Radiation Protection Principles in Dentistry

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Questions and Answers

Where should a warning sign be placed in a general dental practice when intraoral radiographs are taken?

  • Near the dental chair
  • On the ceiling
  • At the entrance to the dental surgery (correct)
  • Inside the examination room

Which measurement term accounts for the type of radiation used in radiography?

  • Effective dose (correct)
  • Exposure dose
  • Radiation absorbed dose
  • Collective dose

What term is measured in Grays or milligrays?

  • Collective dose
  • Effective dose
  • Radiation absorbed dose (correct)
  • Radiation exposure

Which measurement term allows comparison of radiation doses from different investigations?

<p>Collective dose (B)</p> Signup and view all the answers

What component of a dental X-ray machine can become very hot?

<p>Target (A)</p> Signup and view all the answers

Which filter helps reduce low energy photons impacting the patient during X-ray exposure?

<p>Aluminium filter (C)</p> Signup and view all the answers

What is the electrically negative end of a dental X-ray tube called?

<p>Cathode (D)</p> Signup and view all the answers

What type of particle within an atom does the atomic number signify?

<p>Proton (A)</p> Signup and view all the answers

Which particle is crucial for the production of X-rays?

<p>Electron (A)</p> Signup and view all the answers

What is the required length of the longer side of a rectangular collimator aperture?

<p>50 millimeters (D)</p> Signup and view all the answers

What is the primary reason a dentist assesses clinical information before taking a radiograph?

<p>To provide justification for the radiograph (A)</p> Signup and view all the answers

Using a rectangular collimator in radiography is an example of which radiation protection principle?

<p>Optimization (D)</p> Signup and view all the answers

What technique is best for showing the root apex of a tooth?

<p>Paralleling technique (A)</p> Signup and view all the answers

Which intraoral technique can capture up to ten erupted teeth in a single image?

<p>Bitewing technique (A)</p> Signup and view all the answers

In what area should the warning sign be placed when taking radiographs?

<p>At the entrance to the dental surgery (A)</p> Signup and view all the answers

Who is primarily responsible for ensuring that staff receive appropriate radiation training?

<p>The employer (B)</p> Signup and view all the answers

When taking an X-ray, who is authorized to grant permission for the radiation exposure?

<p>The practitioner (D)</p> Signup and view all the answers

What is the responsibility of the radiation protection supervisor?

<p>Ensure compliance with local rules (A)</p> Signup and view all the answers

Which official body published the Ionising Radiation (Medical Exposure) Regulations 2017?

<p>Department of Health and Social Care (C)</p> Signup and view all the answers

Who is primarily responsible for pressing the exposure button during an X-ray procedure?

<p>The operator (B)</p> Signup and view all the answers

What is the purpose of a thyroid collar during radiography?

<p>To protect the patient's thyroid gland from radiation (B)</p> Signup and view all the answers

Which protective measure is unnecessary for a pregnant patient during bitewing radiography?

<p>No personal lead protection (A)</p> Signup and view all the answers

What is the function of the aluminium filter in X-ray equipment?

<p>To remove the lowest energy photons from the X-ray beam (D)</p> Signup and view all the answers

How does the shape of the X-ray beam change when a collimator is used?

<p>It changes from circular to rectangular (B)</p> Signup and view all the answers

What is the impact on radiation harm when using a circular collimator instead of a rectangular one during periapical radiography?

<p>4 times less harmful (B)</p> Signup and view all the answers

Which X-ray film type provides the lowest radiation dose to patients?

<p>F-speed film (A)</p> Signup and view all the answers

What is the characteristic of deterministic effects from radiation exposure?

<p>They require a specific threshold dose to manifest (D)</p> Signup and view all the answers

What can be described as a stochastic effect in radiation exposure?

<p>Effects that can lead to cancer after exposure (C)</p> Signup and view all the answers

Which type of imaging investigation is associated with the highest radiation dose?

<p>Cone Beam CT scan of the full mandible and maxilla (B)</p> Signup and view all the answers

During intraoral radiography, who is permitted to remain in the controlled area?

<p>The patient (D)</p> Signup and view all the answers

What type of effect is described by vomiting within 1 hour of exposure to radiation?

<p>Deterministic Effect (B)</p> Signup and view all the answers

Which traditional X-ray film provides the highest resolution image?

<p>F-speed film (D)</p> Signup and view all the answers

What is the minimum controlled area radius from the patient's head during intraoral radiography?

<p>1.5 metres (A)</p> Signup and view all the answers

Which official organization is responsible for recommendations on dose limitation based on justification, optimisation, and limitation?

<p>International Commission for Radiation Protection (C)</p> Signup and view all the answers

What is the approximate risk of fatal cancer induction from one full dental panoramic tomograph using modern digital equipment?

<p>1 in one million (A)</p> Signup and view all the answers

Which imaging receptor produces an indirect digital image?

<p>Phosphor plate (A)</p> Signup and view all the answers

Which image receptor is associated with the highest spatial resolution?

<p>Solid state sensor (D)</p> Signup and view all the answers

Which image receptor typically requires a higher radiation dose?

<p>Radiographic film (B)</p> Signup and view all the answers

What effect is not typically considered a deterministic effect of radiation exposure?

<p>Cancer development (A)</p> Signup and view all the answers

Which of the following is true about F-speed film?

<p>It is the fastest film type available. (C)</p> Signup and view all the answers

Flashcards

Justification

Reasoning for taking a radiograph, showing clinical need for it.

Optimisation

Using the best settings for the smallest radiation needed.

Minimisation

Taking only the radiographs necessary, avoiding unnecessary exposures.

Paralleling technique

Technique where the x-ray beam and film are parallel.

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Bitewing technique

Shows the space between teeth, used for checking for gum disease.

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Panoramic technique

Shows a wide view of the mouth, ideal for full-mouth images.

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Metallic restoration

Filling or cap made of metal.

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Floor of the mouth

The bottom part of the mouth.

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Alveolar bone

Bone surrounding the teeth and supporting them.

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Department of Health and Social Care

UK government body responsible for health regulations.

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Employer's responsibility

Ensuring staff receive suitable training.

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Practitioner's role

Authorizing radiation exposure.

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Operator's role

Activating the X-ray machine.

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Radiation protection supervisor

Guaranteeing regulations compliance.

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Patient Warning Sign Location

The warning sign for intraoral radiographs should be placed at the entrance to the dental surgery.

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Effective Dose

A measurement of radiation dose that considers the type of radiation and the part of the body being irradiated.

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Radiation Absorbed Dose

The amount of energy absorbed by the tissue.

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Collective Dose

A measurement of radiation dose for a whole population.

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Dental X-Ray Machine Target

The component of the x-ray machine that gets very hot during operation.

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Aluminum Filter

A filter that reduces low-energy photons in dental x-rays.

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X-ray Tube Material

The tube of an x-ray machine is made of glass.

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Cathode

The negative terminal in an x-ray tube.

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X-ray Machine Outer Casing

The outer casing of an x-ray machine is made of lead.

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Exposure Button Operator

The dentist/dental therapist is the only person permitted to press the exposure button.

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Atomic Number Particle

The atomic number refers to the number of protons in an atom.

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X-ray Production Particle

Electrons are crucial for producing X-rays.

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Collimator Aperture

The longer side of a rectangular collimator aperture is 50 millimeters.

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Photoelectric effect

Interaction of X-rays with matter, resulting in the absorption of an X-ray photon.

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Deterministic effect

Radiation effects that occur reliably and predictably as a consequence of radiation dose.

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F-speed film

Traditional X-ray film known for producing high-resolution images in radiography.

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1.5 metres

Minimum radius for a controlled area during intraoral radiography, measured from the patient's head, outside the direct beam.

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Item C

Radiographic item corresponding to mesial caries in dentin in the provided image.

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International Commission for Radiation Protection

Official body responsible for developing recommendations regarding radiation dose limits based on justification, optimization, and limitation.

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1 in one million

Estimated risk of a fatal cancer induction connected to dental panoramic tomography using modern digital equipment.

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Phosphor plate

Image receptor producing an indirect digital image in radiology.

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Solid state sensor

Image receptor that produces higher spatial resolution in digital imaging.

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Radiographic film

Image receptor associated with a higher radiation dose in radiology.

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Intensifying screen

A device used in radiography to enhance the image and reduce the radiation dose to the patient by increasing the light produced during the imaging process.

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Thyroid collar

A protective device worn by patients to shield the thyroid gland from radiation during an x-ray.

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Pregnant Patient Lead Protection

No personal lead protection is needed for pregnant patients during bitewing X-rays.

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Transformer (in X-ray)

An electrical component in the X-ray machine that changes the voltage of the electrical current, which is necessary to produce the X-ray beam of light

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Aluminium filter

A component of the X-ray machine that removes low-energy X-rays from the beam, improving image quality.

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Spacer cone

A device used in radiography to hold the film or sensor at a specific distance from the X-ray source, ensuring consistent image quality.

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Lead shield

A device made of a dense material that diverts radiation, acting as a protective barrier during dental X-ray procedures.

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Oil (in X-ray)

A dielectric fluid used in X-ray machines to insulate high voltage components and provide cooling.

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Collimator

A device used to shape and limit the size of the X-ray beam, reducing radiation exposure to the patient.

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X-ray beam

A stream of X-rays produced by an X-ray machine.

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Circular vs Rectangular Collimator Harm

Using a circular collimator instead of a rectangular is four times less harmful due to the smaller beam area.

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Distance & Harm

Moving the X-ray tube twice as far away from the patient reduces radiation harm by four times due to the inverse square law.

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Allowed in Controlled Radiation Area

Only the patient is allowed inside a controlled radiation area during an intraoral radiograph.

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F-speed film

Traditional X-ray film with a low radiation dose sensitivity.

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Highest Radiation Dose Imaging

Cone Beam CT scan of the full Mandible and Maxilla delivers the highest radiation dose of the standard dental imaging procedures

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Stochastic Effect

A type of radiation effect where the probability of occurrence increases with the dose, but the severity doesn't depend on the dose.

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Deterministic Effect

A type of radiation effect that only occurs above a certain radiation dose threshold and the severity increases with the dose.

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Study Notes

Radiation Protection Principles

  • A dentist assesses clinical information from another dentist to determine if a radiograph is needed. This demonstrates the principle of Justification.

  • Using a rectangular collimator to take a bitewing radiograph is an example of Optimisation.

  • Choosing a periapical radiograph over a panoramic radiograph in the presence of localized periodontal pocketing is an example of Optimisation.

Intra-oral Radiography Techniques

  • Root Apex: The bisected angle technique is the most reliable for showing root apices.

  • Multiple Teeth: The panoramic technique displays up to ten erupted teeth in a single image.

  • Unerupted Canine: The paralleling technique helps show the position of an unerupted canine.

Radiographic Image Identification

  • Item B (arrow): Non-metallic restoration.

  • Item D (arrow): Floor of the mouth

Radiographic Structures

  • Item G: Alveolar bone.

Statutory Instrument

  • The Department of Health and Social Care published the statutory instrument "Ionising Radiation (Medical Exposure) Regulations 2017".

Roles and Responsibilities

  • The employer is ultimately responsible for ensuring all staff receive appropriate training.

  • The practitioner authorizes radiation exposure.

  • The operator presses the exposure button.

  • The radiation protection supervisor is responsible for compliance with Local Rules.

  • Only staff are permitted in the controlled area during X-ray exposure.

Radiation Dose Terminology

  • Equivalent dose considers the type of radiation.

  • Organ dose takes into account the part of the body being irradiated.

  • Effective dose is the appropriate term when considering a whole population.

  • Radiation absorbed dose (measured in Grays or milligrays) is a fundamental measure of radiation.

Dental X-ray Machine Components

  • Critical component: The X-ray tube target can get very hot.

  • Reduction Technique: Aluminium filters are used to reduce low-energy x-rays.

  • Tube Composition: The X-ray tube is composed of glass.

  • Negative End: The cathode is the electrically negative end of the X-ray tube.

  • Outer Casing: The outer casing of the tube is typically made of metal for shielding.

Radiation Protection Procedures

  • Patient Protection: A thyroid collar protects the patient's thyroid during upper occlusal radiographs.

  • Pregnant Patients: Pregnant patients require a lead apron for procedures like bitewings.

  • Controlled Area Placement: In a dental setting, the warning sign "Controlled Area X-rays" and "No Unauthorized Entry" should be placed above the dental chair.

Radiographic Film

  • Lowest Radiation: F-speed film produces the lowest radiation dose in X-ray images.

Imaging Resolution

  • Highest Resolution: Traditional X-ray film in the F-speed range produces the highest resolution images.

Controlled Area

  • The controlled area must be at least 1.5 meters from the patient's head to the primary beam.

Dental Caries

  • Caries in dentine is identified by the arrows in the image (Item D).

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