Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Effects of Radiation Exposure - Lecture Notes | DEA 125, Study notes of Dental Radiology

Material Type: Notes; Class: Dental Radiography; Subject: Dental Assisting; University: Front Range Community College; Term: Unknown 1989;

Typology: Study notes

Pre 2010

Uploaded on 08/05/2009

koofers-user-5xt
koofers-user-5xt 🇺🇸

10 documents

1 / 5

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
DEA 125
Radiology I
Effects of Radiation Exposure
At the completion of this lesson, the student will with at least 70% accuracy on a written
and/or oral exam and 100% accuracy on a performance evaluation:
1. Define key words
2. Compare the theories of biological damage and the possible effect of radiation
on somatic and genetic cells.
3. Identify the body of cells in the order of their radiosensitivity.
4. Identify the factors that determine radiation injuries.
5. List the sequence of events that may follow exposure to radiation.
6. Identify the three areas in the head and neck that are most affected by
radiation.
7. List the possible short and long term effects of irradiation.
8. Discuss the risk versus benefits of dental radiation therapy.
I. Introduction
A. Radiation has the ability to detach and remove electric
charges from the complex atoms that make up the molecules
of body tissues.
B. This process creates an electrical imbalance within the
normally stable cells. This process is known as ionization.
C. During ionization, the balance of cell structure is altered and
the cell may be damaged or destroyed.
II. Concerns with Potential Radiation Effects
A. Patients are concerned with safety as well as the federal
government
1. 1981—passage of the Consumer-Patient Radiation
Health and Safety Act due to the Three Mile Island
accident.
2. Some concern is warranted but a lot is unsubstantiated.
B. Radiation can occur either naturally or be man-made.
C. Most somatic (body) cells have a recovery rate of 75% w/in
the 1st 24 hrs.
D. The most important thing the operator must consider when
exposing radiation is the quantity and the duration of the
exposure and the body area to be exposed.
E. Radiation exposure is accumulative w/ ea. Exposure
increasing the negative effects
F. Radiation may also alter the genetic material in the
reproductive cells so that mutations may occur
G. There have been no reports of radiation injuries caused
by normal dental radiagraphs.
JD DEA 125 RADIATION EXPOSURE
pf3
pf4
pf5

Partial preview of the text

Download Effects of Radiation Exposure - Lecture Notes | DEA 125 and more Study notes Dental Radiology in PDF only on Docsity!

DEA 125

Radiology I Effects of Radiation Exposure At the completion of this lesson, the student will with at least 70% accuracy on a written and/or oral exam and 100% accuracy on a performance evaluation:

  1. Define key words
  2. Compare the theories of biological damage and the possible effect of radiation on somatic and genetic cells.
  3. Identify the body of cells in the order of their radiosensitivity.
  4. Identify the factors that determine radiation injuries.
  5. List the sequence of events that may follow exposure to radiation.
  6. Identify the three areas in the head and neck that are most affected by radiation.
  7. List the possible short and long term effects of irradiation.
  8. Discuss the risk versus benefits of dental radiation therapy. I. Introduction A. Radiation has the ability to detach and remove electric charges from the complex atoms that make up the molecules of body tissues. B. This process creates an electrical imbalance within the normally stable cells. This process is known as ionization. C. During ionization, the balance of cell structure is altered and the cell may be damaged or destroyed. II. Concerns with Potential Radiation Effects A. Patients are concerned with safety as well as the federal government
  9. 1981—passage of the Consumer-Patient Radiation Health and Safety Act due to the Three Mile Island accident.
  10. Some concern is warranted but a lot is unsubstantiated. B. Radiation can occur either naturally or be man-made. C. Most somatic (body) cells have a recovery rate of 75% w/in the 1st^ 24 hrs. D. The most important thing the operator must consider when exposing radiation is the quantity and the duration of the exposure and the body area to be exposed. E. Radiation exposure is accumulative w/ ea. Exposure increasing the negative effects F. Radiation may also alter the genetic material in the reproductive cells so that mutations may occur G. There have been no reports of radiation injuries caused by normal dental radiagraphs.

III. Theories of Biological Effects Mechanisms A. Two Theories

  1. Direct-hit or target theory
  2. Indirect- action or poison water theory
  3. Regardless of which theory you believe in, the final outcome is that radiation damages tissue B. Direct Hit Theory—x-rays photons collide w/ important cell chemicals and break them apart by ionization and causes damage to lg molecules. C. Indirect-action—based on the assumption that radiation causes damage to the cell by ionizing the water within the cell. IV. Cell Sensitivity to Radiation Exposure A. Cells are most sensitive during mitosis B. Not all cells are equally sensitive to radiation C. The Law of B and T
  4. States the radiosensitivity of cells and tissues is directly proportional to their reproductive capacity and inversely proportional to their degree of differentiation.
  5. 1 st^ half of law states that actively dividing cells such as white blood cells, are more sensitive than slowing dividing cells.
  6. 2 nd^ half of law states the more specialized a cell is, the more radioresistant the cell.
  7. Based on this law, we can rank cells in descending order of radiosensitivity.
  8. Lymphocytes, erythrocytes and immature reproductive cells are highly sensitive while nerve cells; brain cells and muscle cells are low sensitivity. D. Dose-response curve
  9. Plotting the dosage administered with the response or damage produced.
  10. This plot is called the doe-response curve
  11. Difficult to determine the radiation effects at low levels of exposure.
  12. Therefore, it is based to take the conservative approach and consider all radiation is damaging.
  13. ALARA—the concept that guides all safety guidelines in dentistry. V. Determining Radiation Injury A. 8 factors determine the amount of radiation injury; total dose, dose rate, area exposed, variation in species, individual
  1. If a pt receives over 1.0 grays, whole-body, in a short period of time the effects collectively are known as the acute radiation syndrome (ARS).
  2. Symptoms include: nausea, vomiting, diarrhea, hemorrhage and hair loss. C. Long-term Effect
  3. Those effects seen yrs after the original exposure.
  4. From the public health point of view, this is what we should be concern with in dentistry.
  5. Most long-term effects have mostly been somatic damage.
  6. Long-term effects may also include: increased incidence of cancer, embryological defects, cataracts, life-span shortening and genetic mutations.
  7. The first 4 are somatic and only involve the individual being exposed. D. Risk Estimates
  8. Defined as the likelihood of injury or death from some hazard.
  9. For dental radiography the risk is radiation-induced cancer.
  10. The questions that must be asked every time is: Is the risk greater than the benefit? VII. Effects of Oral Radiation Therapy A. The exposure used in dentistry is so minimal that unless repeated hundreds of time in rapid succession, it will be virtually impossible to create the conditions mentioned. B. During radiation therapy of 6 wks or greater, the pt may receive doses of 2 grays daily for 5 days/wk at eh site of the malignancy for a localized dose of 60 grays. C. Most radiation treatment is local dose NOT whole body dose. D. Oral radiation is being used more frequently in the treatment of oral cancer. E. The dental team should be aware of complications that can happen with oral radiation for cancer. F. Complication can be seen any time after the initiation of radiation therapy up to 5 yrs post treatment. G. Complications are in three stages
  11. acute—during the first 6 mos of treatment
  12. subacute—during the second 6 mos
  13. chronic clinical period—from the end of the second 6 mos through the fifth yr. H. An increase of discomfort and emotional stress is experienced by the pt during the acute stage.

I. Complications include: sensitivity and discomfort to the touch in and around the mouth, lost of appetite and sense of taste, saliva is thick and ropy, xerostomia, dysphagia, the tongue maybe swollen along with the throat feeling congested. J. The major concern is what to do when the need arises to expose the pt is dental radiographs during those first 5 years. VIII. Evaluation Written test at a later date