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Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?

Children are exposed to ionizing radiation through radiographs during their development for various reasons. At present, there are no officially valid reference values for dental X-rays in children and adolescents for dental X-ray diagnostics. This study retrospectively examined 9680 extraoral denta...

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Autores principales: Hennig, Christoph-Ludwig, Schüler, Ina Manuela, Scherbaum, Rebecca, Buschek, Rika, Scheithauer, Marcel, Jacobs, Collin, Mentzel, Hans-Joachim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913895/
https://www.ncbi.nlm.nih.gov/pubmed/36766499
http://dx.doi.org/10.3390/diagnostics13030394
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author Hennig, Christoph-Ludwig
Schüler, Ina Manuela
Scherbaum, Rebecca
Buschek, Rika
Scheithauer, Marcel
Jacobs, Collin
Mentzel, Hans-Joachim
author_facet Hennig, Christoph-Ludwig
Schüler, Ina Manuela
Scherbaum, Rebecca
Buschek, Rika
Scheithauer, Marcel
Jacobs, Collin
Mentzel, Hans-Joachim
author_sort Hennig, Christoph-Ludwig
collection PubMed
description Children are exposed to ionizing radiation through radiographs during their development for various reasons. At present, there are no officially valid reference values for dental X-rays in children and adolescents for dental X-ray diagnostics. This study retrospectively examined 9680 extraoral dental radiographs in pediatric patients between 2002 and 2020. The aim was to analyze the radiation doses in pediatric patients, which indications were used, and whether there were specific age and gender differences. The evaluation showed that radiation doses were considered low, with dose area products of 2.2 cGy × cm(2) for a lateral cephalogram, 14 cGy × cm(2) for an orthopantomogram (OPG), and 45 cGy × cm(2) for cone beam computer tomography (CBCT). This corresponds to an effective dose of 1.5 μSv for a lateral cephalogram, 7 μSv for an OPG, and 33.8 μSv for CBCT. Of the 9680 images, 78% were orthopantomograms, and only 0.4% were CBCT images. OPG has become more important over the years, as reflected in the indication. Approximately one-third of all extraoral exposures are orthodontic indications. Overall, the indications were similar for both genders. According to the dental indications, boys were X-rayed slightly more frequently than girls (54.5–45.5%). A future publication of dose guide values and corresponding guidelines is of high priority.
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spelling pubmed-99138952023-02-11 Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure? Hennig, Christoph-Ludwig Schüler, Ina Manuela Scherbaum, Rebecca Buschek, Rika Scheithauer, Marcel Jacobs, Collin Mentzel, Hans-Joachim Diagnostics (Basel) Article Children are exposed to ionizing radiation through radiographs during their development for various reasons. At present, there are no officially valid reference values for dental X-rays in children and adolescents for dental X-ray diagnostics. This study retrospectively examined 9680 extraoral dental radiographs in pediatric patients between 2002 and 2020. The aim was to analyze the radiation doses in pediatric patients, which indications were used, and whether there were specific age and gender differences. The evaluation showed that radiation doses were considered low, with dose area products of 2.2 cGy × cm(2) for a lateral cephalogram, 14 cGy × cm(2) for an orthopantomogram (OPG), and 45 cGy × cm(2) for cone beam computer tomography (CBCT). This corresponds to an effective dose of 1.5 μSv for a lateral cephalogram, 7 μSv for an OPG, and 33.8 μSv for CBCT. Of the 9680 images, 78% were orthopantomograms, and only 0.4% were CBCT images. OPG has become more important over the years, as reflected in the indication. Approximately one-third of all extraoral exposures are orthodontic indications. Overall, the indications were similar for both genders. According to the dental indications, boys were X-rayed slightly more frequently than girls (54.5–45.5%). A future publication of dose guide values and corresponding guidelines is of high priority. MDPI 2023-01-20 /pmc/articles/PMC9913895/ /pubmed/36766499 http://dx.doi.org/10.3390/diagnostics13030394 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hennig, Christoph-Ludwig
Schüler, Ina Manuela
Scherbaum, Rebecca
Buschek, Rika
Scheithauer, Marcel
Jacobs, Collin
Mentzel, Hans-Joachim
Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title_full Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title_fullStr Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title_full_unstemmed Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title_short Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure?
title_sort frequency of dental x-ray diagnostics in children and adolescents: what is the radiation exposure?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913895/
https://www.ncbi.nlm.nih.gov/pubmed/36766499
http://dx.doi.org/10.3390/diagnostics13030394
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