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PubMed1986

Efficiency of the cervical lead shield during intraoral radiography.

The cervical lead shield was compared with the conventional lead apron with regard to efficiency of protection against radiation during a full-month survey (fourteen periapical and two bitewing radiographs). The study was performed on a Temex tissue-equivalent human phantom, and thermoluminescent dosimetry was used to measure radiation absorption in the ovaries, testes, and thyroid gland areas. Results showed that the cervical shield significantly reduces the amount of radiation to the skin in all three areas and is equally as effective as the combination of lead apron and thyroid shield. It is therefore recommended as a protective measure during intraoral radiography.

Equipment Design↗
PubMedDate not supplied

A review of panoramic radiography and its potential use in implant dentistry.

Radiographic follow-up of dental implants is one of the most important clinical parameters a practitioner can assess. Recent advances in the design of panoramic radiograph machines have increased their potential use in the longitudinal clinical evaluation of dental implants. Changes from the earliest designs allow for a projection geometry that more closely approximates the shape of the human jaw. The fundamentals of panoramic radiography are reviewed including common errors in patient positioning, their effect on the radiographic image, and how to correct the errors. Comparative advantages and disadvantages of intraoral periapical and bitewing films as compared with panoramic radiographs are discussed, specifically focusing on the amount of radiation exposure, ability to detect bone loss/bone defects, and inherent problems with both systems.

Dental Implants↗
PubMed1976

Comparison of interproximal carious lesion detection in panoramic and standard intraoral radiography.

Panoramic radiographs used alone were ineffective diagnostic aids in the detection of early interproximal carious lesions, particularly enamel lesions. The best radiographic survey in terms of numbers of enamel interproximal carious lesions detected was the combination of periapical plus posterior bitewing radiographs. For interproximal lesions extending through the enamel and into the dentin, all combinations except panoramic radiographs used alone showed comparable usefulness. For lesions involving the enamel and dentin, and extending half way or more from the dentinoenamel junction to the pulp, there generally were no significant differences between any of the combinations.

Adolescent↗
PubMed1989

Evaluation of aluminum-yttrium filtration for intraoral radiography.

In comparison with the use of traditional aluminum filtration, a radiation dose reduction of 40% at 90 kVp and 25% at 70 kVp was found with the use of aluminum-yttrium (Al-Y) filtration for intraoral bitewing and periapical radiographs. An increased exposure time, and consequent greater tube loading, was necessary to maintain film density. Extended gray-scales (i.e., reduced radiographic contrast) occurred at both energy levels tested with the use of Al-Y filtration. Subjective evaluation of image quality in terms of clarity, resolution, and contrast was carried out independently by nine periodontologists. Despite some interoperator variance, there was a preponderant preference for traditional aluminum filtration.

Aluminum↗