Radiation Exposure from Dental X-rays: Health Implications - Dentistry

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Please inquire about the radiation dose in dental radiographic diagnosis?


Hello, Doctor: I would like to ask if the radiation doses from the dental radiographic examinations I underwent in the past six months could have any impact on my health.
In September 2015, to confirm the presence of a dental fracture, I had three panoramic X-rays and four periapical X-rays taken at three different dental clinics.
In October 2015, I had another panoramic X-ray and one periapical X-ray taken at a teaching hospital, followed by a dental cone beam computed tomography (CBCT).
In January 2016, after a tooth extraction, I experienced symptoms in the adjacent tooth and was concerned about a possible dental fracture, so I had two more panoramic X-rays, three periapical X-rays, and another dental CBCT at two different clinics.
In March 2016, for bone grafting after tooth extraction, I underwent one panoramic X-ray, one dental CBCT, and two periapical X-rays.
To determine if there was a fracture in the tooth, the ongoing pain in the adjacent tooth, and issues related to bone loss, I sought consultations and diagnoses at various dental clinics.
It suddenly occurred to me that the accumulated radiation doses might be harmful to my body.
Additionally, in May and July of last year, I had two CT scans for sinus surgery.
It seems that the total radiation exposure may have exceeded the annual limit that the human body can tolerate.

Miss Huang, 30~39 year old female. Ask Date: 2016/03/11

Dr. Zeng Guanghui reply Dentistry


In principle, the radiation dose from 100 periapical dental radiographs is equivalent to that of one chest X-ray.
If dental X-rays are taken solely for diagnostic purposes, the radiation dose should not exceed that amount.

Reply Date: 2016/03/11

More Info


When considering the health implications of radiation exposure from dental X-rays and other imaging procedures, it is essential to understand the context and the actual radiation doses involved. Your concerns about the cumulative radiation exposure from multiple dental X-rays and CT scans are valid, especially given the increasing awareness of radiation safety.

First, let's break down the radiation doses associated with the procedures you've mentioned. According to the American Dental Association and other health organizations, the radiation dose from a single dental X-ray is relatively low. For example, a standard dental X-ray typically delivers a dose of about 0.005 mSv (millisieverts), while a full-mouth series of X-rays can deliver approximately 0.02 mSv. In comparison, a dental cone beam CT scan, which is often used for more detailed imaging, can deliver a dose ranging from 0.08 to 0.2 mSv, depending on the specific machine and settings used.

To put this into perspective, the average person is exposed to about 3 mSv of natural background radiation per year from sources such as cosmic rays, radon gas, and terrestrial radiation. The doses from dental X-rays and CT scans, even when accumulated over a short period, are generally much lower than this annual background exposure.

In your case, if we consider the various X-rays and scans you've undergone, the cumulative dose might be concerning at first glance. However, even with multiple procedures, the total radiation exposure is likely to remain well below levels that would pose a significant risk of cancer. Research indicates that exposure to radiation doses below 100 mSv does not significantly increase cancer risk, and the doses from dental X-rays and CT scans are far below this threshold.

Moreover, the body has a remarkable ability to repair DNA damage caused by low levels of radiation. While it is true that any exposure to radiation carries some risk, the risk from the doses associated with dental imaging is minimal. The International Commission on Radiological Protection (ICRP) states that the risk of cancer from radiation exposure is very low at doses below 100 mSv, and the cumulative doses from your dental procedures and CT scans are unlikely to exceed this level.

It is also important to note that the benefits of these imaging procedures often outweigh the risks. Dental X-rays are crucial for diagnosing conditions that may not be visible during a routine examination, such as cavities, bone loss, and other dental issues. They help guide treatment decisions and can prevent more severe health problems down the line.

If you have undergone multiple imaging procedures in a short period, it is advisable to discuss your concerns with your dentist or healthcare provider. They can review your imaging history and help determine if any further imaging is necessary. Additionally, they can provide guidance on how to minimize exposure in the future, such as by ensuring that X-rays are only taken when clinically indicated.

In conclusion, while it is natural to be concerned about radiation exposure, the doses from dental X-rays and CT scans are generally low and unlikely to pose a significant health risk. The key is to balance the need for diagnostic imaging with the principles of radiation safety, ensuring that each procedure is justified and that exposure is kept as low as reasonably achievable. If you have ongoing concerns, consider discussing them with a healthcare professional who can provide personalized advice based on your specific situation.

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