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Hygiene Tribune U.S. Edition

HYGIENE TRIBUNE The World’s Dental Hygiene Newspaper ·U.S. Edition November 2014 — Vol. 7, No. 6 The American Dental Hygienists’ As- sociation (ADHA) is providing support and serving as a member of the Alliance for Radiation Safety in Pediatric Imaging, the Image Gently Alliance. The alliance is in the process of ex- panding the scope of its awareness cam- paign to the oral health care community with its next campaign push — “Image Gently in Dentistry.” As a member of this alliance, the ADHA is promoting the importance of proper radiation dosage for children to the more than 185,000 licensed dental hygienists in the United States for whom the organization serves as a representative and advocate. “Dental hygienists are an integral part of the dental team — examining chil- dren, developing plans of care, consult- ing with parents or caregivers and work- ing with other oral health professionals to ensure that proper diagnosis and treatment is provided to children,” said ADHA President Kelli Swanson Jaecks, MA, RDH. “It’s critical for both dental hygienists — the oral health profession- als responsible for creating and execut- ing plans of prevention and care — and dental practitioners to discuss with par- ents the importance of X-rays and proper dosing of radiation at the lowest possible level.” Imaging can serve an important role in improved dental health. However, chil- dren are, in general, more sensitive to ra- diation than adults. As such, health care providers should reduce radiation dose used in children’s imaging and avoid unwarranted imaging. When dental im- aging procedures are considered, dental providers are urged to: • Select X-rays for individual needs, not as a routine. Use X-rays only when essen- tial for diagnosis and treatment — based on a review of the patient and his or her dental history. • Use the fastest image receptor avail- able. When film X-ray is used, select E or F speed. Set exposure parameters as low as possible for diagnostic digital imaging. • Use cone-beam CT (CBCT) only when necessary. CBCT should be restricted in children to cases in which it is essential for diagnosis and treatment planning. • Collimate beam to area of interest. For intraoral X-rays, collimation should be rectangular to match recording area of detector. For extraoral X-rays, includ- ing cone-beam CT, restrict beam to the area needed for diagnosis. • Always use a thyroid shield. The thy- roid gland in children is particularly sen- sitive to radiation. Use of a properly po- sitioned shield significantly reduces the dose to the thyroid. • Child-size the exposure time. Less exposure time is needed for children, as their oral structures are smaller than those in adults. The “Image Gently” campaign has de- veloped online educational and scientific materials to help dental professionals optimize radiation dose used in imaging exams performed on children. “Image Gently” has also produced downloadable materials to help parents ask more in- formed questions of their dental provid- ers whenever scans are recommended for their children. All of these materials, newsletters and other valuable informa- tion can be found at www.imagegently. org. “We are incredibly pleased that the major dental societies have opted to take part in “Image ‘Gently’ and take steps to ensure that the care they provide is as safe as possible,” said Marilyn Goske, MD, co-chair of the Alliance for Radia- tion Safety in Pediatric Imaging. “We en- courage all dental professionals to take advantage of the materials on the “Im- age Gently” website and factor them into their clinical decision making.” “Image Gently” alliance members in ADHA partners with other dental leaders in ‘Image Gently’ campaign ” See GENTLY, page B2 Older adults in the United States are facing a crisis when it comes to oral health care, with 70 percent of Americans age 65 and older not having a dental benefit and Medicare not including dental coverage.. Photo/Provided by Oral Health America Mark Twain said, “Wrinkles only mark where smiles have been.” Oral Health America wants every smile to be healthy, which is why its programs support increased access to oral health care and education for the nation’s most vulnerable populations, includ- ing older adults. Older adults in the United States are facing a crisis when it comes to oral health care, with 70 percent of Ameri- cans age 65 and older not having a den- tal benefit and Medicare not including dental coverage. With 10,000 Americans turning 65 every day, according to the Pew Re- search Center, this oral health crisis is only going to continue to grow. That is why OHA focuses on bring- Double your impact for America’s oral health through the end of the year Every dollar donated to OHA will be matched by Ivoclar Vivadent, up to $50,000 ing needed oral health care and edu- cation to older adults through the Wisdom Tooth Project. Last year the program launched a first-of-its-kind website,, to connect older adults and caregivers to expert articles about oral health issues facing older adults and to re- sources where they live. The website also contains a sec- tion for health professionals so that those who work with older adults can get the most up-to-date information about oral health to use with their patients. Support OHA efforts with a matched donation You can help support the work OHA does for older adults and all vulner- able Americans and ensure OHA reaches more Americans next year. From now until the end of 2014, every dollar donated to OHA will be matched by Ivoclar Vivadent, up to $50,000. To make a gift and double your impact, call (312) 836-9900 or go to (Source: Oral Health America)

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