Application of segmented dental panoramic tomography among children

positive effect of continuing education in radiation protection

Elmira Pakbaznejad Esmaeili, Janna Waltimo-Siren, Tuula Laatikainen, Jari Haukka, Marja Ekholm

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

Objectives: Dental panoramic tomography is the most frequent examination among 7-12-year-olds according to the Radiation Safety and Nuclear Authority of Finland. At those ages, dental panoramic tomographs (DPTs) are mostly obtained for orthodontic reasons. Children's dose reduction by trimming the field-size to the area of interest is important because of their high radiosensitivity. Yet, the majority of DPTs in this age group are still taken using an adult programme and never using a segmented programme. The purpose of the present study was to raise the awareness of dental staff with respect to children’s radiation safety, to increase application of segmented and child DPT programmes by further educating the whole dental team, and to evaluate the outcome of the educational intervention. Methods: A five-step intervention programme, focusing on DPT field limitation possibilities, was carried out in community based dental care as a part of mandatory continuing education in radiation protection. Application of segmented and child DPT programmes was thereafter prospectively followed up during a one-year period and compared to our similar data from 2010 using a logistic regression analysis. Results: Application of the child programme increased by 9% and the segmented programme by 2%, reaching statistical significance (OR 1.68; 95% CI 1.23-2.30, p <0.001). The number of repeated exposures remained at an acceptable level. The segmented DPTs were most frequently taken from the maxillary lateral incisor-canine area. Conclusion: The educational intervention resulted in improvement of radiological practice in respect to radiation safety of children during dental panoramic tomography. Segmented and child DPT programmes can be applied successfully in dental practice for children.
Originalspråkengelska
TidskriftDentomaxillofacial Radiology
Volym45
Utgåva6
Antal sidor7
ISSN0250-832X
DOI
StatusPublicerad - maj 2016
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 313 Odontologi

Citera det här

@article{4ef6204e84b64712bafeb4daefdfd8ce,
title = "Application of segmented dental panoramic tomography among children: positive effect of continuing education in radiation protection",
abstract = "Objectives: Dental panoramic tomography is the most frequent examination among 7-12-year-olds according to the Radiation Safety and Nuclear Authority of Finland. At those ages, dental panoramic tomographs (DPTs) are mostly obtained for orthodontic reasons. Children's dose reduction by trimming the field-size to the area of interest is important because of their high radiosensitivity. Yet, the majority of DPTs in this age group are still taken using an adult programme and never using a segmented programme. The purpose of the present study was to raise the awareness of dental staff with respect to children’s radiation safety, to increase application of segmented and child DPT programmes by further educating the whole dental team, and to evaluate the outcome of the educational intervention. Methods: A five-step intervention programme, focusing on DPT field limitation possibilities, was carried out in community based dental care as a part of mandatory continuing education in radiation protection. Application of segmented and child DPT programmes was thereafter prospectively followed up during a one-year period and compared to our similar data from 2010 using a logistic regression analysis. Results: Application of the child programme increased by 9{\%} and the segmented programme by 2{\%}, reaching statistical significance (OR 1.68; 95{\%} CI 1.23-2.30, p <0.001). The number of repeated exposures remained at an acceptable level. The segmented DPTs were most frequently taken from the maxillary lateral incisor-canine area. Conclusion: The educational intervention resulted in improvement of radiological practice in respect to radiation safety of children during dental panoramic tomography. Segmented and child DPT programmes can be applied successfully in dental practice for children.",
keywords = "313 Dentistry",
author = "{Pakbaznejad Esmaeili}, Elmira and Janna Waltimo-Siren and Tuula Laatikainen and Jari Haukka and Marja Ekholm",
year = "2016",
month = "5",
doi = "10.1259/dmfr.20160104",
language = "English",
volume = "45",
journal = "Dentomaxillofacial Radiology",
issn = "0250-832X",
publisher = "BRITISH INST RADIOLOGY",
number = "6",

}

Application of segmented dental panoramic tomography among children : positive effect of continuing education in radiation protection. / Pakbaznejad Esmaeili, Elmira; Waltimo-Siren, Janna; Laatikainen, Tuula; Haukka, Jari ; Ekholm, Marja.

I: Dentomaxillofacial Radiology, Vol. 45, Nr. 6, 05.2016.

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

TY - JOUR

T1 - Application of segmented dental panoramic tomography among children

T2 - positive effect of continuing education in radiation protection

AU - Pakbaznejad Esmaeili, Elmira

AU - Waltimo-Siren, Janna

AU - Laatikainen, Tuula

AU - Haukka, Jari

AU - Ekholm, Marja

PY - 2016/5

Y1 - 2016/5

N2 - Objectives: Dental panoramic tomography is the most frequent examination among 7-12-year-olds according to the Radiation Safety and Nuclear Authority of Finland. At those ages, dental panoramic tomographs (DPTs) are mostly obtained for orthodontic reasons. Children's dose reduction by trimming the field-size to the area of interest is important because of their high radiosensitivity. Yet, the majority of DPTs in this age group are still taken using an adult programme and never using a segmented programme. The purpose of the present study was to raise the awareness of dental staff with respect to children’s radiation safety, to increase application of segmented and child DPT programmes by further educating the whole dental team, and to evaluate the outcome of the educational intervention. Methods: A five-step intervention programme, focusing on DPT field limitation possibilities, was carried out in community based dental care as a part of mandatory continuing education in radiation protection. Application of segmented and child DPT programmes was thereafter prospectively followed up during a one-year period and compared to our similar data from 2010 using a logistic regression analysis. Results: Application of the child programme increased by 9% and the segmented programme by 2%, reaching statistical significance (OR 1.68; 95% CI 1.23-2.30, p <0.001). The number of repeated exposures remained at an acceptable level. The segmented DPTs were most frequently taken from the maxillary lateral incisor-canine area. Conclusion: The educational intervention resulted in improvement of radiological practice in respect to radiation safety of children during dental panoramic tomography. Segmented and child DPT programmes can be applied successfully in dental practice for children.

AB - Objectives: Dental panoramic tomography is the most frequent examination among 7-12-year-olds according to the Radiation Safety and Nuclear Authority of Finland. At those ages, dental panoramic tomographs (DPTs) are mostly obtained for orthodontic reasons. Children's dose reduction by trimming the field-size to the area of interest is important because of their high radiosensitivity. Yet, the majority of DPTs in this age group are still taken using an adult programme and never using a segmented programme. The purpose of the present study was to raise the awareness of dental staff with respect to children’s radiation safety, to increase application of segmented and child DPT programmes by further educating the whole dental team, and to evaluate the outcome of the educational intervention. Methods: A five-step intervention programme, focusing on DPT field limitation possibilities, was carried out in community based dental care as a part of mandatory continuing education in radiation protection. Application of segmented and child DPT programmes was thereafter prospectively followed up during a one-year period and compared to our similar data from 2010 using a logistic regression analysis. Results: Application of the child programme increased by 9% and the segmented programme by 2%, reaching statistical significance (OR 1.68; 95% CI 1.23-2.30, p <0.001). The number of repeated exposures remained at an acceptable level. The segmented DPTs were most frequently taken from the maxillary lateral incisor-canine area. Conclusion: The educational intervention resulted in improvement of radiological practice in respect to radiation safety of children during dental panoramic tomography. Segmented and child DPT programmes can be applied successfully in dental practice for children.

KW - 313 Dentistry

U2 - 10.1259/dmfr.20160104

DO - 10.1259/dmfr.20160104

M3 - Article

VL - 45

JO - Dentomaxillofacial Radiology

JF - Dentomaxillofacial Radiology

SN - 0250-832X

IS - 6

ER -