5년간 연세대학교 치과대학병원 소아청소년의 치과 방사선 검사 및 유효선량 조사
Investigation of dental radiography examinations and effective dose of children and adolescents in Yonsei University Dental Hospital for 5 years
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Purpose: This study aimed to investigate the dental radiography status and radiation risk of children and adolescents for 5 years in Yonsei University Dental Hospital. Materials and Methods: The dental radiography database of individuals under the age of 18 years was provided by the electronic medical records (EMR) from Yonsei University Dental Hospital from 2015 to 2019. The type of dental radiography included panoramic radiography, periapical radiography, bitewing radiography, cephalometric radiography, cone-beam computed tomography and computed tomography. The number of dental radiographies and the effective dose per person was investigated. Results: For 5 years, panoramic and periapical radiography were taken the most. Panoramic radiography, periapical radiography, bitewing radiography, cephalometric radiography, cone-beam computed tomography and computed tomography were taken the most at the age of 5 – 7 years, 4 years, 18 years, 18 years, 18, 7 years and 10, 11 years respectively. As analyzed by department, the radiographs were taken the most in order of pediatric dentistry, orthodontic, conservative dentistry. The annual average of effective dose per person increased with age, and it was highest at the age of 18 years. But it was lower than 1.0 mSv, the annual standard of defense in the general public. The effective dose of over 80% of patients are under 0.1 mSv. But there were 2 patients whose effective dose was over 1.0 mSv. The annual average effective dose per person by dental radiography type was highest at the age of 0 – 3 years for periapical radiography and at the age of over 4 years for panoramic radiography. Conclusion: This investigation into the status of number of dental radiography and effective dose for individuals of children and adolescents will contribute to maximizing the benefits of dental radiography and minimizing the radiation dose.
Abstract
Purpose: This study aimed to investigate the dental radiography status and radiation risk of children and adolescents for 5 years in Yonsei University Dental Hospital. Materials and Methods: The dental radiography database of individuals under the age of 18 years was provided by the electronic medical records (EMR) from Yonsei University Dental Hospital from 2015 to 2019. The type of dental radiography included panoramic radiography, periapical radiography, bitewing radiography, cephalometric radiography, cone-beam computed tomography and computed tomography. The number of dental radiographies and the effective dose per person was investigated. Results: For 5 years, panoramic and periapical radiography were taken the most. Panoramic radiography, periapical radiography, bitewing radiography, cephalometric radiography, cone-beam computed tomography and computed tomography were taken the most at the age of 5 – 7 years, 4 years, 18 years, 18 years, 18, 7 years and 10, 11 years respectively. As analyzed by department, the radiographs were taken the most in order of pediatric dentistry, orthodontic, conservative dentistry. The annual average of effective dose per person increased with age, and it was highest at the age of 18 years. But it was lower than 1.0 mSv, the annual standard of defense in the general public. The effective dose of over 80% of patients are under 0.1 mSv. But there were 2 patients whose effective dose was over 1.0 mSv. The annual average effective dose per person by dental radiography type was highest at the age of 0 – 3 years for periapical radiography and at the age of over 4 years for panoramic radiography. Conclusion: This investigation into the status of number of dental radiography and effective dose for individuals of children and adolescents will contribute to maximizing the benefits of dental radiography and minimizing the radiation dose.
참고문헌 (27)
- Kavita Madan, "Recent advances in dental radiography for pediatric patients: A review", Journal of Medicine, Radiology, Pathology & Surgery, 1(2), pp.21~25 (2015), Incessant Nature Science Publishers Pvt Ltd.[DOI]
- "Achievements of the Past 50 Years and Addressing the Needs of the Future" (2014)[URL]
- Cousins C, "International commission on radiological protection", Ann ICRP, 120, pp.1~125 (2011)
- P-L. Khong, "ICRP Publication 121: Radiological Protection in Paediatric Diagnostic and Interventional Radiology", Annals of the ICRP, 42(2), pp.1~63 (2013), SAGE Publications[DOI]
- "Dose Limit"[URL]
- D. L. Preston, "Solid Cancer Incidence in Atomic Bomb Survivors: 1958–1998", Radiation Research, 168(1), pp.1~64 (2007), Radiation Research Society[DOI]
- Elizabeth B. Claus, "Dental x-rays and risk of meningioma", Cancer, 118(18), pp.4530~4537 (2012), Wiley[DOI]
- Anjum Memon, "Dental x-rays and the risk of thyroid cancer: A case-control study", Acta Oncologica, 49(4), pp.447~453 (2010), Informa UK Limited[DOI]
- "Assessment of radiation exposure of korean population by medical radiation"[URL]
- "Guideline for diagnostic reference level(dental radiography)"[URL]
- "CT radiation exposure dose evaluation program(ALARA-CT)"[URL]
- J. Kühnisch, "Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document", European Archives of Paediatric Dentistry, 21(4), pp.375~386 (2019), Springer Science and Business Media LLC[DOI]
- "Statistics of frequent disease"[URL]
- 대한소아치과학회, "소아청소년치과학", pp.281~567 (2014), 덴탈위스덤
- G K Taylor, "An investigation into the use of bitewing radiography in children in Greater Glasgow", British Dental Journal, 196(9), pp.563~568 (2004), Springer Science and Business Media LLC[DOI]
- Go GJ, "Precautions for radiography and photography of children", J Kor Dent Assoc, 29(12), pp.921~924 (1991)
- 전국 치과교정학 교수협의회, "치과교정학", pp.237~ (2014), 지성출판사
- Huddleston Slater JJ, "Anterior disc displacement with reduction and symptomatic hypermobility in the human temporomandibular joint : prevalence rates and risk factors in children and teenagers", J Orofac Pain, 21(1), pp.55~56 (2007)
- Nilsson IM, "Incidence and temporal patterns of temporomandibular disorder pain among Swedish adolescents", J Orofac Pain, 21(2), pp.127~123 (2007)
- A.C. Miracle, "Conebeam CT of the Head and Neck, Part 2: Clinical Applications", American Journal of Neuroradiology, 30(7), pp.1285~1292 (2009), American Society of Neuroradiology (ASNR)[DOI]
- Josué Martos, "Clinical technique for invasive cervical root resorption", Journal of Conservative Dentistry, 14(4), pp.440~ (2011), Medknow[DOI]
- 김은영, "Resin infiltration을 시행한 법랑질 초기 우식 병소의 특성", 대한소아치과학회지, 39(1), pp.1~10 (2012), 대한소아치과학회
- 정연화, "Radiographic evaluation of third molar development in 6- to 24-year-olds", Imaging Science in Dentistry, 44(3), pp.185~191 (2014), 대한영상치의학회
- Margherita Fontana, "Patterns of radiograph use in a population of commercially insured children", The Journal of the American Dental Association, 153(5), pp.405~413 (2022), Elsevier BV[DOI]
- Noah H. Menaker, "Prescription of bite-wing and panoramic radiographs in pediatric dental patients", The Journal of the American Dental Association, 153(1), pp.23~30 (2022), Elsevier BV[DOI]
- Muzzin KB, "Dental radiography prescribing practices : a nationwide survey of dental hygienists", Gen Dent, 67(2), pp.38~53 (2019)
- H S Shin, "Effective doses from panoramic radiography and CBCT (cone beam CT) using dose area product (DAP) in dentistry", Dentomaxillofacial Radiology, 43(5), pp.20130439~ (2014), British Institute of Radiology[DOI]