A dose monitoring system for dental radiography

Abstract

PurposeThe current study investigates the feasibility of a platform for a nationwide dose monitoring system for dental radiography. The essential elements for an unerring system are also assessed.Materials and MethodsAn intraoral radiographic machine with 14 X-ray generators and five sensors, 45 panoramic radiographic machines, and 23 cone-beam computed tomography (CBCT) models used in Korean dental clinics were surveyed to investigate the type of dose report. A main server for storing the dose data from each radiographic machine was prepared. The dose report transfer pathways from the radiographic machine to the main sever were constructed. An effective dose calculation method was created based on the machine specifications and the exposure parameters of three intraoral radiographic machines, five panoramic radiographic machines, and four CBCTs. A viewing system was developed for both dentists and patients to view the calculated effective dose. Each procedure and the main server were integrated into one system.ResultsThe dose data from each type of radiographic machine was successfully transferred to the main server and converted into an effective dose. The effective dose stored in the main server is automatically connected to a viewing program for dentist and patient access.ConclusionA patient radiation dose monitoring system is feasible for dental clinics. Future research in cooperation with clinicians, industry, and radiologists is needed to ensure format convertibility for an efficient dose monitoring system to monitor unexpected radiation dose.

Developing evidence-based clinical imaging guidelines of justification for radiographic examination after dental implant installation

“…Implants and prostheses cause metal artifacts in CBCT, thus rendering this approach as difficult to perform accurate assessments with respect to implant-bone density and thickness. Therefore, CBCT should not be used for this purpose [23]. In the follow-up of implants, CBCT is often used as a means for early diagnosis of peri-implantitis.…”

Impact of Cone Beam Computed Tomography Dose in Pre-Surgical Implant Analysis

“…However, the variability in image quality and radiation dosage between manufacturers both limits comparability between studies assessing radiation reduction protocols and questions the ability to extrapolate results from research using specific CBCT machines to general clinical practice. Future research in collaboration with clinicians, the CBCT manufacturing industry and radiologists is needed to ensure format convertibility for an efficient and comparable dose monitoring system [ 19 ]. While there is still a long way to go before we understand the true value of CBCT in dentistry [ 20 , 21 ], and in different surgical applications [ 22 - 25 ], the authors recommend that until more universal information is available, clinicians and radiologists must take it upon themselves to ensure that their patients are not being exposed to CBCT radiation beyond was is diagnostically needed for dental treatment planning.…”

Use of Cone Beam Computed Tomography in Periodontology

“…KIBT' de maruz kalınan radyasyon dozu medikal BT' den nispeten düşük olmasına rağmen, konvansiyonel radyografilere göre oldukça yüksektir 52 . Bu sebeple iki boyutlu görüntüleme yöntemlerinin yeterli olabileceği basit vakalarda, hastanın daha düşük radyasyona maruz kaldığı konvansiyonel radyografiler tercih edilmelidir.…”