Danforth R A, Torabainejad M
Department of Diagnostics Sciences, School of Dentistry, University of Southern California, Los Angeles.
G Ital Endod. 1991;5(1):18-22.
Endodontic patients are sometimes concerned about the risks of tumors or cataracts from radiation exposure during root canal therapy. By using established dose and risk information, we calculated the extent of these risks. The chance of getting leukemia from an endodontic x-ray survey using 90 kVp was found to be 1 in 7.69 million, the same as the risk of dying from cancer from smoking 0.94 cigarettes or from an auto accident when driving 3.7 km. Risk of thyroid gland neoplasia was 1 in 667,000 (smoking 11.6 cigarettes, driving 45 km) and risk of salivary gland neoplasia 1 in 1.35 million (smoking 5.4 cigarettes, driving 21.1 km). Use of 70 kVp radiography reduced these risks only slightly. To receive the threshold dose to eyes to produce cataract changes, a patient would have to undergo 10,900 endodontic surveys.
牙髓病患者有时会担心根管治疗期间因辐射暴露而患肿瘤或白内障的风险。通过使用既定的剂量和风险信息,我们计算了这些风险的程度。发现使用90千伏峰值进行牙髓X线检查患白血病的几率为769万分之一,这与抽0.94支香烟患癌症死亡的风险或开车3.7公里遭遇车祸死亡的风险相同。甲状腺肿瘤的风险为66.7万分之一(抽11.6支香烟、开车45公里),唾液腺肿瘤的风险为135万分之一(抽5.4支香烟、开车21.1公里)。使用70千伏峰值的X线摄影仅略微降低了这些风险。要接受导致白内障改变的眼部阈值剂量,患者必须接受10900次牙髓检查。