrictions on the number or dose of radiological examinations.
Women of childbearing age who are pregnant or suspect they may be pregnant should inform their treating physician, who will further assess whether alternative examinations should be conducted.
According to the International Commission on Radiological Protection (ICRP) report 103, doses below 100 millisieverts (mSv), whether single or cumulative, do not cause clinically significant functional impairment.
Additionally, information from the National Health Administration indicates that both men and women have approximately a 40% lifetime risk of being diagnosed with cancer, meaning that out of 100,000 people, around 40,000 will develop cancer regardless of any actions taken.
Current scientific data suggest that radiation exposure with an effective dose below 100 mSv is considered low-dose radiation and does not require special concern.
Following your doctor's instructions to undergo radiological examinations is based on the consideration that the health benefits outweigh the risks of radiation exposure.
If you have any concerns, it is advisable to communicate with your physician before proceeding with the examination.
Do not avoid examinations out of fear of radiation, as this may result in missed opportunities for disease treatment.
Please refer to the above information, and I wish you health and safety.
National Health Administration reference website: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=127&pid=10357

Reply Date: 2022/04/24

More Info


When it comes to dental X-rays and radiation exposure, it's understandable to have concerns, especially given the frequency of your recent imaging studies. Let's break down your questions and concerns regarding radiation safety, the potential risks of cancer, and the implications of your recent X-ray procedures.


Understanding Radiation Exposure
Radiation exposure from dental X-rays is generally considered low. For instance, a full mouth series of dental X-rays typically exposes a patient to about 0.01 to 0.02 millisieverts (mSv) of radiation. In comparison, a single chest X-ray exposes a patient to approximately 0.1 mSv, and a CT scan of the abdomen can expose a patient to about 10 mSv. To put this into perspective, the average person is exposed to about 2-3 mSv of background radiation from natural sources each year.


Cancer Risk from Radiation
The concern about radiation exposure and cancer risk is valid, but it's essential to understand that the risk is cumulative and dose-dependent. The International Commission on Radiological Protection (ICRP) states that doses below 100 mSv are not likely to cause significant health effects. Your cumulative exposure from the various imaging studies you mentioned (including dental X-rays and CT scans) is likely still below this threshold, especially if you are mindful of the frequency of these procedures.


Recommendations for Future Imaging
Given your recent history of X-rays and CT scans, it’s crucial to discuss any further imaging with your dentist or physician. They can evaluate your dental health and determine whether additional imaging is necessary. If your dental discomfort persists, it may be worth exploring other diagnostic options that involve less radiation, such as clinical examinations or alternative imaging techniques.


Timing for Cancer Screening
As for your concern about the timeline for potential cancer development due to radiation exposure, it’s important to note that cancer from radiation exposure typically takes years to develop, often decades. Routine screenings, such as annual physical exams and specific cancer screenings (like mammograms or colonoscopies), should be discussed with your healthcare provider based on your age, family history, and risk factors.


Effects of CT Scans on Pregnancy
Regarding your question about the abdominal CT scan and its effects on a fetus, it’s crucial to note that while radiation exposure during pregnancy should be minimized, the risk from a single diagnostic scan is generally considered low. However, if you are pregnant or planning to become pregnant, always inform your healthcare provider before undergoing any imaging studies. They can assess the necessity of the scan and explore alternative imaging methods that pose less risk.


Conclusion
In summary, while it’s natural to be concerned about radiation exposure from dental X-rays and other imaging studies, the levels of radiation involved in these procedures are typically low and considered safe when performed judiciously. It’s essential to maintain open communication with your healthcare providers about your concerns and the necessity of further imaging. They can help you weigh the benefits against the risks and ensure that your dental health is managed effectively without unnecessary exposure to radiation. If you have ongoing discomfort, seeking a thorough evaluation from your dentist is advisable to address any underlying issues.

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