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Çocuklardaki Diş Röntgeni Deneyimleri ve Ebeveynlerin Radyasyon Hakkındaki Bilgi ve Farkındalıkları

Yıl 2024, Cilt: 13 Sayı: 3, 435 - 443, 24.09.2024
https://doi.org/10.54617/adoklinikbilimler.1310175

Öz

Özet
Amaç: Bu çalışmada çocukların geçmişe ve şimdiye ait radyografi deneyimleri ile ebeveynlerinin radyasyon ve radyasyondan korunma konusundaki bilgi ve farkındalıklarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışmaya, bir üniversite hastanesinde çocuklarına diş röntgeni çekilmesi gereken ebeveynler katılmıştır. Ebeveynlere, çocuklarının geçmişteki ve şimdiki radyolojik deneyimleri, ışınlama sırasında koruyucu önlemlerin kullanımı, radyasyonun zararlı etkileri ve korunma konusundaki bilgileri ile ilgili soruları içeren bir anket uygulanmıştır. Sonuçları istatistiksel olarak analiz etmek için ki-kare testi kullanılmıştır.
Bulgular: Çalışmaya 162 veli katılmıştır. Hastaların ortalama yaşı 8,91±2,69’dur ve %55,6'sı kızdır. Çocukların sadece %10,5'inin daha önce radyografi deneyimi olmadığı öğrenilmiştir. 11-14 yaş grubu en yüksek geçmiş radyografi deneyimine sahiptir (p=0,003). Koruyucu önlük, sırasıyla on (%8,1) ve bir (%0,06) çocukta geçmiş ve şimdiki radyografi çekimlerinde kullanılmıştır. Ağırlıklı olarak periapikal diş radyografileri 19 çocukta (%11,7) tekrarlanmıştır. Ebeveynlerin %25,9'u radyasyonun zararlı etkileri ve %6,8'i radyasyondan korunma hakkında yeterli bilgiye sahip olduğunu belirtmiştir.
Sonuç: Bu çalışma, radyasyon güvenliği ve korunması konusundaki yetersizliklerin giderilmesi gerektiğini ortaya koymuştur.

Proje Numarası

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Kaynakça

  • Vandenberghe B, Jacobs R and Bosmans H. Modern dental imaging: a review of the current technology and clinical applications in dental practice. Eur Radiol 2010; 20: 2637-2655.
  • Okano T and Sur J. Radiation dose and protection in dentistry. Jpn Dent Sci Rev 2010; 46: 112-121.
  • United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Sources, effects and risks of ionizing radiation. Volume II: Scientific Annex B: Effects of radiation exposure of children. New York, NY: United Nations, in 2013. Available from: https://www.unscear.org/docs/publications/2013/UNSCEAR_2013_Report_Vol.II.pdf.
  • Memon A, Rogers I, Paudyal P, et al. Dental X-rays and the risk of thyroid cancer and meningioma: a systematic review and meta-analysis of current epidemiological evidence. Thyroid 2019; 29: 1572-1593.
  • Oenning AC, Jacobs R, Pauwels R, et al. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol 2018; 48: 308-316.
  • World Health Organisation (WHO). Communicating radiation risks in paediatric imaging: information to support health care discussions about benefit and risk. Switzerland, in 2016. Available from: https://apps.who.int/iris/bitstream/handle/10665/205033/9789241510349_eng.pdf?sequence=1&isAllowed=y
  • Yurt A, Ayrancıoğlu C, Kılınç G, et al. Knowledge, attitude, and behavior of Turkish dentists about radiation protection and radiation safety. Dentomaxillofac Radiol 2021; 50: 20210120.
  • Rehani MM, Frush DP, Berris T, et al. Patient radiation exposure tracking: Worldwide programs and needs––Results from the first IAEA survey. Eur J Radiol 2012; 81: e968-e976.
  • Oikarinen HT, Perttu AM, Mahajan HM, et al. Parents’ received and expected information about their child’s radiation exposure during radiographic examinations. Pediatr Radiol 2019; 49: 155-161.
  • Chiri R, Awan S, Archibald S, et al. Parental knowledge and attitudes towards dental radiography for children. Aust Dent J 2013; 58: 163-169.
  • Espelid I, Mejàre I and Weerheijm K. EAPD guidelines for use of radiographs in children. Eur J Paediatr Dent 2003; 4: 40-48.12.
  • Giray FE, Peker S, Yalcinkaya SE, et al. Attitudes and knowledge of paediatric dentists’ on digital radiography and cone beam computed tomography. J Pak Med Assoc 2019; 69: 205-210.
  • Yalcinkaya SE, Berker YG, Peker S, et al. Knowledge and attitudes of Turkish endodontists towards digital radiology and cone beam computed tomography. Niger J Clin Pract 2014; 17: 471-475.
  • Kühnisch J, Anttonen V, Duggal M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent 2020; 21: 375-386.
  • Young N, Rodd H and Craig S. Previous radiographic experience of children referred for dental extractions under general anaesthesia in the UK. Community Dent Health 2009; 26: 29-31.
  • Shah SS, Dave B, Deshpande A, et al. Assessment of Knowledge and Attitude of Parents Regarding Dental Radiography for Children: A Cross Sectional Questionnaire Study. JIDA: Journal of Indian Dental Association 2021; 15.
  • Sreenivasan SK, Lolayekar N, Sheth P, et al. Knowledge, attitude, and practices of parents toward pediatric dental radiography. Journal of Health and Allied Sciences NU 2022; 12: 448-453.
  • Kose TE, Gunacar DN, Arslan I, et al. Factors affecting the parental knowledge, beliefs, and attitudes towards pediatric dental X-rays. Clin Oral Investig 2022; 26: 6539-6549.
  • Crane GD and Abbott P. Radiation shielding in dentistry: an update. Aust Dent J 2016; 61: 277-281.
  • Sin Hk, Wong CS, Huang B, et al. Assessing local patients' knowledge and awareness of radiation dose and risks associated with medical imaging: a questionnaire study. J Med Imaging Radiat Oncol 2013; 57: 38-44.
  • Arzani V and Bagherzadeh A. Parental knowledge regarding dental radiography of children attending dental clinics in Ilam, Iran. Avicenna Journal of Dental Research 2021; 13: 76-80.
  • Benn DK and Vig PS. Estimation of x-ray radiation related cancers in US dental offices: Is it worth the risk? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2021; 132.
  • Adler A, Carlton R and Wold B. An analysis of radiographic repeat and reject rates. Radiol Technol 1992; 63: 308-314.
  • McKinlay A and McCauley B. Spoilt films in x-ray departments. Br J Radiol 1977; 50: 233-234.
  • Acharya S, Pai KM and Acharya S. Repeat film analysis and its implications for quality assurance in dental radiology: An institutional case study. Contemp Clin Dent 2015; 6: 392.
  • Lin M-C, Lee C, Lin C, et al. Dental diagnostic X-ray exposure and risk of benign and malignant brain tumors. Ann Oncol 2013; 24: 1675-1679.
  • Quality Control Recommendations For Diagnostic Radiography, Volume 1: Dental Facilities, in 2001.Available from: https://cdn.ymaws.com/www.crcpd.org/resource/collection/F6C8667F-1251-4450-9E84-A768C0BC2699/QC-Vol1-Web.pdf
  • Neta G, Rajaraman P, Berrington de Gonzalez A, et al. A prospective study of medical diagnostic radiography and risk of thyroid cancer. Am J Epidemiol 2013; 177: 800-809.
  • Ng CG, Manan HA, Zaki FM, et al. A survey of awareness of parents and caretakers on diagnostic radiological examination related radiation exposure in a tertiary hospital in Malaysia. Int J Environ Res Public Health 2022; 19: 3898.
  • American Thyroid Association. (2013). Policy statement on thyroid shielding during diagnostic medical and dental radiology. USA, American Thyroid Association.

Children’s Dental Radiography Experiences and Parental Knowledge and Awareness on Radiation

Yıl 2024, Cilt: 13 Sayı: 3, 435 - 443, 24.09.2024
https://doi.org/10.54617/adoklinikbilimler.1310175

Öz

Aim: This study aimed to evaluate the past and present radiographic experiences of children, as well as their parents’ knowledge and awareness about radiation and radiation protection.
Material and Method: The parents whose children were ordered dental X-rays at a university hospital participated in the study. A questionnaire was administered regarding the past and present radiologic experiences of their children, the use of protective measures during irradiation, their knowledge about the harmful effects of radiation and the protection. The chi-square test was used to statistically analyze the results.
Results: One hundred and sixty-two parents participated. The patients’ average age was 8.91±2.69 years and 55.6% were girl. Only 10.5% of the children did not have any past radiography experience. The 11-14 age group had the highest past experience of radiographs (p=0.003). Protective coverings were used during the past and present X-ray experiences in ten (8.1%) and one (0.06%) child, respectively. Dental radiographs, predominantly periapical, were repeated in 19 children (11.7%). Of the parents, 25.9% and 6.8% stated that they had sufficient knowledge about the harmful effects of radiation and radiation protection, respectively.
Conclusion: The present study revealed a need to tackle with the inadequateness regarding radiation safety and protection.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

  • Vandenberghe B, Jacobs R and Bosmans H. Modern dental imaging: a review of the current technology and clinical applications in dental practice. Eur Radiol 2010; 20: 2637-2655.
  • Okano T and Sur J. Radiation dose and protection in dentistry. Jpn Dent Sci Rev 2010; 46: 112-121.
  • United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Sources, effects and risks of ionizing radiation. Volume II: Scientific Annex B: Effects of radiation exposure of children. New York, NY: United Nations, in 2013. Available from: https://www.unscear.org/docs/publications/2013/UNSCEAR_2013_Report_Vol.II.pdf.
  • Memon A, Rogers I, Paudyal P, et al. Dental X-rays and the risk of thyroid cancer and meningioma: a systematic review and meta-analysis of current epidemiological evidence. Thyroid 2019; 29: 1572-1593.
  • Oenning AC, Jacobs R, Pauwels R, et al. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol 2018; 48: 308-316.
  • World Health Organisation (WHO). Communicating radiation risks in paediatric imaging: information to support health care discussions about benefit and risk. Switzerland, in 2016. Available from: https://apps.who.int/iris/bitstream/handle/10665/205033/9789241510349_eng.pdf?sequence=1&isAllowed=y
  • Yurt A, Ayrancıoğlu C, Kılınç G, et al. Knowledge, attitude, and behavior of Turkish dentists about radiation protection and radiation safety. Dentomaxillofac Radiol 2021; 50: 20210120.
  • Rehani MM, Frush DP, Berris T, et al. Patient radiation exposure tracking: Worldwide programs and needs––Results from the first IAEA survey. Eur J Radiol 2012; 81: e968-e976.
  • Oikarinen HT, Perttu AM, Mahajan HM, et al. Parents’ received and expected information about their child’s radiation exposure during radiographic examinations. Pediatr Radiol 2019; 49: 155-161.
  • Chiri R, Awan S, Archibald S, et al. Parental knowledge and attitudes towards dental radiography for children. Aust Dent J 2013; 58: 163-169.
  • Espelid I, Mejàre I and Weerheijm K. EAPD guidelines for use of radiographs in children. Eur J Paediatr Dent 2003; 4: 40-48.12.
  • Giray FE, Peker S, Yalcinkaya SE, et al. Attitudes and knowledge of paediatric dentists’ on digital radiography and cone beam computed tomography. J Pak Med Assoc 2019; 69: 205-210.
  • Yalcinkaya SE, Berker YG, Peker S, et al. Knowledge and attitudes of Turkish endodontists towards digital radiology and cone beam computed tomography. Niger J Clin Pract 2014; 17: 471-475.
  • Kühnisch J, Anttonen V, Duggal M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent 2020; 21: 375-386.
  • Young N, Rodd H and Craig S. Previous radiographic experience of children referred for dental extractions under general anaesthesia in the UK. Community Dent Health 2009; 26: 29-31.
  • Shah SS, Dave B, Deshpande A, et al. Assessment of Knowledge and Attitude of Parents Regarding Dental Radiography for Children: A Cross Sectional Questionnaire Study. JIDA: Journal of Indian Dental Association 2021; 15.
  • Sreenivasan SK, Lolayekar N, Sheth P, et al. Knowledge, attitude, and practices of parents toward pediatric dental radiography. Journal of Health and Allied Sciences NU 2022; 12: 448-453.
  • Kose TE, Gunacar DN, Arslan I, et al. Factors affecting the parental knowledge, beliefs, and attitudes towards pediatric dental X-rays. Clin Oral Investig 2022; 26: 6539-6549.
  • Crane GD and Abbott P. Radiation shielding in dentistry: an update. Aust Dent J 2016; 61: 277-281.
  • Sin Hk, Wong CS, Huang B, et al. Assessing local patients' knowledge and awareness of radiation dose and risks associated with medical imaging: a questionnaire study. J Med Imaging Radiat Oncol 2013; 57: 38-44.
  • Arzani V and Bagherzadeh A. Parental knowledge regarding dental radiography of children attending dental clinics in Ilam, Iran. Avicenna Journal of Dental Research 2021; 13: 76-80.
  • Benn DK and Vig PS. Estimation of x-ray radiation related cancers in US dental offices: Is it worth the risk? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2021; 132.
  • Adler A, Carlton R and Wold B. An analysis of radiographic repeat and reject rates. Radiol Technol 1992; 63: 308-314.
  • McKinlay A and McCauley B. Spoilt films in x-ray departments. Br J Radiol 1977; 50: 233-234.
  • Acharya S, Pai KM and Acharya S. Repeat film analysis and its implications for quality assurance in dental radiology: An institutional case study. Contemp Clin Dent 2015; 6: 392.
  • Lin M-C, Lee C, Lin C, et al. Dental diagnostic X-ray exposure and risk of benign and malignant brain tumors. Ann Oncol 2013; 24: 1675-1679.
  • Quality Control Recommendations For Diagnostic Radiography, Volume 1: Dental Facilities, in 2001.Available from: https://cdn.ymaws.com/www.crcpd.org/resource/collection/F6C8667F-1251-4450-9E84-A768C0BC2699/QC-Vol1-Web.pdf
  • Neta G, Rajaraman P, Berrington de Gonzalez A, et al. A prospective study of medical diagnostic radiography and risk of thyroid cancer. Am J Epidemiol 2013; 177: 800-809.
  • Ng CG, Manan HA, Zaki FM, et al. A survey of awareness of parents and caretakers on diagnostic radiological examination related radiation exposure in a tertiary hospital in Malaysia. Int J Environ Res Public Health 2022; 19: 3898.
  • American Thyroid Association. (2013). Policy statement on thyroid shielding during diagnostic medical and dental radiology. USA, American Thyroid Association.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağız, Diş ve Çene Radyolojisi, Çocuk Diş Hekimliği
Bölüm Araştırma Makalesi
Yazarlar

Gizem Erbas Unverdi 0000-0002-8916-5949

Elif Ballıkaya 0000-0002-1743-1881

Hamdi Cem Güngör 0000-0001-7675-9265

Proje Numarası -
Yayımlanma Tarihi 24 Eylül 2024
Gönderilme Tarihi 6 Haziran 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 3

Kaynak Göster

Vancouver Erbas Unverdi G, Ballıkaya E, Güngör HC. Children’s Dental Radiography Experiences and Parental Knowledge and Awareness on Radiation. ADO Klinik Bilimler Dergisi. 2024;13(3):435-43.