2022, Number 2
<< Back Next >>
Rev Cubana Estomatol 2022; 59 (2)
Informed consent in dental radiology: a pending matter
Paredes CLR, Guerrero ME
Language: Spanish
References: 15
Page:
PDF size: 257.25 Kb.
ABSTRACT
Introduction:
In the dental field, the use of intraoral, extraoral and even volumetric computed tomography is very common. Intraoral X-rays have a low dose of radiation compared to volumetric CT scans that can emit a higher dose of radiation with some degree of risk to patients. Although the importance of the use of informed consent and the risks during these procedures are known, very little has been reported about the use of informed consent in oral and maxillofacial radiology.
Objective:
Analyze the benefits and challenges of using informed consent in dental radiology.
Main Comments:
Currently, there is no clear consensus in the dental community on whether the patient's informed consent should be obtained before they undergo an imaging examination with ionizing radiation. Its application repetitively or prolongedly could affect the patient in the long term.
Global considerations:
There is a universal consensus to highlight the importance of informed consent in the entire field of health. However, in practice, its realization can lead to certain difficulties, such as the identification of the person responsible for its implementation, the time it takes to execute it and the concern to cause unnecessary fear in the patient. If these difficulties can be overcome, we can see the benefits of having a clear consensus for the use of informed consent in the dental area.
REFERENCES
Abdelkarim A, Jerrold L. Clinical considerations and potential liability associated with the use of ionizing radiation in orthodontics. Am J Orthod Dentofac Orthop. 2018;154(1):15-25.
Lurie A. Doses, Benefits, Safety, and Risks in Oral and Maxillofacial Diagnostic Imaging. Health Phys. 2019;116(2):163-9.
Granlund C, Thilander-Klang A, Ylhan B, Lofthag-Hansen S, Ekestubbe A. Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations. Br J Radiol. 2016;89(1066).
García B, Möenne B, Bosch O. Consentimiento informado en radiología. Rev Chil Radiol. 2018;24(2):44-7.
ACR-SIR-SPR. Practice parameter on informed consent for image‑guided procedures, Revised 2021 (Resolution 7); 2021 [Acceso: 20/05/2021]. Disponible en: Disponible en: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/InformedConsent-ImagGuided.pdf 5.
Baheti A, Thakur M, Jankharia B. Informed consent in diagnostic radiology practice: Where do we stand? Indian J Radiol Imaging. 2017;27:517-20.
Yeh JK, Chen CH. Estimated radiation risk of cancer from dental cone-beam computed tomography imaging in orthodontics patients. BMC Oral Health. 2018 Ago 3;18(1):131.
Harvey HB, Brink JA, Frush DP. Informed consent for radiation risk from CT is unjustified based on the current scientific evidence. Radiology. 2015;275(2):321-5.
Younger CWE, Douglas C, Warren-Forward H. Informed consent guidelines for ionising radiation examinations: A Delphi study. Radiography. 2020;26(1):63-70.
Ukkola L, Kyngäs H, Henner A, Oikarinen H. Barriers to not informing patients about radiation in connection with radiological examinations: Radiographers’ opinion. Radiography. 2020;26(2):e114-9.
Reitan AF, Sanderud A. Communicating radiation risk to patients: Experiences among radiographers in Norway. J Med Imaging Radiat Sci. 2020;(0130):1-6.
Almohaimede AA, Bendahmash MW, Dhafr FM, Awwad AF, Al-Madi EM. Knowledge, Attitude, and Practice (KAP) of Radiographic Protection by Dental Undergraduate and Endodontic Postgraduate Students, General Practitioners, and Endodontists. Int J Dent. 2020;abr 27;2020:2728949.
Basheer B, Albawardi KW, Alsanie SA, Alotaibi BM, Alanazi MM, Alfaifi HA, et al13. . Knowledge, Attitudes and Perception toward Radiation Hazards and Protection among Dental Professionals in Riyadh, Kingdom of Saudi Arabia. Oman Med J. 2019;33(2):75-81.
Javali R, Dantu R. Attitude and awareness about radiation protection among dental surgeons in North Karnataka: A questionnaire study. J Indian Acad Oral Med Radiol. 2018;30:116-20.
Younger CWE, Douglas C, Warren-Forward H. Medical imaging and informed consent - Can radiographers and patients agree upon a realistic best practice? Radiography. 2018;24(3):204-10.