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</p> Signup and view all the answers

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

    <p>Target</p> Signup and view all the answers

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

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

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

    <p>Cathode</p> Signup and view all the answers

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

    <p>Proton</p> Signup and view all the answers

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

    <p>Electron</p> Signup and view all the answers

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

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

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

    <p>Optimization</p> Signup and view all the answers

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

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

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

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

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

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

    What is the responsibility of the radiation protection supervisor?

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

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

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

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

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

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

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

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

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

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

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

    Which imaging receptor produces an indirect digital image?

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

    Which image receptor is associated with the highest spatial resolution?

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

    Which image receptor typically requires a higher radiation dose?

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

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

    <p>Cancer development</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.</p> Signup and view all the answers

    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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    Description

    This quiz assesses your understanding of essential radiation protection principles in dental radiography, including Justification and Optimization. It also covers intra-oral radiography techniques and the identification of radiographic images. Test your knowledge on best practices for ensuring patient safety while obtaining necessary diagnostic images.

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