Dental X-Rays: Safety, Concerns, and Necessity - Dentistry

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Regarding the X-rays used by dentists?


Hello, Doctor: I visited the dentist the other day, and he asked me to get an X-ray.
I was a bit scared and hesitantly went into the machine, biting down on a T-shaped rod for about 10 seconds while watching the machine rotate in front of me.
Now I'm worried about whether this machine emits high levels of radiation.
I didn't close my eyes while inside the machine, and I wasn't wearing a lead apron.
Could this harm my eyesight or have adverse effects on my body due to radiation exposure? Additionally, I wasn't experiencing any pain in my teeth; I just went in for a filling.
The dentist asked me to get an X-ray because I had no previous records.
Is this just a way to charge me more and waste healthcare resources? I'm really concerned about having my entire mouth scanned with X-rays without protective clothing.
Does X-ray radiation damage normal cells in the body? Thank you for your response.

A Fei, 20~29 year old female. Ask Date: 2008/05/05

Dr. Zeng Guanghui reply Dentistry


Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following suggestions: Generally speaking, when an X-ray machine rotates once, the resulting X-ray film is called a panoramic radiograph.
Its primary purpose is to examine the hard tissues of the upper and lower teeth, as well as the alveolar bone, for any signs of dental caries (such as interproximal caries) or apical and periodontal lesions, which serve as the basis for diagnosis and treatment.
When targeting areas with significant pathology, a series of treatments may be performed.
Dental X-rays have a relatively low radiation dose, and if the frequency of exposure is not high, they do not damage normal human cells.
Finally, I wish you peace and happiness!

Reply Date: 2008/05/05

More Info


When it comes to dental X-rays, many patients share your concerns about radiation exposure and its potential health risks. It's important to understand the context of these procedures, the safety measures in place, and the necessity of X-rays in dental care.

Firstly, dental X-rays are a common diagnostic tool used by dentists to identify issues that are not visible during a regular examination. These include cavities, bone loss, and other dental problems. The amount of radiation exposure from a dental X-ray is relatively low. For instance, a full mouth series of X-rays typically exposes a patient to about 10 microsieverts (µSv) of radiation, which is roughly equivalent to the amount of natural background radiation a person receives in a single day. In comparison, a single chest X-ray exposes a person to about 100 µSv. Therefore, the radiation dose from dental X-rays is minimal and generally considered safe.

Regarding your specific concerns about the machine being too close to your face and the absence of protective gear, it's important to note that dental X-ray machines are designed to minimize exposure. While lead aprons are commonly used to protect other parts of the body, the primary focus is on the area being imaged. The dentist or dental assistant typically ensures that the X-ray beam is directed only at the area of interest, which helps to limit unnecessary exposure to surrounding tissues.

As for your worry about potential damage to your eyes or other tissues, the risk is extremely low. The X-ray machine is designed to emit radiation in a controlled manner, and the exposure time is very brief—usually just a few seconds. While it is always wise to take precautions, such as closing your eyes during the procedure, the likelihood of significant harm from a single dental X-ray is negligible.

You mentioned that you were concerned about the necessity of the X-ray, especially since you were not experiencing pain. Dentists often recommend X-rays as a preventive measure to catch issues early before they develop into more serious problems. Even if you are not currently experiencing pain, underlying issues may still exist that could lead to complications if left untreated. Therefore, while it may feel unnecessary at times, X-rays can be an essential part of maintaining oral health.

In terms of the potential for radiation to damage normal cells, it is important to understand that all forms of radiation can have biological effects, but the doses used in dental X-rays are so low that the risk of significant harm is minimal. The body has mechanisms to repair minor cellular damage, and the risk of developing cancer from such low levels of exposure is exceedingly small.

If you have ongoing concerns about the frequency of X-rays or the protocols followed by your dental office, it may be beneficial to discuss these with your dentist. They can provide clarity on why X-rays are necessary for your specific situation and reassure you about the safety measures in place. If you feel uncomfortable with the practices at your current dental office, seeking a second opinion or finding a different provider who aligns with your comfort level regarding radiation exposure may also be a good option.

In summary, while it's natural to have concerns about radiation exposure from dental X-rays, the risks associated with these procedures are very low, especially when performed in a controlled environment by trained professionals. Regular dental check-ups, including necessary X-rays, are vital for maintaining oral health and preventing more significant issues down the line.

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