References

Frequency and Collective Dose for Medical and Dental X-ray Examinations in the UK, 2008. 2010. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/340154/HPA-CRCE-012_for_website.pdf (accessed May 2021)
Health and Safety Executive. Working with ionizing radiation. The Ionising Radiations Regulations 2017. Approved Code of Practice and guidance. 2018. https://www.hse.gov.uk/pubns/books/l121.htm (accessed May 2021)
Department of Health and Social Care. The Ionising Radiation (Medical Exposure) Regulations 2017. 2017. http://www.legislation.gov.uk/uksi/2017/1322/made (accessed May 2021)
Selection criteria for dental radiography standards. 2018. http://www.fgdp.org.uk/selection-criteria-dental-radiography (accessed May 2021)
Public Health England. Ionising radiation: dose comparisons. 2011. http://www.gov.uk/government/publications/ionising-radiation-dose-comparisons/ionising-radiation-dose-comparisons (accessed May 2021)
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An update on radiation protection and the ionizing radiation regulations

From Volume 48, Issue 6, June 2021 | Pages 443-448

Authors

Lee W Feinberg

BDS (Hons), MFDS RCS, DDMFR RCR, PGCLTHE

Consultant in Dental and Maxillofacial Radiology, Kings College Dental Hospital.

Articles by Lee W Feinberg

Paul P Nixon

BDS, FDSRCS(Eng), DDRRCR

Consultant in Maxillofacial Radiology, Department of Radiology, Liverpool University Dental Hospital and the Royal Liverpool University Hospital

Articles by Paul P Nixon

Abstract

In this article, the risks associated with dental X-ray examinations, the doses from different types of dental x-ray examinations, the principles of radiation protection and the key points set out in the IRR 17 and IRMER 17 legislation, with emphasis on the relevant changes between these new sets of legislation and the preceding IRR 99 and IRMER 2000 legislation, are considered.

CPD/Clinical Relevance: An update and overview for the dental team on radiation protection and the relevant legislation.

Article

Radiographs are an essential part of dentistry. It is important to remember that although there are risks associated with radiation exposure, the risks from individual dental radiographs are extremely low. Patients should be reassured that this is a safe technique. However, as a profession, in any given year, we undertake a very high volume of radiographs. In 2008, it was estimated that 20.5 million dental radiographs were taken per year in general dental practice in the UK. This is almost a quarter of all X-ray examinations taken per year in the UK.1 The cumulative risk is therefore potentially significant. As a profession, it is essential that we take measures to protect ourselves and our patients. We have a legal obligation to do this as set out in the Ionising Radiation Regulations 2017 (IRR 17)2 and the Ionising Radiation Medical Exposure Regulations 2017 (IRMER 17).3

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