Informationen aus Orthodontie & Kieferorthopädie 2009; 41(1): 51-60
DOI: 10.1055/s-0028-1098837
Übersichtsartikel

© Georg Thieme Verlag Stuttgart ˙ New York

Richtlinien für Röntgenaufnahmen in der kieferorthopädischen Praxis

Guidelines to Radiography in OrthodonticsA. Patel1 , J. Sandler1
  • 1FTTA Orthodontics, Chesterfield Royal Hospital NHS Foundation Trust, Charles Clifford Dental Hospital, Sheffield, United Kingdom
Further Information

Publication History

Publication Date:
17 March 2009 (online)

Zusammenfassung

Für die Diagnostik, die Behandlungsplanung und die Kontrolle von Behandlungsfortschritten sind Röntgenaufnahmen ebenso unschätzbare Hilfsmittel, wie für die Beobachtung des Zahnwechsels. Eine mögliche Gefahr der Röntgenologie ­besteht darin, dass Patienten und möglicherweise auch Mitarbeiter des Praxisteams der Wirkung von Röntgenstrahlen ausgesetzt werden. Bei Röntgenstrahlen handelt es sich um eine energiereiche elektromagnetische Strahlung mit kurzer Wellenlänge und hoher Frequenz. Treffen Röntgenstrahlen auf Atome, so wird die Energie ­abgegeben und es kommt zur Ionisierung. Bei Röntgenstrahlen ist jede Exposition mit Risiken behaftet und daher ist der Kieferorthopäde dafür verantwortlich, dass das Praxisteam, die Patienten und deren Familienangehörige möglichst gut vor dem Einfluss dieser Strahlung geschützt werden. Mit dem vorliegenden Beitrag sollen Richt­linien für den richtigen Umgang mit Röntgenstrahlen in der kieferorthopädischen Praxis vorgestellt werden.

Abstract

Radiographs are invaluable aids to orthodontists for diagnosis, treatment planning and monitoring progress and for following development of the dentition. A potential hazard of radiography is the exposure of patients and possibly clinical staff to the effects of x-rays. X-rays comprise short wave­length, high frequency, high-energy electromagnetic radiation. When x-rays collide with atoms the energy is transferred, resulting in ionisation. No exposure to x-rays is completely risk free so orthodontists are responsible for ensuring the dental team, patients and their families are protected as much as possible. This article aims to summarise guidelines on best practice in the use of x-rays by orthodontists.

Literatur

  • 1 United Nations Scientific Committee on the Effects of Atomic Radiation UNSCEAR .Report to the General Assembly with Scientific Annex. 2001
  • 2 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 15
  • 3 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radio­graphs in dental practice. Luxembourg: Office for official publications of the European Communities; http://ec.europa.eu/energy/nuclear/radioprotection/publication/doc/136_en.pdf 2004
  • 4 Isaacson K G, Thom A R, Horner K et al. Orthodontic Radiographs. BOS Guidelines. 3rd Edition 2008
  • 5 ICRP .ICRP Publication 60. Recommendations of the International Commission on Radiatiological Protection.. Annal of the ICRP 21. 1990
  • 6 Committee 3 International Commission on Radiological Protection .Radiation and your patients: a guide for medical practitioners (ICRP).  http://www.icrp.org/docs/Rad_for_GP_for_web.pdf . 2003: 7
  • 7 ICRP .Draft recommendations of the international commission on radiological protection.  http://www.icrp.org/docs/ICRP_Draft_Recommendations_12_January_2007.pdf . 2007: 31
  • 8 European Commission .Radiation Protection 125: Low dose ionizing ­radiation and cancer risk. Luxembourg: Office for Official Publica­tions of the EC; 2001 http://europa.eu.int/comm/environment/radprot/publications
  • 9 Longstretch Jr W T, Phillips L E, Drangsholt M et al. Dental X-rays and the risk of intracranial meningioma: a population-based case-control study.  Cancer. 2004;  100 1026-1034
  • 10 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 14
  • 11 Gulson A D, Knapp T A, Ramsden P G. Doses to Patients arising from Dental X-ray Examinations in the UK, 2002–2004. A review of Dental X-ray Protection Service Data. HPA-RPD-022. Health Protection Agency, Centre for Radiation, Chemical and Environmental Hazards, Radiation Protection Division, Oxfordshire OX11 0RQ. http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1194947326586 . Accessed 01.11.2008
  • 12 European Commission. Council Directive 96 / 29 / Euratom of 13 May 1996 laying down basic safety standards for the protection of the health workers and the general public against the dangers arising from ionizing radiation. 1996
  • 13 Cederberg R A, Frederikson B W, Benson B W et al. Effect of the geometry of the intraoral position-indicating device on effective dose.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;  84 101-109
  • 14 Horner K. Review article: radiation protection in dental radiology.  Br J Radiol. 1994;  67 1041-1049
  • 15 Mandall N A, O'Brien K D, Worthington H V. Radiation reduction using a modified collimated lateral skull radiograph during orthodontic treatment.  Clin Orthodont Res. 1999;  2 179-185
  • 16 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 45
  • 17 Syriopoulos K, Velders X L, Sanderink G C et al. Sensitometric and clinical evaluation of a new F-speed dental X-ray film.  Dentomaxillofac Radiol. 2001;  30 40-44
  • 18 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 46
  • 19 Scarfe W C, Farman A G, Brand J W et al. Tissue radiation dosages using the RVG-S with and without niobium filtration.  Aust Dent J. 1997;  42 335-342
  • 20 Mah J, Hatcher D. Current status and future needs in craniofacial imaging.  Orthod Craniofac Res. 2003;  6 Suppl 1 10-16 , ; discussion 179–182
  • 21 Mah J K, Danforth R A, Bumann A et al. Radiation absorbed in maxillo­facial imaging with a new dental computed tomography device.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;  96 508-513
  • 22 National Radiological Protection Board .Guidance notes for dental practitioners on the safe use ofx-ray equipment. London: Department of Health; 2001
  • 23 Horner K. Review article: radiation protection in dental radiology.  Br J Radiol. 1994;  67 1041-1049
  • 24 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 49
  • 25 Beaconsfield T, Nicholson R, Thornton A et al. Would thyroid and breast shielding be beneficial in CT of the head?.  Eur Radiol. 1998;  8 664-667
  • 26 National Council on Radiation Protection and Measurements .Radiation protection in dentistry (report no. 145). Bethesda, Md: NRCP; 2003
  • 27 European Commission .Radiation Protection 136: European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. Luxembourg: Office for official publications of the European Communities; 2004: 18
  • 28 Isaacson K G, Thom A R, Horner K et al. Orthodontic Radiographs Guidelines. Third Edition. British Orthodontic Society Publication 2008
  • 29 Sameshima G T, Asgarifar K O. Assessment of root resorption and root shape: periapical vs. panoramic films.  Angle Orthod. 2001;  71 185-189
  • 30 Giles S A, Taylor N G. Are anterior occlusal radiographs still indicated for orthodontic assessment?.  Br Dent J. 1997;  183 325-328
  • 31 Owens A M, Johal A. Near-end of treatment panoramic radiograph in the assessment of mesiodistal root angulation.  Angle Orthod. 2008;  78 475-481
  • 32 Faculty of General Dental Practitioners (UK) Expert Panel .Selection criteria for dental radiography. 2nd edition. London: Faculty of General Dental Practitioners (UK), Royal College of Surgeons of England; 2004
  • 33 Ruf S, Pancherz H. Is orthopantomography reliable for TMJ diagnosis? An experimental study on a dry skull.  J Orofac Pain. 1995;  9 365-374
  • 34 Houston W JB. The current status of facial growth predictions: a review.  Br J Orthod. 1979;  6 11-17
  • 35 Silva M A, Wolf U, Heinicke F et al. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evalua­tion.  Am J Orthod Dentofacial Orthop. 2008;  133 640.e1-640.e5
  • 36 Haney E. Comparative analysis of traditional radiographs and cone-beam computed tomography volumetric images in the diagnosis and treatment planning of maxillary impacted canines.  Am J Orthod Dentofacial Orthop. 2007;  132 711-712
  • 37 Chauchu S, Chauchu G, Becker A. The role of digital volume radiography in the imaging of impacted teeth.  World J Orthod. 2004;  5 120-132
  • 38 Houston W J. Relationships between skeletal maturity estimated from hand-wrist radiographs and the timing of the adolescent growth spurt.  Eur J Orthod. 1980;  2 81-93
  • 39 Bruks A, Enberg K, Nordqvist I et al. Radiographic examinations as an aid to orthodontic diagnosis and treatment planning.  Swed Dent J. 1999;  23 77-85
  • 40 Atchison K A, Luke L S, White S C. An algorithm for ordering pretreatment orthodontic radiographs.  Am J Orthod Dentofacial Orthop. 1992;  102 29-44
  • 41 Artun J, Smale I, Behbehani F et al. Apical root resorption six and 12 months after initiation of fixed orthodontic appliance therapy.  ­Angle Orthod. 2005;  75 919-926
  • 42 Royal College of Radiologists. Making the best use of clinical radiology services: referral guidelines. 6th Edition. 2007
  • 43 European Union (EU) .Data Protection Directive 95 / 46 / EC. 
  • 44 Isaacson K G, Thom A R, Horner K et al. Orthodontic Radiographs Guidelines. Third Edition. British Orthodontic Society Publication 2008: 23

Dr. J. Sandler

Consultant Orthodontist · Chesterfield Royal Hospital · NHS Foundation Trust

Chesterfield Rd.

Calow

Chesterfield S44 5BL, UK

Email: jonsandler@aol.com

    >