Fungsi pelindung tiroid dan persepsi dokter gigi terhadap penggunaannya pada teknik radiografi sefalometri dan CBCT
Abstract
Objectives: The aims of this review is to describe thyroid shield function and to look the dentists’ perceptions considering the application in dental radiographic examination, particularly in cephalometric and Cone Beam Computed Tomography (CBCT) examination.Literature Review: The utilization of thyroid shield has been signified reduction of radiation dose about 34% in cephalometric examination and 18-40.1% in CBCT. The absence of universal guidelines has led to minimal perception of dentists on the importance of using thyroid shield as indicated by the low utilization of thyroid shield among patients. This low perception can be improved through adequate education and applied training in the use of thyroid shield.
Conclusion: Dentists’ perceptions regarding the application of thyroid shield need to be improved so that the application of thyroid shield can be increased in order to protect patients from the risk of dental radiation exposure.
References
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Signorelli L, Patcas R, Peltomӓki T, Schӓtzle M. Radiation Dose of Cone-Beam Computed Tomography Compared to Coventional Radiographs in Orthodontics. J Orofac Orthop. 2016;77:9-15.
Almohaimede AA, Bendahmash MW, Dhafr FM, Awwad AF, Al-Madi EM. Knowledge, Attitude, and Practice (KAP) of Radiographic Protection by Dental Undergraduate and Endodontic Postgraduate Students, General Practitioners, and Endodontists. Hindawi International Journal of Dentistry. 2020:1-8.
Patcas R, Signorelli L, Peltomӓki T, Schӓtzle M. Is The Use of The Cervical Vertebrae Maturation Method Justified to Determine Skeletal Age? A Comparison of Radiation Dose of Two Strategies for Skeletal Age Estimation. European Journal of Orthodontics. 2013;35:604-609.
Artitin C, Harahap WA, Ellyanti A. Pengukuran Dosis Radiasi pada Organ Tiroid dan Mata saat Pemeriksaan Fluroskopi. Jurnal Kesehatan Andalas. 2018;7(4):18-21.
Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th Edition. Philadelphia: Churchill Livingstone Elsevier; 2013. p.67-68.
Memon A, Godward S, Williams D, Siddique I, Al-Saleh K. Dental X-Rays and The Risk of Thyroid Cancer: A Case-Control Study. Acta Oncologica. 2010;49(4):447-453.
Hujoel P, Hollender L, Bollen AM, Young JD, Cunha-Cruz J, McGee M, et al. Thyroid Shield and Neck Exposures in Cephalometric Radiography. BMC Medical Imaging. 2006;6(6):1-7.
Liao Y-L, Lai N-K, Tyan Y-S, Tsai H-Y. Bismuth Shield Affecting CT Image Quality and Radiation Dose in Adjacent and Distant Zones Relative to Shielding Surface: A Phantom Study. Biomedical Journal. 2019;42:3
Qu X, Li G, Zhang Z, Ma X. Thyroid Shield for Radiation Dose Reduction during Cone Beam Computed Tomography Scanning for Different Oral and Maxillofacial Regions. European Journal of Radiology. 2012;81:376-380.
Chaudhry M, Jayaprakash K, Shivalingesh KK, Agarwal V, Gupta B, Anand R, et al. Oral Radiology Safety Standards Adopted by the General Dentists Practicing in National Capital Region (NCR). Journal of Clinical and Diagnostic Research. 2016;10(1):42-45.
Hafezi L, Arianezhad SM, Pooya SMH. Evaluation of the Radiation Dose in the Thyroid Gland Using Different Protective Collars in Panoramic Imaging. Dentomaxillofacial Radiology. 2018;47:1-5.
Hoogeveen RC, Hazenoot B, Sanderink GCH, Berkhout WER. The Value of Thyroid Shielding in Intraoral Radiography. Dentomaxillofacial Radiology. 2016;45:1-6.
Han G-S, Cheng J-G, Li G, Ma X-C. ) Shielding Effect of Thyroid Collar for Digital Panoramic Radiography. Dentomaxillofacial Radiology. 2013;42:1-6.
Sansare KP, Khanna V, Karjodkar F. Utility of Thyroid Collars in Cephalometric Radiography. Dentomaxillofacial Radiology. 2011;40:471-475.
Shahab S, Kavosi A, Nazarinia H, Mehralizadeh S, Mohammadpour M, Emami M. Compliance of Iranian Dentists with Safety Standards of Oral Radiology. Dentomaxillofacial Radology. 2012;41:159-164.
Esmaeili EP, Ekholm M, Haukka J, Evӓlahti M, Waltimo-Sirén J. Are Children’s Dental Panoramic Tomographs and Lateral Cephalometric Radiographs Sufficiently Optimized? Eroupean Journal of Orthodontics. 2016;38(1):103-110.
Williams L, Adams C. Computed Tomography on The Head: An Experimental Study to Investigate The Effectiveness of Lead Shielding during Three Scanning Protocols. Radiography. 2006;12:143-152.
White SC, Pharoah MJ. Oral Radiology Principles and Interpretation. 7th Edition. St. Louis: Elsevier Mosby; 2014. p.27,35-36.
Alcaraz M, García-Vera MC, Bravo LA, Martínez-Beneyto Y, Armero D, Morant JJ, et al. Collimator with Filtration Compensator: Clinical Adaptation to Meet Eroupean Union Recommendation 4F on Radiological Protection for Dental Radiography. Dentomaxillofacial Radiology. 2009;38:413-420.
Worrall M, Menhinick A, Thomson DJ. The Use of A Thyroid Shield for Intraoral Anterior Oblique Occlusal Views---A Risk-Based Approach. Dentomaxillofacial Radiology. 2018;47:1-11.
Fakhoury E, Provencher, J-A, Subramaniam, R, Finlay, DJ. Not All Leightweight Lead Apron and Thyroid Shield Are Alike. Journal of Vascular Surgery. 2018:1-5.
Hidalgo A, Davies J, Horner K, Theodorakou C. Effectiveness of Thyroid Gland Shielding in Dental CBCT Using A Paediatric Anthropomorphic Phantom. Dentomaxillofacial Radiology. 2015;44:1-8.
Kelaranta A, Ekholm M, Toroi P, Kortesniemi M. Radiation Exposure to Foetus and Breasts from Dental X-Ray Examinations: Effect of Lead Shields. Dentomaxillofacial Radiology. 2016;45:1-9.
Wiechmann D, Decker A, Hohoff A, Kleinheinz J, Stamm T. The Influence of Lead Thyroid Collars on Cephalometric Landmark Identification. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(4):560-568.
Aytugar E, Kose TE, Gumru B, Aytugar TB, Yasar D, Cene E, et al. Are Bismuth Shields Useful in Dentomaxillofacial Radiology Practice for The Protection of Eyes and Thyroid Glands from Ionizing Radiation? Iran J Radiol. 2018;15(3):1-6.
Schulze RKW, Sazgar M, Karle H, Gala HdlH. Influence of A Commercial Lead Apron on Patient Skin Dose Delivered During Oral and Maxillofacial Examinations Under Cone Beam Computed Tomography (CBCT). Health Phys. 2017;113(2):129-134.
Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose Reduction in Maxillofacial Imaging Using Low Dose Cone Beam CT. European Journal of Radiology. 2005;56:413-417.
Attaia D, Ting S, Johnson B, Masoud MI, El-Sadat SA, El-Fotouh MA, et al. Dose Reduction in Head and Neck Organs through Shielding and Application of Different Scanning Parameters in CBCT: An Effective Dose Study Using An Adult Male Anthropomorphic Phantom. Oral Surgey Oral Medicine Oral Pathology Oral Radiology. 2019.
Soares MR, Santos WS, Neves LP, Perini AP, Batista WOG, Maia AF, et al. The Use of Personal Protection Equipment for The Absorbed Doses of Eye Lens and Thyroid Gland in CBCT Exams Using Monte Carlo. Radiation Physics and Chemistry. 2019:1-6.
Eskandarlou A, Sani KG-K, Mehdizadeh AR. Radiation Protection Principles Observance in Iranian Dental Schools. Iran. J. Radiant. Res. 2010;8(1):51-57.
Lee B-D, Ludlow JB. Attitude of The Korean Dentists towards Radiation Safety and Selection Criteria. Imaging Science in Dentistry. 2013;43:179-184.
Goren AD, Prins RD, Dauer LT, Quinn B, Al-Najjar A, Faber RD, et al. Effect of Leaded Glasses and Thyroid Shielding on Cone Beam CT Radiation Dose in An Adult Female Phantom. Dentomaxillofacial Radiology. 2013;42:1-7.
Haghani J, Raoof M, Rad M, Torabi-Parizi M, Lotfi S. Evaluation of X-Ray Protective Shielding used in Dental Offices in Kerman, Iran, in 2014. J Oral Health Oral Epidemiol. 2017;6(1):27-32.
Ihle IR, Neibling E, Albrecht K, Treston H, Sholapurkar A. Investigation of Radiation-Protection Knowledge, Attitudes, and Practices of North Queensland Dentists. J Invest Clin Dent. 2019;10(12374):1-9.
Anissi HD, Geibel MA. Intraoral Radiology in General Dental Practices – A Comparison of Digital and Film-Based X-Ray Systems with Regard to Radiation Protection and Dose Reduction. Fortschr Röntgenstr. 2014;186:762-767.
Ridzwan SFM, Bhoo-Pathy N, Isahak M, Wee LH. Perceptions on Radioprotective Garment Usage and Underlying Reasons fo Non-Adherence Among Medical Radiation Workers from Public Hospitals in A Middle-Income Asian Setting: A Qualitative Exploration. Heliyon. 2019;5:1-8.
Signorelli L, Patcas R, Peltomӓki T, Schӓtzle M. Radiation Dose of Cone-Beam Computed Tomography Compared to Coventional Radiographs in Orthodontics. J Orofac Orthop. 2016;77:9-15.
Almohaimede AA, Bendahmash MW, Dhafr FM, Awwad AF, Al-Madi EM. Knowledge, Attitude, and Practice (KAP) of Radiographic Protection by Dental Undergraduate and Endodontic Postgraduate Students, General Practitioners, and Endodontists. Hindawi International Journal of Dentistry. 2020:1-8.
Patcas R, Signorelli L, Peltomӓki T, Schӓtzle M. Is The Use of The Cervical Vertebrae Maturation Method Justified to Determine Skeletal Age? A Comparison of Radiation Dose of Two Strategies for Skeletal Age Estimation. European Journal of Orthodontics. 2013;35:604-609.
Artitin C, Harahap WA, Ellyanti A. Pengukuran Dosis Radiasi pada Organ Tiroid dan Mata saat Pemeriksaan Fluroskopi. Jurnal Kesehatan Andalas. 2018;7(4):18-21.
Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th Edition. Philadelphia: Churchill Livingstone Elsevier; 2013. p.67-68.
Memon A, Godward S, Williams D, Siddique I, Al-Saleh K. Dental X-Rays and The Risk of Thyroid Cancer: A Case-Control Study. Acta Oncologica. 2010;49(4):447-453.
Hujoel P, Hollender L, Bollen AM, Young JD, Cunha-Cruz J, McGee M, et al. Thyroid Shield and Neck Exposures in Cephalometric Radiography. BMC Medical Imaging. 2006;6(6):1-7.
Liao Y-L, Lai N-K, Tyan Y-S, Tsai H-Y. Bismuth Shield Affecting CT Image Quality and Radiation Dose in Adjacent and Distant Zones Relative to Shielding Surface: A Phantom Study. Biomedical Journal. 2019;42:3
Qu X, Li G, Zhang Z, Ma X. Thyroid Shield for Radiation Dose Reduction during Cone Beam Computed Tomography Scanning for Different Oral and Maxillofacial Regions. European Journal of Radiology. 2012;81:376-380.
Chaudhry M, Jayaprakash K, Shivalingesh KK, Agarwal V, Gupta B, Anand R, et al. Oral Radiology Safety Standards Adopted by the General Dentists Practicing in National Capital Region (NCR). Journal of Clinical and Diagnostic Research. 2016;10(1):42-45.
Hafezi L, Arianezhad SM, Pooya SMH. Evaluation of the Radiation Dose in the Thyroid Gland Using Different Protective Collars in Panoramic Imaging. Dentomaxillofacial Radiology. 2018;47:1-5.
Hoogeveen RC, Hazenoot B, Sanderink GCH, Berkhout WER. The Value of Thyroid Shielding in Intraoral Radiography. Dentomaxillofacial Radiology. 2016;45:1-6.
Han G-S, Cheng J-G, Li G, Ma X-C. ) Shielding Effect of Thyroid Collar for Digital Panoramic Radiography. Dentomaxillofacial Radiology. 2013;42:1-6.
Sansare KP, Khanna V, Karjodkar F. Utility of Thyroid Collars in Cephalometric Radiography. Dentomaxillofacial Radiology. 2011;40:471-475.
Shahab S, Kavosi A, Nazarinia H, Mehralizadeh S, Mohammadpour M, Emami M. Compliance of Iranian Dentists with Safety Standards of Oral Radiology. Dentomaxillofacial Radology. 2012;41:159-164.
Esmaeili EP, Ekholm M, Haukka J, Evӓlahti M, Waltimo-Sirén J. Are Children’s Dental Panoramic Tomographs and Lateral Cephalometric Radiographs Sufficiently Optimized? Eroupean Journal of Orthodontics. 2016;38(1):103-110.
Williams L, Adams C. Computed Tomography on The Head: An Experimental Study to Investigate The Effectiveness of Lead Shielding during Three Scanning Protocols. Radiography. 2006;12:143-152.
White SC, Pharoah MJ. Oral Radiology Principles and Interpretation. 7th Edition. St. Louis: Elsevier Mosby; 2014. p.27,35-36.
Alcaraz M, García-Vera MC, Bravo LA, Martínez-Beneyto Y, Armero D, Morant JJ, et al. Collimator with Filtration Compensator: Clinical Adaptation to Meet Eroupean Union Recommendation 4F on Radiological Protection for Dental Radiography. Dentomaxillofacial Radiology. 2009;38:413-420.
Worrall M, Menhinick A, Thomson DJ. The Use of A Thyroid Shield for Intraoral Anterior Oblique Occlusal Views---A Risk-Based Approach. Dentomaxillofacial Radiology. 2018;47:1-11.
Fakhoury E, Provencher, J-A, Subramaniam, R, Finlay, DJ. Not All Leightweight Lead Apron and Thyroid Shield Are Alike. Journal of Vascular Surgery. 2018:1-5.
Hidalgo A, Davies J, Horner K, Theodorakou C. Effectiveness of Thyroid Gland Shielding in Dental CBCT Using A Paediatric Anthropomorphic Phantom. Dentomaxillofacial Radiology. 2015;44:1-8.
Kelaranta A, Ekholm M, Toroi P, Kortesniemi M. Radiation Exposure to Foetus and Breasts from Dental X-Ray Examinations: Effect of Lead Shields. Dentomaxillofacial Radiology. 2016;45:1-9.
Wiechmann D, Decker A, Hohoff A, Kleinheinz J, Stamm T. The Influence of Lead Thyroid Collars on Cephalometric Landmark Identification. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(4):560-568.
Aytugar E, Kose TE, Gumru B, Aytugar TB, Yasar D, Cene E, et al. Are Bismuth Shields Useful in Dentomaxillofacial Radiology Practice for The Protection of Eyes and Thyroid Glands from Ionizing Radiation? Iran J Radiol. 2018;15(3):1-6.
Schulze RKW, Sazgar M, Karle H, Gala HdlH. Influence of A Commercial Lead Apron on Patient Skin Dose Delivered During Oral and Maxillofacial Examinations Under Cone Beam Computed Tomography (CBCT). Health Phys. 2017;113(2):129-134.
Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose Reduction in Maxillofacial Imaging Using Low Dose Cone Beam CT. European Journal of Radiology. 2005;56:413-417.
Attaia D, Ting S, Johnson B, Masoud MI, El-Sadat SA, El-Fotouh MA, et al. Dose Reduction in Head and Neck Organs through Shielding and Application of Different Scanning Parameters in CBCT: An Effective Dose Study Using An Adult Male Anthropomorphic Phantom. Oral Surgey Oral Medicine Oral Pathology Oral Radiology. 2019.
Soares MR, Santos WS, Neves LP, Perini AP, Batista WOG, Maia AF, et al. The Use of Personal Protection Equipment for The Absorbed Doses of Eye Lens and Thyroid Gland in CBCT Exams Using Monte Carlo. Radiation Physics and Chemistry. 2019:1-6.
Eskandarlou A, Sani KG-K, Mehdizadeh AR. Radiation Protection Principles Observance in Iranian Dental Schools. Iran. J. Radiant. Res. 2010;8(1):51-57.
Lee B-D, Ludlow JB. Attitude of The Korean Dentists towards Radiation Safety and Selection Criteria. Imaging Science in Dentistry. 2013;43:179-184.
Goren AD, Prins RD, Dauer LT, Quinn B, Al-Najjar A, Faber RD, et al. Effect of Leaded Glasses and Thyroid Shielding on Cone Beam CT Radiation Dose in An Adult Female Phantom. Dentomaxillofacial Radiology. 2013;42:1-7.
Haghani J, Raoof M, Rad M, Torabi-Parizi M, Lotfi S. Evaluation of X-Ray Protective Shielding used in Dental Offices in Kerman, Iran, in 2014. J Oral Health Oral Epidemiol. 2017;6(1):27-32.
Ihle IR, Neibling E, Albrecht K, Treston H, Sholapurkar A. Investigation of Radiation-Protection Knowledge, Attitudes, and Practices of North Queensland Dentists. J Invest Clin Dent. 2019;10(12374):1-9.
Anissi HD, Geibel MA. Intraoral Radiology in General Dental Practices – A Comparison of Digital and Film-Based X-Ray Systems with Regard to Radiation Protection and Dose Reduction. Fortschr Röntgenstr. 2014;186:762-767.
Ridzwan SFM, Bhoo-Pathy N, Isahak M, Wee LH. Perceptions on Radioprotective Garment Usage and Underlying Reasons fo Non-Adherence Among Medical Radiation Workers from Public Hospitals in A Middle-Income Asian Setting: A Qualitative Exploration. Heliyon. 2019;5:1-8.
Published
2020-12-30
How to Cite
LUBIS, Muhammad Yusuf; YANUARYSKA, Ryna Dwi; WIDYANINGRUM, Rini.
Fungsi pelindung tiroid dan persepsi dokter gigi terhadap penggunaannya pada teknik radiografi sefalometri dan CBCT.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 4, n. 3, p. 105-110, dec. 2020.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/615>. Date accessed: 25 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v4i3.615.
Section
Review Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
