A pt who is ___________ ___________ the use of x-rays is more likely to realized the benefit of dental radiographs, accept the perscribed treatment, and to follow prevention patterns
What are 3 ways a dental radiographer can accomplish pt education about radiographs?
- oral presentation
- printed literature
What type of pt education enhances pt comprehension?
use of visual aids
What is the most effective way of educating pts about radiographs?
combination of oral presentation and printed literature
Necessity question: Are dental x-rays really necessary?
yes; without x-rays, conditions may go unnoticed for a long period of time; and x-rays are always taken to benefit you
Necessity question: how often should I have x-rays?
the dentist decides based on individual needs
Necessity question: How often should x-rays be taken on kids?
based on the need of the individual child
Necessity question: can I refuse x-rays and still be treated?
no; the standard of care requires that the dentist refuse to treat if you refuse x-rays, it is considered negligent, and legally you cannot consent to negligent care
Necessity question: instead of taking x-rays can you use the x-rays from my previous dentist?
yes; providing they are recent enough and acceptable of diagnostic quality
Exposure question: How are x-rays measured?
special units are used; the radiation that reaches ths surface of the skin is measured with Roentgen units. The unit for the amount of energy absorbed is measured in rad units or radiation absorbed dose. During dental radiation, very small quantities of radiation are used
Exposure question: how much radiation will I recieve from dental x-rays?
No amount of radiation is safe, but we follow strict guidelines to limit the amount you recieve. We custom order your x-rays based on your needs, and we use a lead apron. We also use proper technique. The amount of x-rays to cause skin cancer is not possible with dental x-ray equipment
Exposure question: Why do you use a lead apron?
as a shield to prevent scatter radiation from reaching radiosensitive organs
Exposure question: Should dental x-rays be taken during pregnancy?
There is no detectable exposure to the embryo or fetus with the use of a lead apron, and the ADA has recommended that guidelines do not need to be altered because of pregnancy; many dentists do opt to wait til after owing to the concern of the pt
Exposure question: why do you leave the room when taking x-rays?
When you are exposed to x-rays you recieve the diagnostic benefit of the radiographs, I do not recieve any benefit, and you should not be exposed to x-rays if you do not benefit from it
Safety question: Are dental x-rays safe?
All x-rays are harmful to living tissue, but the amount of radiation in dentistry is small - but biologic damage does still occur. No amount of radiation is safe, so x-rays are only prescribed when the benefit of disease detection outweighs the risk of harm
Safety question: will dental x-rays cause cancer?
there is not a single recorded case of a pt's developing cancer from diagnostic x-rays. The amount of exposure in dentistry is very small, and the risk of a person developing cancer spontaneously is much higher
Miscellaneous question: Can a pano be taken instead of a complete series?
no; it does not clearly reveal changes in teeth like tooth decay, or the details of the supporting bone
Miscellaneous question: Who owns my radiographs?
the dentist; you have the privilege of access to them, you can request a copy. Original copies are kept as a part of your pt record though
Most states law is that the dental x-ray equipment should be inspected every _______
policies and procedures that should be followed by the detnal radiographer to reduce the chances that a pt will file legal action against the radiographer or dentist
the process of informing the pt about the particulars of exposing dental radiographs
consent given by a pt following complete discosure
Lack of consent may be shown by what?
- complete lack of consent from pt
- consent obtained from someone who doesn't have the right to give it
- obtained from someone under the influence of drugs or alcohol (including nitrous)
- under duress
- after incomplete disclosure
- misrepresentation or fraudulent means
recognized elements of informed consent include:
- purpose and benefits
- person responsible for exposing
- number and type of films
- possible harm that may result
- risks associated with exposure
- alternative aids that may serve the same purpose
results when the dental practitioner is negligent in the delivery of dental care
when does negligence occur in the dental office?
when the diagnosis make or the treatment delivered falls below the standard of care
time period during which a pt may bring a malpractice action against the dentist or auxillary
statute of limitations