Are Bismuth Shields Useful in Dentomaxillofacial Radiology Practice for the Protection of Eyes and Thyroid Glands from Ionizing Radiation?
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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
The eye lens and thyroid gland are sensitive to radiation and have a risk of being exposed to primary beams and scattered radiation during dental radiographic examinations.
Objectives
The present study was aimed to evaluate the effectiveness of bismuth shielding in decreasing eye lens and thyroid radiation dose in periapical radiography (PR), orthopantomography (OPTG), and cone beam computed tomography (CBCT) examinations. There is no information in relevant literature regarding the use of bismuth shielding in dental radiology.
Materials And Methods
Dose measurements for PR, OPTG and CBCT were conducted by placing thermoluminescent dosimeter chips on the eye and thyroid location in a standard head phantom. Each one of the scan techniques was performed without any bismuth shielding, and they were then repeated with bismuth shielding in place. The percent dose reduction from bismuth shielding was calculated by dividing the dose measured with bismuth shielding by the dose measured without bismuth shielding.
Results
The eye dose was observed to decrease in bismuth shielding group in PR, however it was not statistically significant. The thyroid dose was found to be significantly decreased in PR (P 0.05).
Conclusion
This study demonstrated higher thyroid and eye lens dose with the use of bismuth shielding in OPTG and CBCT scanning. However, due to the significantly decreased thyroid dose in PR, it may be recommended as an alternative to leaded shielding in periapical radiographic examinations.
Language:
English
Published:
Iranian Journal of Radiology, Volume:15 Issue: 3, Jul 2018
Page:
12
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