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Medical Forum / General / Dentistry / January 2005

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Frequency of X-rays

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CWatters - 04 Jan 2005 22:19 GMT
According to reports elsewhere new X-Ray equipment being installed at
airports gives you a dose much like that of a dental X-ray machine.

Which had me thinking... how frequently are you allowed to repeat dental
X-Rays?
Joel M. Eichen - 04 Jan 2005 22:51 GMT
>According to reports elsewhere new X-Ray equipment being installed at
>airports gives you a dose much like that of a dental X-ray machine.
>
>Which had me thinking... how frequently are you allowed to repeat dental
>X-Rays?

As often as necessary ......

benefit/risk ratio is calculated.

Joel
CWatters - 05 Jan 2005 09:26 GMT
> As often as necessary ......
>
> benefit/risk ratio is calculated.

I guess I knew that, what I should have asked was....

If you had the equivalent of a dental X-ray once a day (once a week?) would
that breach any safety guidelines on exposure?
Alexander Vasserman DDS - 05 Jan 2005 09:58 GMT
> > As often as necessary ......
> >
[quoted text clipped - 4 lines]
> If you had the equivalent of a dental X-ray once a day (once a week?) would
> that breach any safety guidelines on exposure?

You get more radiation exposure walking in the sun then from dental
x-rays.
Especially now a days when we have super fast film F speed and digital
x-rays.
Joel M. Eichen - 05 Jan 2005 10:52 GMT
>> > As often as necessary ......
>> >
[quoted text clipped - 10 lines]
>Especially now a days when we have super fast film F speed and digital
>x-rays.

Not according to the EPA ........

Joel
Dr. Steve - 06 Jan 2005 01:12 GMT
>> > As often as necessary ......
>> >
[quoted text clipped - 10 lines]
>Especially now a days when we have super fast film F speed and digital
>x-rays.

What is film?
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
Joel M. Eichen - 05 Jan 2005 10:52 GMT
>> As often as necessary ......
>>
[quoted text clipped - 4 lines]
>If you had the equivalent of a dental X-ray once a day (once a week?) would
>that breach any safety guidelines on exposure?

Yes. A patient is limited to 0.5 rads per year.

EPA, etc.
Steven Bornfeld - 05 Jan 2005 14:15 GMT
>>>As often as necessary ......
>>>
[quoted text clipped - 8 lines]
>
> EPA, etc.

    I'm a little rusty on the dosage calculations, but I assume that is a
whole body dose.  The skin dose at the end of the cone is on that order
for a single film if memory serves, but the whole body dose for a single
exposure is minuscule.
    I would also assume that the whole body dose for something like an
abdominal CAT scan would be relatively very high.
    It comes down to what you said--risk vs. anticipated benefit.  We don't
hear this discussed in dentistry as much as perhaps we should.  We do
hear it discussed commonly when (for example) recommendations for age
and first mammogram is discussed.

Steve
Etukee - 05 Jan 2005 17:19 GMT
joel. The fda has new guidelines on xrays:
ADA / FDA Guide to Patient Selection for Dental Radiographs
http://www.fda.gov/cdrh/radhlth/adaxray.html
StovePipe - 05 Jan 2005 18:08 GMT
> http://www.fda.gov/cdrh/radhlth/adaxray.html

Thanks lots for that.
SP
Signature

Not a real Addy, yet

Mark & Steven Bornfeld DDS - 05 Jan 2005 21:21 GMT
> joel. The fda has new guidelines on xrays:
> ADA / FDA Guide to Patient Selection for Dental Radiographs
> http://www.fda.gov/cdrh/radhlth/adaxray.html
>
>  

    Notice how often the words "individual" and "clinical judgement" are
used?  ;-)

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel M. Eichen - 05 Jan 2005 21:42 GMT
>joel. The fda has new guidelines on xrays:
>ADA / FDA Guide to Patient Selection for Dental Radiographs
>http://www.fda.gov/cdrh/radhlth/adaxray.html

THANKS!

Joel
George Chatzipetros - 05 Jan 2005 17:43 GMT
There is no true safe dose. You may avoid deterministic effects with
low doses, but stochastic effects are totally unpredictable and not
dependent on dose.

George
Alexander Vasserman DDS - 05 Jan 2005 10:00 GMT
Hey Joel,

did you ever go to that botox seminar?
Joel M. Eichen - 05 Jan 2005 10:52 GMT
>Hey Joel,
>
>did you ever go to that botox seminar?

Nope.
 
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