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Related Experiment Videos

Assessing the FDA guidelines for ordering dental radiographs

K A Atchison1, S C White, V F Flack

  • 1University of California, Los Angeles, School of Dentistry, Section of Public Health Dentistry 90095-1668, USA.

Journal of the American Dental Association (1939)
|October 1, 1995
PubMed
Summary

Dentists can reduce patient X-ray exposure by 43% using U.S. Food and Drug Administration (FDA) guidelines. This approach maintains care quality while minimizing unnecessary dental radiographs.

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Area of Science:

  • Radiology
  • Dental Public Health

Background:

  • The U.S. Food and Drug Administration (FDA) established guidelines in 1988 to reduce patient radiation exposure from dental X-rays.
  • Adherence to these guidelines aims to maintain diagnostic quality while minimizing unnecessary radiation exposure.

Purpose of the Study:

  • To evaluate the effectiveness of the 1988 FDA guidelines in reducing dental radiography frequency.
  • To assess the impact of guideline-based radiography selection on diagnostic findings.

Main Methods:

  • A study involving 490 patients was conducted.
  • Radiographs were ordered based on the established FDA guidelines.
  • The number of radiographs prescribed was compared to a standard full-mouth series.

Main Results:

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  • Dentists prescribed an average of 9.7 radiographs per patient, a 43% reduction from a full 17-film series.
  • A low rate of missed radiographic findings was observed.
  • Most missed findings had no impact on patient treatment decisions.

Conclusions:

  • The FDA guidelines are effective in significantly reducing patient X-ray exposure in dental settings.
  • Implementing these guidelines allows for decreased radiation dose without compromising essential diagnostic information or treatment planning.