Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 1
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Radiation Biology
Chapter 4
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Slide 2
Learning Objectives
Lesson 4.1: Radiation Biology
1. Define the terms associated with radiation injury.
2. Describe the mechanisms and theories of
radiation injury.
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Learning Objectives
Lesson 4.1: Radiation Biology (Cont.)
6. Describe the effects of radiation exposure on
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 4
Introduction
Purpose
To describe the mechanisms and theories of
radiation injury
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Radiation Injury
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Mechanisms of Injury
Some x-rays do not reach the dental x-ray
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 7
Ionization
Results when x-rays strike patient tissue
Produced through the photoelectric effect or
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Free Radical Formation
Cell damage occurs primarily through
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Theories of Radiation Injury
Damage to living tissue caused by exposure
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 10
Direct Theory
Cell damage results when ionizing radiation
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Indirect Theory
X-ray photons are absorbed within the cell
and cause the formation of toxins, which in
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Dose-Response Curve
Curve is used to correlate the damage to
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 13
Stochastic and Nonstochastic
Radiation Effects
Stochastic effects
A direct function of the dose
No dose threshold; effects do not depend on the
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Sequence of Radiation Injury
Latent period
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Sequence of Radiation Injury (Cont.)
Recovery period
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 16
Determining Factors for Radiation Injury
Total dose
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Radiation Effects
Short- and long-term effects
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Short- and Long-Term Effects
Short-term effects
Associated with large doses of radiation in a short
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 19
Somatic and Genetic Effects
Somatic cells
All cells in the body except the reproductive cells
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Somatic and Genetic Effects (Cont.)
Somatic effects
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Radiation Effects on Cells
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 22
Radiation Effects
on Tissues and Organs
Radiosensitive organs
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Slide 23
Copyright © 2017, Elsevier Inc. All Rights Reserved.
Radiation Effects
on Tissues and Organs (Cont.)
Critical organ
An organ that, if damaged, diminishes the quality
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Radiation Measurements
Units of measurement
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 25
Units of Measurement
Traditional (older) units of radiation
measurement
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Exposure Measurement
Roentgen
Roentgen measures radiation by determining the
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Slide 27
Copyright © 2017, Elsevier Inc. All Rights Reserved.
Dose Measurement
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 28
Dose Equivalent Measurement
Dose equivalent measurement is used to
compare biologic effects of different kinds of
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Measurements Used in Dental Imaging
Milli means 1/1000
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Radiation Risks
Sources of radiation exposure
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 31
Sources of Radiation Exposure
Natural background radiation
A form of ionizing radiation that is ubiquitous in the
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Artificial or human-made radiation
Resulting from modern technology
Sources of Radiation Exposure (Cont.)
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Risk and Risk Estimates
The potential risk of dental radiography
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 34
Risk and Risk Estimates (Cont.)
1 in 1 million risks of a fatal outcome
10 miles on a bicycle
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Dental Radiation and Exposure Risks
Risk estimates
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Patient Exposure and Dose
Film speed
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Dental Radiography: Principles and Techniques, 5th Edition
Chapter 4 Student Handout
Slide 37
Risk versus Benefit of Dental Images
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Slide 38
Questions?
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