ALARA is an acronym for “As Low As Reasonably Achievable” as defined by the Code of Federal Regulations 10 CFR 20.1003. This principle refers to the efforts taken to ensure that exposure to ionizing radiation is minimized, and is often referenced when determining the appropriate dosing limitations for radiation workers and patients. The National Council on Radiation Protection and measurements set specific guidelines for dental practices in 2003. These requirements were updated in 2009 to better protect patients and staff from the potential cancer risks indicated to stem from cumulated low doses of ionizing radiation over long periods of time.
Successful dental bonding depends on 5 key elements: in-vivo efficacy without post-operative pain, marginal integrity, bond compatibility, long-term durability, and consistency of strength and adhesion. Any claim to these 5 elements should be supported by relevant data and independent research.
Digital intraoral radiography, developed following the initial digital imaging discovery by Dr. Francis Mouyen of France in the 1980s1, offers a number of features not available with traditional film radiography. These include the ability to digitally archive images and to manipulate them. Such manipulation can involve adjusting the brightness, coloration, and density of the film as well as magnification (however, the content of digital images also can be altered, which has medico-legal implications). Developing and fixing with chemicals is not required, saving time and removing the need to use chemicals. If retakes are minimized, savings in radiation exposure are obtained compared to traditional radiography.
One of the most common patient concerns with orthodontic therapy is the length of time required for treatment. Recent studies have shown that micropulse technology significantly reduces the amount of time required for orthodontic movement. AcceleDent® Aura harnesses micropulse technology into an easy-to-use device for patients at home or on the go. FDA-clearance as a Class II medical device means that AcceleDent Aura is a safe way to accelerate orthodontic treatment.Faster care without sacrificing quality offers distinct advantages. Some of these advantages are: (1) Less time spent in orthodontic appliances means fewer hygiene problems. (2) Patients are more likely to accept orthodontic treatment plans if the length of anticipated care is drastically reduced. (3) Patients rate their overall satisfaction with therapy higher when it can be accomplished more efficiently. How does micropulse technology work? How do patients use AcceleDent Aura and how much does it speed up care? The story starts in Outer Space.
Dental healthcare workers must always follow standard precautions and utilize appropriate infection control protocols to prevent cross-contamination and the transmission of disease. The chain of infection requires that sufficient levels of a pathogen are present to cause disease, that there is a source or reservoir for that pathogen, that a mode of transmission and entry portal are present, and that the host is susceptible. The ability to implement infection prevention protocols is an essential attribute for dental radiography equipment, accessories, and supplies.
The basic elements of the infection prevention cycle necessary to break the chain of infection are the same for dental radiography as for other dental procedures and can be broken down into distinct phases – i.e., those steps taken before, during, and after patient care. As with other procedures, the dental healthcare worker must perform hand hygiene and wear medical gloves, as well as other personal protection equipment as required (mask, protective eyewear and clinical clothing). All staff must be trained in infection prevention procedures and offices must be OSHA-compliant. The sections below address the infection prevention protocol specifically as it relates to dental radiography.