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牙科放射危害的发病机制、临床特征、诊断及管理

Pathogenesis, Clinical Features, Diagnosis, and Management of Radiation Hazards in Dentistry.

作者信息

Singh Gundeep, Sood Amit, Kaur Ambreen, Gupta Deepak

机构信息

Department of Pedodontics, Haldia College of Dental Sciences and Research, West Bengal, India.

Department of Conservative Dentistry and Endodontics, Shaheed Kartar Singh Sarabha Dental College and Hospital, Ludhiana, Punjab, India.

出版信息

Open Dent J. 2018 Sep 28;12:742-752. doi: 10.2174/1745017901814010742. eCollection 2018.

DOI:10.2174/1745017901814010742
PMID:30369984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6182912/
Abstract

INTRODUCTION

With the advent of newer radiographic diagnostic procedures of the maxillofacial region, there is a drastic increase in the use of Ionizing radiation which further leads to increased chance of radiation hazards among the patients and the health care workers. In addition to the diagnostic information extracted, the radiation exposure carries the potential to induce carcinogenesis in the exposed individual. However, the amount of Radiation exposure in dentistry is significantly low but it is still harmful owing to the requirement of repeated radiographic examination during the dental treatment. Therefore, to ensure minimum and inevitable exposure during dental treatment, it is necessary to follow principles of radiation protection and safety.

RECOMMENDATIONS

Several studies in the literature have revealed that the attitude and knowledge of the dental professionals regarding radiation safety is not up to the mark. Henceforth, there is a necessity of implementing certain basic guidelines regarding radiation safety and protection. Further state dental councils must advocate new and interesting methods of education regarding the same and should introduce strict rules and penalties for this spectrum of field.

CONCLUSION

This present short commentary is to familiarize the dental practitioner regarding the methods to minimize the risk of the radiation hazards. Further this article will also educate the dental practitioners regarding the pathogenesis of Radiation effects during Radiation therapy of head and neck region along with pertinent management protocols.

摘要

引言

随着颌面区域更新的放射诊断程序的出现,电离辐射的使用急剧增加,这进一步导致患者和医护人员遭受辐射危害的几率上升。除了提取的诊断信息外,辐射暴露有可能在受照射个体中诱发癌症。然而,牙科中的辐射暴露量显著较低,但由于在牙科治疗期间需要反复进行放射检查,它仍然是有害的。因此,为确保牙科治疗期间的辐射暴露最小且不可避免,有必要遵循辐射防护和安全原则。

建议

文献中的多项研究表明,牙科专业人员对辐射安全的态度和知识未达标准。因此,有必要实施某些关于辐射安全和防护的基本准则。此外,各州牙科委员会必须倡导关于此方面的新颖有趣的教育方法,并应为该领域制定严格的规则和处罚措施。

结论

本简短评论旨在使牙科从业者熟悉将辐射危害风险降至最低的方法。此外,本文还将教育牙科从业者关于头颈部放射治疗期间辐射效应的发病机制以及相关的管理方案。

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Oro-Maxillofacial Radiology and Imaging: An Update.口腔颌面放射学与影像学:最新进展
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2
Imaging More Imagining less: An Insight into Knowledge, Attitude and Practice Regarding Radiation Risk on Pregnant Women among Dentists of Ghaziabad - A Cross Sectional Study.更多影像,更少臆想:加济阿巴德牙医对孕妇辐射风险的知识、态度和实践洞察——一项横断面研究
J Clin Diagn Res. 2016 Jul;10(7):ZC20-5. doi: 10.7860/JCDR/2016/18153.8125. Epub 2016 Jul 1.
3
A dose monitoring system for dental radiography.一种用于牙科X射线摄影的剂量监测系统。
Imaging Sci Dent. 2016 Jun;46(2):103-8. doi: 10.5624/isd.2016.46.2.103. Epub 2016 Jun 23.
4
Oral Radiology Safety Standards Adopted by the General Dentists Practicing in National Capital Region (NCR).在国家首都地区(NCR)执业的普通牙医采用的口腔放射学安全标准。
J Clin Diagn Res. 2016 Jan;10(1):ZC42-5. doi: 10.7860/JCDR/2016/14591.7088. Epub 2016 Jan 1.
5
Editorial Oro-Maxillofacial Radiology and Imaging: An Indispensible Dental Speciality.社论:口腔颌面放射学与影像学:一门不可或缺的牙科专业。
Open Dent J. 2015 Jul 31;9:260-2. doi: 10.2174/1874210601509010260. eCollection 2015.
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Radiation awareness among radiology residents, technologists, fellows and staff: where do we stand?放射科住院医师、技师、研究员和工作人员的辐射意识:我们处于什么位置?
Insights Imaging. 2015 Feb;6(1):133-9. doi: 10.1007/s13244-014-0365-x. Epub 2014 Nov 21.
7
Attitude of the Korean dentists towards radiation safety and selection criteria.韩国牙医对辐射安全的态度及选择标准。
Imaging Sci Dent. 2013 Sep;43(3):179-84. doi: 10.5624/isd.2013.43.3.179. Epub 2013 Sep 23.
8
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Survey of dental radiographical practice in states of Punjab and Haryana in India.印度旁遮普邦和哈里亚纳邦牙科放射实践调查。
J Investig Clin Dent. 2014 Feb;5(1):72-7. doi: 10.1111/jicd.12016. Epub 2012 Dec 11.
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