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DN 14 Part 1 1.DN14 1.1 range 1abc Explain the following principles of the IRMER regulations. Ionising Radiation Regulations 1999. The main aim of ionising Radiation Regulation of 1999 which is defined by the official code of practices is to establish a framework in order to ensure that ionising radiations which arisefrom work activities whether natural or man made radiations are kept reasonably low and should not exceed the limits which are specified for individuals. Ionising Radiation (Medical Exposures) Regulations 2000. The main purpose of this law is to protect the individuals from the dangers of ionising radiations who is going under medical exposures(Brown and Davies, 2017).It includes the diagnostic procedures like X-rays, nuclear medicines, CT scans. It also includes protecting the individuals from the radiations from the treatments like radiotherapy irrespective where they are taken in dental practice, hospital, chiropractic etc. ALARA /ALARP – what does this stand for? ALARA stands for “As Low AS Reasonably Achievable”, which means to make a reasonable efforts in order to maintain exposures to ionising radiations at lower limits so that it does not exceed limits. 2.DN14 1.2,1.3 1.5 Range 3a Ionising radiation is hazardous. Research the procedures in place at your surgery for the following: Safe use of X-ray equipment. X-ray machine produce emit huge amount of radiations which may be harmful for the individuals so, there should be safety maintained where the X-ray machines are established. Various X-ray producing equipment and their locations should be registered with safety and radiological and health council. X-ray machines should be only used by under the supervision of a person which has got appropriate license. Hazards associated with ionizing radiation. There are various risks associated with the ionising radiations, with discovery of X-rays skin burns had been reported and after a time period of seven years a first case of cancer was observed due to radiations. Generally the risks associated with the
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ionising radiations is divided into so called stochastic effects such as genetic risks in offspringns, cancer to directly exposed population and determistic effects. 3DN14 1.4 Range 2a-f Explain the role of each of the following: (What do you current policies state about these roles? Referrer A main role of referrer is to refer the patients which may be due to different conditions or may provide the dentist with appropriate rationale in order to refer a patient. Practitioner Main role of practitioner is managing the oral care of neck and head oncology patients. It also treats the patients in overall oral hygiene and health. Operator Operator plays an important role in the oral surgery and is the important aspect for the success of the dental treatments(Wates, Munjal and Taylor, 2016). Operator is a person who operates or does surgery to a patient. RPS It is appointed to secure compliance with the ionising Radiations Regulations 2017 with respect to work carries out in the areas which is mainly subjected to local rules. RPA It helps in providing fully comprehensive Radiation Protection Adviser and is also a Medical Physics expert services. It mail role is to enable to meet the statutory obligations under the ionising Radiations Regulations 1999(Wilson and Lewney, 2017).
Part 2 1.DN14 2.1, 2.2 range 1 & 2 Complete the radiograph table: RadiographIntra-oral or Extra-oralWhat area is seenPurpose of taking the radiograph Bitewingintra-oralJaw Bones It is used to examine interdental caries and recurrent caries under existing restoration.
Periapicalintra-oralApex of tooth It shows the entire length of each tooth from crown to root. OcclusalExtra-oralPosterior teeth It is used to see the distance between the tooth. Lateral ObliqueExtra-oralJawsIt used to view jaws CephaolostatExtra-oralHead It is a device that ensures the reproducibility of relationship between the radiographic beam. OrthopantomographExtra-oralHead It is scanning dental X- ray of upper and lower jaw 2.DN14 2.3 Explain why intensifying screens are used in extra oral dental radiography. Intensifying screens are used in extra oral dental radiology in making extra oral images. The main function of the screens is to reduce the radiations in order to protect the patients from the harmful radiations(Brown and Davies, 2017). There are two groups of X-ray films which is used for the dental purpose which includes Non-screen and screen films. Screen films are used for extra oral views like cephalometric, panoramic and TMJ imaging. Intensifying screens are used in the X-ray cassette in order to intensify the effect of X-ray photons which in return produces a large number of light photons. It helps in decreasing mAs which is required to produce a particular density and it finally decreases the patients dose significantly. Part 3 1.DN14 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8 range 1ab
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Explain how to manually process a radiograph. Ensure you include: FOURfaults that could occur during processing AND during the positioning of the film/collimator. Four faults that occur during processing and positioning of the film or collimator are as follows: Coronal portion of teeth not recorded completely Apical region may not be visible because a region may be cut off when the film is not placed properly covering the apical region in patients mouth. Another fault be distorted or blurred image. Appearing the image of fingers on the film. An explanation of how to handle, store and dispose of the chemicals and how to manage a chemical spillage. Chemicals can be handled and stored by having the knowledge of health and safety requirements which should be relevant to employer and employee(Jayaraman, 2018). Dental work place should follow the legislation required for handling and disposing the chemicals in the work place. What action would be taken in the event of equipment failure. When ever there is an equipment failure in the dental work place owners should take immediate actions to repair the equipments as soon as possible and should take actions so that it should not happen in the future. Why and how important it is to protect the processing environment from accidental intrusion. It is really important to protecting the processing environment for the accidental intrusion because intrusions may result disruptions during treatments and prevent from accidents in the work place. An explanation of how to handle different films to maintain quality. Following are the ways to handle the different films to maintain quality are: images should be taken properly there should be proper contrast, image sharpness and resolution. Part 4 1.DN14 4.1, 4.2, 4.3, 4.4
It is important when using radiographic films that they are stored appropriately. Explain the following: The reasons to rotate stock. Stocks are rotated in order to implement the quality control program and to avoid the cross contamination among the patients and between the staff. How to store radiographic films to avoid damage (including why films should be stored away from ionizing radiation). Radiographic films should be stored at a cool place away from radiations and should be wrapped in black cardboard wallet and should go inside black plastic bag(Jayaraman, Singer and Wong, 2016).Films should be stored away from ionising radiations in order to prevent it from deterioration. Why deteriorated films should not be used. Deteriorated films should not be used because it will provide the exact image and it makes difficult to understand for the practitioners to get the appropriate results. Part 5 1.DN14 5.3, 5.4 Identify the methods of mounting radiographs and explain: Mounting of radiographs is an important step in the interpretation of dental, radiographs should be mounted in correct automatic order to allow for a thorough and systemic interpretation. The correct method of mounting radiographs. What could happen if a radiograph is incorrectly mounted.
2.DN14 LO1 range 3b LO5 5.1, 5.2 Describe a quality assurance (QA) control system for radiographs and why it is necessary.
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3.As part of clinical governance, a quality assurance scoring system should be used to grade radiographs to achieve ALARP/ALARA. Please state what each score stands for:
4.DN14 1.5 range 3cd Describe the following practices and policies for radiation protection in surgery: a)Staff training records b)Personal monitoring systems A)
B) REFERENCES Brown, J. and Davies, J., 2017. Procedures in Dental Imaging.Manual of ClinicalProcedures in Dentistry, p.153. Brown, T. and Wassif, H. S., 2017. Understanding continuous professional development participation and choice of mid‐career general dental practitioners.European Journal of Dental Education.21(1). pp.46-51. Jayaraman, J., 2018. Dental age estimation in India: Do we have a role beyond publishing scientific evidences?.Journal of forensic dental sciences.10(1). p.55. Jayaraman, J., Singer, S. R. and Wong, H. M., 2016. Estimation of age using dental radiographs is a justifiable procedure.Ind Dent Assoc Times. pp.16-8. Renton, T. and Master, S., 2016. The complexity of patient safety reporting systems in UK dentistry.British dental journal.221(8). p.517. Wates, E., Munjal, R. and Taylor, R., 2016. A survey of self-reported clinical practice of Dental Core Trainees relating to radiographic investigations and service provision in OMFS units across the UK.British Journal of Oral and Maxillofacial Surgery.54(10). p.e146. Wilson, M. and Lewney, J., 2017. Piloting Direct Access in the Community Dental Services in Wales; a review of guidelines and practical considerations.Ann Clin J Dent Health.6. pp.36-39.