Re: X-Ray without a vest?
- From: "Amatus Cremona" <Nicola@xxxxxxxxx>
- Date: Mon, 29 Aug 2005 12:08:00 GMT
>
> Maybe this in fact is a British thing. In fact it contradicts everything
> I've ever heard about the subject.
>
If the study was funded by the same people who fund the NHS, you have to
wonder if they aren't just trying to make dental care cheaper rather than
raise the rates of reimbursement from NHS. Sort of like the third molar
study done by the NHS saying third molars do not need to be removed unless
they are infected.
--
/
Amatus
/
"Steven Bornfeld" <dentaltwinnospam@xxxxxxxxxxxxx> wrote in message
news:43120B5F.6090701@xxxxxxxxxxxxxxxx
>
>
> George Chatzipetros wrote:
>> Steve, your collar is fine, it's just that lead aprons and thyroid
>> collars are a thing of the past, like dycal under composites. They have
>> been around or so long that everybody considers them "a good thing to
>> do" and "the way to go".
>>
>> Check this out:
>> United Kingdom's Department of Health and National Radiological
>> Protection Board have issued the following statement:
>> 'There is no justification for the routine use of lead aprons for
>> patients in dental radiology. Thyroid collars should only be used in
>> those few cases where the thyroid may be in the primary beam. Lead
>> aprons do not protect against radiation scattered internally within the
>> body, and only provide a practicable degree of protection in the
>> infrequently used vertex occlusal projection. Even in this case the use
>> of the lead apron could only be regarded as prudent for a female
>> patient who is, or may be, pregnant'.
>> This was exactly what I was taught in a course last year from two
>> radiology advisors. So unless you were standing behind a full lead
>> screen, don't bet on the apron protecting you.
>
> Note the following:
>
> # There is no justification for the routine use of lead aprons for
> patients in dental radiography. Their use during panoramic radiography is
> positively discouraged.
>
> http://www.latimes.com/services/site/premium/access-registered.intercept
>
> There is certainly some interesting stuff out there. There is for example
> a suggestion that:
>
> "the normal selection criteria for dental radiography do not need to be
> influenced by the possibility of a female patient being at any stage of
> pregnancy."
>
> http://www.imagingsystms.com/html/radiation_studies.htm#Lead
>
> Maybe this in fact is a British thing. In fact it contradicts everything
> I've ever heard about the subject.
> Of course, the lawyers here may have something to do with this. However,
> some of this is troublesome to me as well--esp. the graph purporting to
> show the "Dental Radiation Exposure Comparative". Equating random
> environmental radiation to direct beam exposure is difficult to do at
> best; in my experience it is only done as a means of allaying anxiety in
> the lay public.
> BTW, and not intending to say that dycal under resins is a bad thing, but
> in my experience there was far less postop sensitivity in those days. I
> wouldn't bet the farm that the pendulum won't swing back on the
> advisability of phosphoric acid etching in deep carious lesions.
>
> Steve
> O
>
>>
>
>
> --
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> {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove
> "nospam" to reply\par
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>
.
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