Thank you, Dr. Chang, for your response?
Thank you, Dr.
Chang, for your response.
I apologize for having a few more questions to ask you:
1.
Regarding the neck protection mentioned in #38085, is it common practice? Is it only available in pediatric dentistry at large hospitals? From my experience as an adult, I remember that when I had teeth extracted at a large hospital, there was no neck protection.
My family members who had full-mouth X-rays also did not have it.
Why is it that even large hospitals do not pay attention to such an important area as the neck, but only cover areas that are relatively less serious (only #38085 clothing is essential)?
2.
Regarding the principles of radiation, I would like to ask if there is any residual effect after exposure, or does it disappear instantly? If it does not accumulate, does that mean we only need to worry about carcinogenic effects if there is a large amount of exposure in a short time?
3.
In the case of our children's teeth, if the same tooth is X-rayed with a few days in between, would that be better? We have expressed our concerns to the doctor, but they prefer to have accurate images for treatment, often using the example of flying on an airplane.
Ultimately, we still have to proceed with the X-ray.
I trust the current dentist, but I do not wish to have more X-rays taken.
For the same tooth, one doctor took X-rays and expressed a lack of confidence in handling it, while the current dentist is willing to take on such a case.
I also do not want to switch dentists again, as that would mean additional X-rays.
I would like to hear Dr.
Chang's thoughts on whether it is worth taking so many X-rays for just one tooth.
Thank you once again for your response.
Thank you.
John, 40~49 year old female. Ask Date: 2010/06/24
Dr. Zhang Fudi reply Radiology
Hello John: Since I am not a dentist, I recommend discussing this part with your dentist.
However, I believe that appropriate X-rays can assist the dentist in making more accurate medical judgments.
If the number of X-rays taken is not excessive, there should generally be no need for a neck shield at this time.
Regarding the principles of radiation, the biological effects of X-rays are completed shortly after exposure; X-rays do not remain in the body, and only their biological effects accumulate.
The carcinogenicity of radiation is generally referred to as a "stochastic effect," meaning that the higher the exposure to radiation, the greater the probability of developing cancer.
Therefore, unless necessary, it is advisable to minimize excessive exposure to radiation.
However, necessary medical procedures (such as X-rays, bone scans, and radiation therapy) are exempt from this limitation, in order to adhere to the principle of "reasonable reduction." I hope this answers your questions.
Wishing you health and safety from Hsinchu Hospital!
Reply Date: 2010/06/24
More Info
Understanding radiation safety in dental procedures is crucial, especially for patients who may be concerned about the potential risks associated with X-ray imaging. Your questions touch on several important aspects of radiation exposure, its effects, and the protocols followed in dental practices.
1. Neck Protection During X-rays: The use of protective gear, such as lead aprons and thyroid collars, varies by practice and the specific procedures being performed. While it is common in pediatric dentistry to use additional protection for the neck, adult dental practices may not always follow the same protocol. This can be due to the perceived risk level associated with the areas being imaged. The thyroid gland is sensitive to radiation, and while the risk from dental X-rays is generally low, some practitioners may prioritize neck protection more than others. It’s essential to communicate your concerns with your dentist, as they can provide insight into their specific protocols and the rationale behind them.
2. Radiation Exposure and Residual Effects: When X-rays are taken, the radiation exposure is instantaneous, meaning that it does not linger in the body. The radiation dose from dental X-rays is relatively low, and the body does not accumulate radiation from these procedures over time. However, the potential for increased cancer risk is associated with cumulative exposure to high doses of radiation over a lifetime. For dental X-rays, the doses are typically much lower than those associated with other medical imaging techniques, such as CT scans. The consensus among health organizations is that the benefits of necessary dental imaging outweigh the risks, particularly when the imaging is essential for diagnosis and treatment planning.
3. Frequency of X-rays for Children: When it comes to children, the frequency of dental X-rays should be carefully considered. The American Dental Association (ADA) recommends that the timing of X-rays be based on individual needs rather than a fixed schedule. If a child has a specific dental issue, such as a cavity or an ongoing treatment plan, the dentist may recommend X-rays to monitor the situation closely. However, if there is no immediate concern, it may be prudent to wait longer between X-ray sessions. Discussing your concerns with your dentist is vital, as they can help determine the necessity of each X-ray based on clinical judgment and the child’s dental health history.
In summary, while dental X-rays do involve exposure to radiation, the levels are generally low and considered safe when used judiciously. The decision to take X-rays should always be based on a clear clinical need, and patients should feel empowered to ask questions and express concerns about their treatment. Open communication with your dental care provider is key to ensuring that you are comfortable with the procedures being performed and that you understand the rationale behind them. If you have ongoing concerns about radiation exposure, consider seeking a second opinion or discussing alternative imaging options with your dentist.
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