Author:
Smaglyuk L.V.,Liakhovska A.V.,Smaglyuk V.I.,Trofymenko M.I.
Abstract
Introduction. One of the main auxiliary methods for making a final diagnosis and choosing treatment plan in the clinical practice of an orthodontist is X-ray, which can be used at all stages of dental rehabilitation. The purpose of this study is to elaborate and justify the criteria for a personalized approach in planning X-ray examination of orthodontic patients based on literary analysis and own clinical experience. Materials and methods. We conducted a thorough examination of relevant literature using key words such as X-ray methods, dentistry, orthodontics, orthopantomogram, cephalometric analysis, cone-beam computed tomography, and ionizing radiation. We performed a retrospective analysis of 1054 medical records of patients received treatment for the period from 2020 to 2023. Special attention was given to the prescribed type of X-ray examinations and findings obtained. Results. Our analysis encompassed an examination of legal documents governing the radiation safety of Ukrainian citizens, including the optimal annual dose resulting from medical examinations or treatments. We conducted a comparative assessment of ionizing radiation levels in patients undergoing various types of X-ray examinations using commonly employed X-ray equipment. We established indications and visualization zones for each radiological examination method utilized in orthodontic cases, comprising 2-D techniques (orthopantomogram, teleroentgenogram of the head in direct and lateral projections) and 3-D methods (cone-beam computed tomography of the segment, jaw, and the facial region of the skull). Conclusion. The personalized approach criteria encompass selecting an area of special interest based on clinical assessments, the capacity to analyze and determine the sequence of treatment measures through an analysis of the acquired data, and a deep understanding of radiation safety principles for the well-being of patients.
Publisher
Ukrainian Medical Stomatological Academy
Subject
General Materials Science
Reference20 articles.
1. Babkina TM, Storozhchuk YuO. Otsinka vyboru radiolohichnoho metodu obstezhennia patsiientiv iz anomaliiamy spivvidnoshennia zubnykh duh i polozhennia zubiv ta prohnoz ryzyku vynyknennia povtornoho obstezhennia [Evaluation of the prescription of X-ray method for examination of patients with anomalies of dental arches relationship and teeth position and prediction of the risk of re-examination]. Modern engineering and innovative technologies.2020;13(3):118-127. (Ukrainian).
2. Sokolova II, Udovychenko NM, Herman SI. Renthenohrafichni doslidzhennia v stomatolohii: rekomendatsii dlia vidboru patsiientiv i obmezhennia radiatsiinoho vplyvu: navchalno-metodychnyi posibnyk dlia likariv-interniv za spetsialnistiu "Stomatolohiia" ta likariv-stomatolohiv [X-ray studies in dentistry: recommendations for selection of patients and limitation of radiological exposure]. Kharkiv; 2020. 64 p. (Ukrainian).
3. Smaglyuk LV, Voronkova HV, Karasiunok AIe, Liakhovska AV, Smaglyuk VI. Vzaiemozviazok mizh zubo-shchelepnymy anomaliiamy i zahalnosomatychnym stanom liudyny (ohliad literatury) [Relationship between malocclusion and general state of a person (literature review)]. Ukrainskyi stomatolohichnyi almanakh. 2019; 4:45-51. (Ukrainian).
4. Stasiuk OA, Vyzhenko YeIe, Sokolohorska-Nykina YuK, Kuroiedova VD. Vzaiemozviazok patolohii prykusu II klasu ta verkhnikh dykhalnykh shliakhiv [Relationship between malocclusion of the II Class and upper airways]. Aktualni problemy suchasnoi medytsyny: Visnyk Ukrainskoi medychnoi stomatolohichnoi akademii. 2021; 3(75):173-177. (Ukrainian).
5. Colceriu-Şimon IM, Băciuţ M, Ştiufiuc RI, et al. Clinical indications and radiation doses of cone beam computed tomography in orthodontics. Med Pharm Rep. 2019 Oct;92(4):346-351.