X-Ray without a vest?

Discussion in 'Dental Archive' started by nickw, Aug 27, 2005.

  1. nickw

    nickw Guest

    Hi,

    On Thursday I had a dentist appointment with a new dentist. So of
    course
    they wanted to take a full mouth X-Ray. Thing is, after they did this
    and moved on to the "bite-wings" X-Rays, they put one of those lead
    vests on me; Now I realize they did not put the vest on me
    for the other full mouth X-Ray (the one where you sit in a box and the
    device moves around your head).

    This is probably fairly normal, and probably happens all the time, but
    I'm just a bit worried. Do I have anything to be worried about having
    been exposed to an X-Ray for 15-30 seconds?

    I've tried to read up on the subject, and even if it isn't horribly
    dangerous at this level, I'm still dissapointed. Apparently they are
    only supposed to take X-Rays only when necessary, and they failed to
    get the old X-Ray from my previous dentist (even though they asked for
    his contact information when I made the appointment, and informed me
    they would get all of my records). After they already took the X-Rays,
    the receptionist came in and said my other Doctor was sending over my
    records, including a full-mouth X-Ray from 2004. So this X-Ray
    shouldn't have been taken anyway, aside from the lead protection issue.

    Thanks,
    Nick
    nickw, Aug 27, 2005
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  2. The thing that goes around your head can put out a lot of x-rays, mor
    then taking bitewings. I am a computer guy, so when the pano or x-ra
    sensors stop working I get to fix it. I have talked to guys who g
    around the country installing pano's, (the box that circles around th
    head). I noticed when they were doing demo's and etc, that they staye
    far away from the pano. I asked them why and they said x-rays can b
    dangerous, and since they are always around pano's shooting x-rays
    they dont like the risk or probability. Just to be safe. I woul
    personally wear a lead apron when taking a pano, and bitewings

    One night, I was tuning an x-ray sensor, and I took way too many x-ray
    of myself. I quit when my mouth started to feel weird. I noticed othe
    people can feel this weird feeling when taking a pano. They dont lik
    to do it more then once or twice

    This is why I just want to play it safe, because I am not an expert o
    x-rays, but the guys who do seem to know more about x-rays seem to pla
    it safe also

    Makes sense to me, at a lot of offices I work for the hygeinists sta
    clear when shooting the x-ray. They will stand behind a wall usually.
    now do the same thing, unless its me who is getting the x-ray

    Maybe I am just paranoid

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  3. nickw wrote:
    You should have been given a lead apron. However, the x-ray dose of a
    panorex is generally less than a full series of x-rays. You shouldn't
    worry. However, if I were that dentist I'd worry if an inspector finds out.
    Don't be shy about asking for the apron. It was probably an
    oversight--one that shouldn't be made.

    Steve

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    Mark & Steven Bornfeld, Aug 27, 2005
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  4. nickw

    nickw Guest

    I certianly won't be shy about asking for the apron in the future, but
    in this case I was just un-informed and not thinking about what the
    tech should have been doing.

    Do you think I should report this incident? At least to the dentist
    the tech was working for? I certainly wouldn't want this to be a
    regular practice at the office...

    Thanks for the great information!
    nickw, Aug 27, 2005
    #4
  5. nickw

    Vaughn Guest

    "Administrator" <> wrote in message
    news:...
    That is crazy! Aren't you supposed to use some type of a dummy for that?
    (Not a flame, I also did silly things with radiation when I was young. Most
    poeple to not realy understand their lack of immortality until their 30's)
    That makes sense because the hygienists are doing this all day/ every work
    day. The patient usually only gets one or two sets of x-rays a year. Big
    difference.

    I never was offered a lead apron until I started with my present dentist,
    two partners who run a very nice shop.

    Vaughn
    Vaughn, Aug 27, 2005
    #5
  6. nickw wrote:
    Yes--to the dentist. I wouldn't report to the state unless youi find
    out the error hasn't been corrected. You'll be doing the other patients
    (and the dentist) a big favor.

    Steve

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    Mark & Steven Bornfeld, Aug 27, 2005
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  7. nickw

    Joel344 Guest

    Big news guys., There are studies suggesting that with digital films th
    lead apron (or the other one) actually cause MORE radiation throug
    scatter. If anyone is interested, I will dig up the paper.

    I still recommend the apron, less radiation or more radiation, becaus
    of patient perception.

    Joel M. Eichen DD

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    Joel344, Aug 27, 2005
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  8. Joel344 wrote:
    How can something that blocks 100% of x-rays cause scatter?

    Steve

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    Mark & Steven Bornfeld, Aug 27, 2005
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  9. nickw

    Joel344 Guest

    Its the same reason why jewelry, tongue piercing barbells, and the like
    scatter radiation. Even a silver filling causes scatter. Yes it blocks
    the x-ray from reaching the film, but the x-ray is partially scattered
    (secondary radiation) through collision with the outer orbital electron
    shells.


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  10. nickw

    Joel344 Guest

    Here is a pointer ......


    Kawabe R, Nakada M, Suzuki S, Fujifuchi S, Sagami T, Nakada M, Wajima
    T, Togashi A, Kudo Y, Kashida Y. Related Articles, Links
    [Discussion "Is it necessary to attach a protective apron to the
    patient in the X-ray diagnosis?"]
    Nippon Hoshasen Gijutsu Gakkai Zasshi. 2004 Dec;60(12):1630-43.
    Japanese. No abstract available.
    PMID: 15614209 [PubMed - indexed for MEDLINE]


    6: Kimura Y, Kobayashi T, Sasanuma K, Tsukamoto A, Kato H. Related
    Articles, Links
    [Round table discussion: is it necessary to attach a protective apron
    to the patient in the X-ray diagnosis?]
    Nippon Hoshasen Gijutsu Gakkai Zasshi. 2004 Dec;60(12):1620-9.
    Japanese. No abstract available.
    PMID: 15614208 [PubMed - indexed for MEDLINE]


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  11. nickw

    billkatz Guest

    nickw Wrote:
    The type apron used on a panorex series is commonly called a cape.
    Probably a good idea to request one in the future. Here's a visual
    reference -->
    http://www.kabdental.com/products/aprons_&_accesories.htm


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  12. nickw

    Vaughn Guest

    <celtan> wrote in message news:...
    Not so! Actually, a conventional dental x-ray represents a rather large
    dose to the head area. See: http://www.adani.by/prod_securpersonal_xray.php
    True

    Regards;
    Vaughn
    Vaughn, Aug 27, 2005
    #12
  13. nickw

    Joel344 Guest

    Thanks Bill! Colorful, aren't they?

    They have something else on the web page that is very useful for doin
    delicate endodontics on upper third molars ......


    HERE


    [image: http://www.kabdental.com/images/LA68.jpg]


    ..





    billkatz Wrote:
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  14. nickw

    billkatz Guest

    Joel344 Wrote:
    The camouflage pano cape is invaluable when deer hunting too. :)

    All kidding aside, I wonder how many people use the thyroid collars and
    do they really do any good???


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  15. nickw

    Joel344 Guest

    Joel344, Aug 27, 2005
    #15
  16. nickw

    Joel344 Guest

    Joel344, Aug 27, 2005
    #16
  17. nickw

    billkatz Guest

    billkatz, Aug 27, 2005
    #17
  18. nickw

    Joel344 Guest

    Joel344, Aug 27, 2005
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  19. nickw

    Joel344 Guest

    Joel344, Aug 27, 2005
    #19
  20. nickw

    billkatz Guest

    Joel344 Wrote:
    Better than what we have now ;)

    Back to the thyroid collars. I go to a LOT of dentist's offices an
    I've never seen one used. Is there a preexisting set of guidelines whe
    one is to be used? Hyper/hypothyroidism for example??

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