|
|
|
 |
"Guidelines
for Diagnostic Imaging During Pregnancy" |
 |
"Answer
to Question #292 Submitted by Richard Greenan" |
 |
"Updated
Quality Assurance Self-Assessment Excercise in Intraoral and Panoramic
Radiography" |
 |
|
| |
"Guidelines for Diagnostic Imaging
During Pregnancy" |
| |
"... In fact,
most diagnostic radiologic procedures are associated with little,
if any, known significant fetal risks. Moreover, according to
the American College of Radiology, no single diagnostic X-ray
procedure results in radiation exposure to a degree that would
threaten the well-being of the developing preembryo, embryo, and
fetus. In summary, fetal risks of anomalies, growth restriction,
or abortions are not increased with radiation exposure of less
than 5 rad, a level above the range of exposure for diagnostic
purposes. (editor's note: all dental procedures are measured
in millirads, one thousandth of one rad!) The following
guidelines for X-Ray examination or exposure during pregnancy
are suggested: 1. Women should be counseled that X-Ray exposure
from a single diagnostic procedure does not result in harmful
fetal effects. Specifically, exposure to less than 5 rad has not
been associated with an increase in fetal anomalies or pregnancy
loss. 2. Concern about possible effects of high-dose ionizing
radiation exposure should not prevent medically indicated diagnostic
X-ray procedures from being performed on the mother."
The American
College of Obstetricians and Gynecologists, ACOG Committee Opinion,
No. 158. September 1995
|
 |
|
| |
"Answer to Question #292 Submitted
by Richard Greenan" |
| |
"Our National
Council on Radiation Protection (NCRP) recommended that management
of current illness should take precedence over the possibility
of pregnancy--specially considering the small doses from most
diagnostic exposures (including dental) and the remote possibility
of adverse effect....Dental x-ray exposures for the pregnant patient
should be limited to those required for treatment to be rendered
immediately (while pregnant). If treatment is to be deferred to
term, then x-rays should also be deferred. Radiation dose to the
pelvic region from a full-mouth series of dental radiographs,
done properly, is about 1 microgray (0.1 mrad)...This should be
compared with the average annual genetically significant dose
to the U.S. population of about 0.8 milligray (80m mrad) per year,
from natural environmental sources. Thus, the dose from typical
dental exposure is equivalent to about one-half day of unavoidable
natural background--hardly a concren".
Health
Physics Society, Specialists in Radiation Safety, S. Julian Gibbs,
DDS, PhD, Professor of Radiology, May 3, 2000
|
 |
|
| |
"Updated Quality Assurance Self-assessment
Exercise in Intraoral and Panoramic Radiography"
|
| |
"...Although
leaded aprons are no longer used in Europe because they do
not reduce the already low gonadal dose, they continue to
be used in the United States for legal reasons."
American
Academy of Oral and Maxillofacial Radiology, Radiology Practice
Committee, OOO Journal, Vol. 89, No.3, Pgs. 369-374, March 2000
|
|