Impact of dental imaging on pregnant women and recommendations for fetal radiation safety: A systematic review.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Imaging Science in Dentistry Pub Date : 2024-03-01 Epub Date: 2024-01-04 DOI:10.5624/isd.20230177
Thiago Oliveira Gamba, Fernanda Visioli, Deise Renata Bringmann, Pantelis Varvaki Rados, Heraldo Luis Dias da Silveira, Isadora Luana Flores
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Abstract

Purpose: This study was conducted to investigate the safety of dental imaging in pregnant women with respect to fetal health.

Materials and methods: Searches were conducted of the PubMed, Scopus, and Web of Science databases in May 2023. The inclusion criteria encompassed cross-sectional and longitudinal studies that focused on the analysis of diagnostic dental imaging in pregnant women, as well as studies utilizing phantoms to simulate imaging examinations. The exclusion criteria consisted of reviews, letters to the editor, book chapters, and abstracts from scientific conferences and seminars.

Results: A total of 3,913 articles were identified. Based on a review of the titles and abstracts, 3,892 articles were excluded, leaving 21 articles remaining for full-text review. Of these, 18 were excluded, and 4 additional articles were included as cross-references. Ultimately, 7 articles underwent quantitative-qualitative analysis. Three retrospective studies were focused on pregnant women who underwent dental imaging procedures. The remaining 4 studies utilized female phantoms to simulate imaging examinations and represent the radiation doses absorbed by the uterus or thyroid.

Conclusion: Few dental radiology studies have been conducted to determine the safe radiation threshold for pregnant women. Additionally, the reviewed articles did not provide numbers of dental examinations, by type, corresponding to this dose. Dental imaging examinations of pregnant women should not be restricted if clinically indicated. Ultimately, practitioners must be able to justify the examination and should adhere to the "as low as diagnostically acceptable, being indication-oriented and patient-specific" (ALADAIP) principle of radioprotection.

牙科成像对孕妇的影响及胎儿辐射安全建议:系统综述。
目的:本研究旨在调查孕妇牙科成像对胎儿健康的安全性:在 2023 年 5 月对 PubMed、Scopus 和 Web of Science 数据库进行了检索。纳入标准包括侧重于分析孕妇牙科成像诊断的横断面和纵向研究,以及利用模型模拟成像检查的研究。排除标准包括综述、致编辑的信、书籍章节以及科学会议和研讨会的摘要:结果:共发现 3,913 篇文章。根据对标题和摘要的审查,共排除了 3,892 篇文章,剩下 21 篇文章进行全文审查。其中,18 篇文章被排除,另外 4 篇文章作为交叉引用被纳入。最终有 7 篇文章进行了定量-定性分析。三项回顾性研究主要针对接受牙科成像手术的孕妇。其余 4 项研究利用女性模型模拟成像检查,并代表子宫或甲状腺吸收的辐射剂量:结论:为确定孕妇的安全辐射阈值而进行的牙科放射学研究很少。结论:很少有牙科放射学研究确定孕妇的安全辐射阈值,此外,所查阅的文章也没有提供与该剂量相对应的牙科检查次数(按类型划分)。如果有临床指征,不应限制对孕妇进行牙科成像检查。归根结底,从业人员必须能够证明检查的合理性,并应遵守 "诊断上可接受的最低剂量,以适应症为导向,以患者为具体对象"(ALADAIP)的辐射防护原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Imaging Science in Dentistry
Imaging Science in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.90
自引率
11.10%
发文量
42
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