The objective of the present study was to evaluate the intensity and spatial distribution of the scattered radiation caused by the use of hand-held x-ray equipment in the zone occupied by the operator, using the Monte Carlo simulation for radiographic views of the upper and lower incisor teeth, and the consequent evaluation of the equivalent dose in the lens. In order to carry out this evaluation, the geometry of a typical dental facility with plaster walls containing the scattering object was used for the computational scenario implemented for the Monte Carlo method simulation. The PENELOPE code for Monte Carlo simulation of electron and photon transport was used with the radiation beam represented by a 60 kV spectrum, 1.5 mm Al and tungsten target. The simulations were carried out with typical parameters for workload and the number of radiographs/week. The results showed that the exposure levels varied significantly according to the angle of the x-ray beam and with the distance to the scattering object. It is concluded that the incorporation of hand-held equipment in dental radiology must be accompanied by the surveillance of occupational exposure levels and a review of the training structure of professionals in dental radiology regarding aspects of radiological protection and the particularities of using this type of equipment.
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mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; text-autospace:ideograph-other; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman"; mso-fareast-language:EN-US;} --> <!--[endif] --> <p class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 0cm;"><span style="font-size: 12pt; line-height: 150%;" lang="EN-US">This research aimed to determine the comparison, correlation and accuracy of three radiographic methods and one clinical method for measuring the distance between cemento-enamel junction and the alveolar crest in lower molars and bicuspids in patients with periodontal bone loss, who underwent clinical probing and vertical bite-wing radiographs. Only areas with probing depth greater or equal to 5 mm were included in the sample. The distance between cemento-enamel junction and the apical portion of 82-bone defect was verified through double-needle compass, digital caliper and the software Dentscan Dentview. The accuracy, correlation and comparison between clinical and radiological variables were recorded. The results showed that when the attachment level was the gold standard, the double-needle compass expressed the best accuracy (71% of sensitivity and 84.5% of specificity), followed by digital caliper (0% of sensitivity and 82.8% of specificity) and Dentscan Dentview (0% of sensitivity and 75.9% of specificity) regardless of testing variable or gold standard’s location, more severe diseases were underestimated than overestimation of onset disease. The systems with digital resources showed greater measurement values than methods without digital resources. All the variables presented.</span><span style="font-size: 12pt; line-height: 150%; font-family: " lang="EN-US"> </span></p>
Most of the development of neoplasms has epithelial origin, and the most frequent for oral cancer is squamous cell carcinoma (SCC), of which one should be aware of the extrinsic and intrinsic factors that may be relevant in the development of precancerous lesions. The diagnosis of this type of cancer is made with clinical, histopathological and imaging exams. Thus, this ressearch was carried out with the objetive to address the treatment of oral cancer through radiotherapy, identifying different techniques for the use of radiation and establishing measures that help in the control of radiation beams in the face of the exposed pathology. This study had as source articles published in the electronic databases LILACS and PubMed, between 1996 and 2020 through the descriptors: "radiotherapy", "oral cancer". Radiotherapy for oral cancer can be performed in an adjuvant or neoadjuvant way, providing radiation by teletherapy through techniques known as Conventional Radiotherapy, Conformational Radiotherapy, and Intensity-Modulated Radiation Therapy. Although radiotherapy is capable to eliminate tumor cells, abnormalities induced by radiation may appear inside the oral cavity, and these abnormalities can be minimized by controlling radiation doses distribution in addition to significant protection of adjacent healthy tissues through the use of intraoral devices, contributing to the improvement of the patient's quality of life.
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