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Radiobiological risks following dentomaxillofacial imaging: should we be concerned?
Niels Belmans1,2, Anne Caroline Oenning3, Benjamin Salmon4,5
1Belgian Nuclear Research Centre (SCK CEN), Radiobiology Unit, Boeretang 200, Mol, Belgium.
This review examines biological effects from diagnostic dentomaxillofacial radiology (DMFR). Future strategies require personalized medicine approaches for radiation protection in dental imaging.
Area of Science:
- Radiology
- Oral Medicine
- Radiation Biology
Background:
- Diagnostic dentomaxillofacial radiology (DMFR) utilizes X-ray imaging.
- Understanding biological effects is crucial for patient safety.
Purpose of the Study:
- To review studies on prospective biological effects in patients undergoing DMFR.
- To assess radiobiological outcomes of DMFR compared to other imaging.
Main Methods:
- Systematic literature search for studies on radiobiological effects of DMFR.
- Inclusion of studies on X-ray imaging in the dentomaxillofacial area.
- Consideration of radiobiological outcomes from other imaging modalities.
Main Results:
- High variability in radiobiological assessment methods and radiation dose measures complicates study comparisons.
- Most DMFR studies focus on genotoxicity and cytotoxicity, often with methodological weaknesses.
- Limited evidence exists for Cone Beam CT (CBCT), with scarce comparative data for adults and children.
Conclusions:
- Future research should focus on patient-specific measures, considering factors like age and gender.
- Personalized medicine approaches are essential for optimizing radioprotection strategies.
- Tailoring imaging protocols based on radiobiological variables will enhance patient safety.
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