Skin Radiation Dose of the Anterior and Posterior Mid-Body during Panoramic Radiography

Document Type : مقاله‌های پژوهشی

Authors

1 Dental Research Center, Department of Oral and Maxillofacial Radiology, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: Currently, panoramic radiography is very popular with dentists due to its proper cost and low radiation dose in terms of the data it provides. During the diagnosis and treatment process, a dentist should keep himself and the patient safe from the dangerous effects of ionizing radiation during radiography. Therefore, this study was undertaken to present a guideline for dentists and technicians for better patient protection.
Materials & Methods: In this cross-sectional, descriptive/analytical study, 4 calibrated TLDs were placed in appropriate positions within a holder and placed on the surface of a lead apron on the anterior and posterior aspects. One TLD was also placed in the environment as a control. One hundred patients, candidates for taking panoramic radiographs, wore the lead apron and underwent conventional panoramic radiography. Then the TLDs were sent for processing and the results were analyzed with repeated-measurements ANOVA, post hoc least significant difference, one-sample t-test and paired-samples t-test (α = 0.01).
Results: TLDs that had undergone radiographic exposure 100 times showed the absorbed dose in millisievert unit. Skin dose on the postero-superior region (0.31) was the highest amount measured, followed by the absorption dose on the postero-inferior region (0.28), antero-inferior region (0.22), antero-superior region (0.19); the control TLD which was placed outside the room showed insignificant absorption dose.
Conclusion: In this study, the patients’ radiation doses were separately reported for the anterior and posterior mid-body regions. The skin absorbed dose in the posterior mid-body region was higher in comparison with the anterior region. Therefore, it is advisable for the patients to wear the lead apron like a coat on the posterior region.
Key words: Dosimetry, Film, Film badge dosimetry, Panoramic, Radiography. 

1. Kassebaum DK, Stoller NE, McDavid WD, Goshorn B, Ahrens CR. Absorbed dose determination for tomographic implant site assessment techniques. Oral Surg Oral Med Oral Pathol 1992; 73(4): 502-9.
2. Iannucci J, Howerton LJ. Dental radiography; principles and techniques. Philadelphia, PA: W.B. Saunders; 2007.
3. Turner DC, Kloos DK, Morton R. Radiation safety characteristics of the NOMAD™ portable x-ray system [Online]. [cited 2005]. Available from: URL: http://www.ashteldental.com/site/files/nomad_radiation_report.pdf.
4. Molander B, Ahlqwist M, Gröndahl HG. Image quality in panoramic radiography. Dentomaxillofac Radiol 1995; 24(1): 17-22.
5. Hintze H, Wenzel A. Oral radiographic screening in Danish children. Scand J Dent Res 1990; 98(1): 47-52.
6. Granlund C, Thilander-Klang A, Ylhan B, Lofthag-Hansen S, Ekestubbe A. Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations. Br J Radiol 2016; 89(1066): 20151052.
7. Awad EA, Al-Dharrab A. Panoramic radiographic examination: a survey of 271 edentulous patients. Int J Prosthodont 2011; 24(1): 55-7.
8. White SC, Pharoah M. Principles of radiographic interpretation. St Louis: Mosby Elsevier; 2009. p. 256-69.
9. Danforth RA, Clark DE. Effective dose from radiation absorbed during a panoramic examination with a new generation machine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89(2): 236-43.
10. Skundberg PA. Principles of radiography for technologists. Radiology 1991; 180(3): 754.
11. Bahreyni Toossi MT, Akbari F, Bayani Roodi S. Radiation exposure to critical organs in panoramic dental examination. Acta Med Iran 2012; 50(12): 809-13.
12. Akhlaghi N, Hekmatian E. Comparison of skin absorbed radiation dose in thyroid gland area during panoramic radiography and spiral tomography techniques. J Isfahan Den Sch 2011; 7(3): 272-9.
[In Persian].
13. Talaeipour A, Abbasi Vardough M, Sakhdari S, Valaei N, Jafari zadeh M. Comparison of absorbed dose in target organs using conventional and digital panoramic radiography. J Res Dent Sci 2013; 10 (2): 83-89. [In Persian].
14. Rottke D, Grossekettler L, Sawada K, Poxleitner P, Schulze D. Influence of lead apron shielding on absorbed doses from panoramic radiography. Dentomaxillofac Radiol 2013; 42(10): 20130302.
15. Schulze RKW, Cremers C, Karle H, de las Heras Gala H. Skin entrance dose with and without lead apron in digital panoramic radiography for selected sensitive body regions. Clin Oral Investig 2017; 21(4): 1327-33.
16. Langland OE, Langlais RP, Preece JW. Principles of dental imaging. Philadelphia, PA: Lippincott Williams & Wilkins; 2002.