Ambient dose during intra-oral radiography with current techniques: Part 2 quantifying the remnant beam - an in vivo study.

Dentomaxillofac Radiol

1 Department of Oral and Maxillofacial Radiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam , The Netherlands.

Published: October 2018


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Article Abstract

Objectives:: (1) To find a safe reference transmission factor for the remnant beam to be used when assessing the remnant beam during intra-oral radiography. (2) To identify factors such as exposure type, side (left or right), gender and age that might significantly affect transmission.

Methods:: Measurements were performed in the remnant beam during 323 intra-oral exposures of 43 patients. The exposure parameters were 60 kV and 7 mA. These measurements were compared with values in the same setting, but without a patient present to arrive at a transmission value. Differences between types of exposure [bitewing (BW), incisor and canine (IC) periapical, premolar and molar (PM) periapical], exposure side (left or right), gender and age were statistically analysed. The reference value was based on the exposure yielding the highest transmission value, to which a safety margin of two standard deviations (SDs) was added, and then rounding up.

Results:: The respective mean transmission values (SD) for BW, IC and PM exposures were as follows: 1.78% (1.15%), 0.639% (0.63%) and 2.60% (0.98%). The differences between PM and IC and between BW and IC were significant (p > 0.01). The differences between exposure side, gender and age were not significant. The reference transmission value, which was calculated from the highest mean transmission percentage for PM (2.60%) plus twice the SD (0.98%) and rounding up, was 5%.

Conclusions:: A transmission factor of 5% could be used to assess the remnant beam during intra-oral radiography. Anterior exposures led to significantly lower transmission values than posterior exposures.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196065PMC
http://dx.doi.org/10.1259/dmfr.20180205DOI Listing

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