Panduan Pelaksanaan Pemeriksaan Radiografi Kedokteran Gigi Pada Pasien Anak

Intan Farizka, Dhara Nandary, Delly Wijaya

Abstract


Background: Dental radiographic examinations are diagnostic tool in oral and dental treatment, including in children. The use of radiation exposure in children is such a challenge for dental practicioners, either about the radiation safety or the patient management. Good quality radiograph should be obtained with minimal radiation and in condition of pediatric patients that sometimes are uncooperative. Literature review:  Children have increased risk of disease than adults since their cells are more sensitive to radiation. Therefore dental radiography examinations in children should be performed according recommended steps as following: select radiographic technique for individual’s needs not for routine, choose the fastest image receptor, always use tyroid collar, collimate beam to area of interest, minimize exposure factors. Type of radiographic should be selected as indications. E-speed film, F-speed film, and digital sensor can reduce radiation dose. Tyroid collar and collimator are used for protect healthy tissue. Exposure factors should be minimized by decreasing exposure time. Several modification techniques may be needed to handle unique character of pediatric patients. Communication with “tell, show, do” technique should be undergone to manage patients. Modified radiographic techniques may be helpful to gain patient cooperation, such as Lollipop radiographic technique as desensitization technique, reverse bitewing technique, extraoral periapical technique, panoramic radiography for patient who refused intraoral film and last choice is anestethic. Reverse bitewing technique and extraoral periapical technique can be used to handle gagging reflex. Conclusion: The important issues of radiographic examination in children are about radiation safety and patients management to obtain good quality radiographs. Radiographic examination must have advantages greater than risk of radiation exposure in children. “Tell, show, do” communication technique and radiographic technique modification are part of management principle of children to gain patient cooperation.


Keywords


dental radiography, pediatric patient situation. Prolonged use of nasal stents is mandatory to produce a nasopharyngeal opening.

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References


White SC, Scarfe WC, Schulze RK, et al. The Image Gently in Dentistry campaign: promotion of responsible use of maxillofacial radiology in dentistry for children. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118:257–261.

Bruhn AM, Newcomb TL, Tolle SL. Ensuring safe practice in dental radiology. Dimensions of Dental Hygiene. 2015;13(12):30–33.

Fogarty WP, Drummond BK, Brosnan MG. The use of radiography in the diagnosis of oral conditions in children and adolescents. N Z Dent J.2015;111:144–150.

Thomson EM, Johnson ON. Essentials of Dental Radiography for Dental Assistants and Hygienists. 10th ed. Upper Saddle River, New Jersey: Pearson; 2018.

The Alliance for Radiation Safety in Pediatric Imaging. Image Gently Campaign. Available at: imagegently.org. Accessed on January 20, 2017.

American Dental Association and Food and Drug Administration. Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure. Available at: fda.gov/downloads/Radiation- EmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/M edicalX-Rays/UCM329746.pdf. Accessed January 20, 2017.

Committee O, Council R. Guideline on Prescribing Dental Radiographs for Infants , Children , Adolescents , and Persons with Special Health Care Needs. 2012;319–21.

Espelid I, Weerheijm K. EAPD guidelines for use of radiographs in children. 2005;40–8.

Wenzel A, Moystad A. Work flow with digital intraoral radiography: A systematic review. Acta Odontoloica Scandinavica. 2010;68:106–114.

United States Food and Drug Administration. Dental Radiography: Doses and Film Speed. Available at: fda.gov/RadiationEmittingProducts/RadiationSafety/ NationwideEvaluationofX-RayTrendsNEXT/ucm116524.htm. Accessed January 20, 2017.

Ludlow JB, Davies-Ludlow LE, White SC. Patient risk related to common dental radiographic examinations: the impact of 2007 international commission on radiological protection recommendations regarding dose calculation. J Am Dent Assoc. 2008;139:1237–1243.

Johnson BK, Mauriello SM, Ludlow JB, Platin EP. Technical performance of universal and enhanced intraoral imaging rectangular collimators. J Dent Hyg. 2015;89:238–246.

Chugh T, Jain AK, Jaiswal RK, Mehrotra P, Mehrotra R. Bone density and its importance in orthodontics. J Oral Biol Craniofac Res. 2013;3:92–97.

Rondon RHN, Pereira YCL, do Nascimento GC. Common positioning errors in panoramic radiography: A review. Imaging Sci Dent. 2014;44:1–6

MilesDA,DanforthRA. A Clinician’s Guide to Understanding Cone Beam Volumetric Imaging (CBVI).Tulsa, Oklahoma: Academy of Dental Therapeutics and Stomatology; 2008:1–15.

Sinnott B, Ron E, Schneider AB. Exposing the thyroid to radiation: a review of its current extent, risks, and implications. Endocr Rev. 2010;31:756–773.

Bruhn BAM, Suedbeck J. The Safe Use of Radiography in Children. Journals Prof Excell. 2007;15(2):24–7.

National Council on Radiation Protection and Measurements. Radiation Protection in Dentistry. Available at: ncrppublications.org/reports/145. Accessed January 20, 2017

Schwartz S. Radiographic Techniques for the Pediatric Patient. J Contemp Dent Pract. 2000;1(4):1–9.


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