
Title: Tips for Dental X-rays: Remove Metal Jewelry First. Author: Unknown. Reviewer: Unknown. Commissioner: Unknown. Organization: Unknown.
Today in the clinic, a 21-year-old girl came in who needed a panoramic X-ray of her mouth. She has 9 piercings on her face, and we suggested that she remove them before performing the X-ray: 1 on her tongue, 1 on her left ear, and 7 on her right ear.
"It's very annoying, can't it be taken without removing them?" she asked.
The answer is: no.
Why remove them?
A dental panoramic X-ray is obtained using a scanner that employs X-rays to rotate around the head, projecting structures such as the jawbones, teeth, tooth roots, and mandibular canal onto a two-dimensional image. Metal jewelry (such as earrings, tongue piercings, lip piercings, necklaces, metal clips, etc.) can seriously interfere with the image, creating metal artifacts.
The artifacts from Figure 2 appear as radial bright lines, dark areas, or large shadows around the metal, especially the artifacts near the tongue piercings.
Consequences of artifacts: 1. They conceal key areas. 2. They affect accurate diagnosis. 3. Time and radiation waste: if the obtained images are unusable, they must be retaken, which increases exposure to unnecessary radiation.
In simple terms: the areas obscured by jewelry are often the areas that need to be seen clearly.
Preparation tips before taking X-rays include the following points: 1. Determine the subject and style of the shoot: clarify the purpose and style of the shoot to ensure a consistent creative direction. 2. Choose the appropriate location: select a suitable shooting location based on the theme, considering lighting, background, and environmental impacts. 3. Equipment check: inspect the camera, lenses, tripod, lighting, and other equipment to ensure they are in good condition and adequately charged. 4. Personnel arrangements: confirm the personnel involved in the shoot, including the photographer, actors, and logistical support, to ensure everyone is aware of the shooting plan. 5. Props and costume preparation: prepare the necessary props and costumes, ensuring they coordinate with the theme. 6. Shooting schedule: create a detailed shooting schedule, including the order of each scene and the time required. 7. Safety measures: ensure the safety of the shooting site, addressing potential safety hazards in advance, and ensuring all personnel understand the emergency response process. 8. Communication coordination: ensure smooth communication between all team members, clarifying each person's responsibilities and tasks. Thorough preparation before the shoot will help ensure the shooting proceeds smoothly.
1. It is necessary to remove metal pieces from the head and neck: including earrings, tongue piercings, lip piercings, nose piercings, eyebrow piercings, metal clips, glasses, necklaces, removable dentures (with metal rings), etc.
2. The body parts below the neck are generally not affected: adornments such as navel piercings, ankle chains, and others that are distant from the head and neck typically do not affect oral X-rays and do not need to be removed.
3. It is essential to proactively inform about implants within the body: such as pacemakers, intracranial metal clips, cochlear implants, titanium plates for fracture fixation, etc. It is crucial to inform the staff before performing X-rays.
Take a few minutes to remove adornments for a clear and effective image, ensuring an accurate diagnosis and safe treatment.
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