Oral and Maxillofacial Radiology Commons^™

Patient-Centered Imaging In Dentistry, Erika Benavides Dds, Phd, Fabiana Naomi Soki, James R. Geist Dds, Ms, Angela M. Hoikka, Dds, Ms

The Journal of the Michigan Dental Association

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This clinical feature discusses joint guidelines by the ADA and AAOMR for patient-centered dental radiography and cone-beam computed tomography (CBCT), emphasizing individual risk-based needs rather than routine schedules. It covers the principles of radiation safety: justification, optimization (ALARA/ALADA), and dose limitation. The article maps out specific imaging modalities recommended for caries, periodontal disease, endodontics, orthodontics, implants, and TMJ disorders. Additionally, it summarizes Michigan's administrative rules for X-ray installation shielding, equipment alignment, stable mechanical support, operator positioning, and the mandatory radiography training program requirements for dental assistants.

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J Mich Dent Assoc August 2025

The Journal of the Michigan Dental Association

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Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists. The August issue marks the end of digital only publishing, as the MDA announced it will provide members a bimonthly print issue along with monthly digital distribution. This issue includes:

• A cover feature on the impact on the dental community of the recently adopted Big Beautiful Bill federal budget
• Mandibular Lingual Concavity Evaluation Using CBCT
• A reprinted clinical feature from New York on …

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Mandibular Lingual Concavity Evaluation Using Cone Beam Computed Tomography, Anthony L. Neely Dds, Mdentsc, Phd, Bassam M. Kinaia Dds, Ms, Dicoi, Lidya Jirjis Dds, Ms, Dalia Hasso Dds, Ms, Jonathan Zora Dds, Ms, David Van Winkle Dds, Naiomy Perez-Villanueva, Sharhdad Kazerani Dds, Ms, Samual Korkis Dds, Ms, Omar Masabni Dds, Ms, James R. Geist Dds, Ms

The Journal of the Michigan Dental Association

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Dental implant placement in the posterior mandible can be impacted by the presence of the lingual concavity. Perforating the lingual cortical bone could lead to life-threatening hemorrhage/airway obstruction. The aim of this retrospective study is to examine dentate and partially edentulous mandibles to describe anatomical variations related to the lingual concavity by evaluating cone beam computed tomography (CBCT).

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Discontinuing The Use Of Lead Aprons And Thyroid Collars In Dental Imaging: Evidence-Based Guidance For Michigan Clinicians, Erika Benavides Dds, Phd, Fabiana Soki Dds, Mdsc, Phd, James R. Geist Dds, Ms, Dennis Palmieri Mph, Jd

The Journal of the Michigan Dental Association

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Recent guidelines from the AAOMR and ADA recommend discontinuing the routine use of lead aprons and thyroid collars during dental imaging, citing negligible radiation exposure from modern technologies and the ineffectiveness of these shields against internal scatter radiation. Despite strong evidence, Michigan clinicians may face challenges in adopting this change due to patient concerns and outdated regulations.

This article offers practical guidance for transitioning to these updated standards, emphasizing the importance of patient communication and education while highlighting Michigan's current regulatory framework.

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Expert Search For "Effect Of Preradiation Dental Intervention On Incidence Of Osteoradionecrosis In Patients With Head And Neck Cancer", Kelly K. O'Brien Mslis

Expert Search Strategies

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This search strategy was constructed to support the research for the peer reviewed article listed above. Full article abstract:

Background

The purpose of this systematic review was to examine whether dental intervention involving bone or soft-tissue manipulation preradiotherapy (pre-RT) is associated with lower rates of osteoradionecrosis of the jaw (ORNJ) in patients with head and neck cancer (HNC).

Types of Studies Reviewed

The authors included relevant studies from MEDLINE, Embase, and Cochrane Library, including observational studies published from 2007 through 2021 and involving adults who underwent dental intervention pre-RT for HNC. Authors assessed evidence certainty by using the Grading of …

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Expert Search For The "Effect Of Dental Treatment Before Cardiac Valve Surgery", Kelly K. O'Brien

Expert Search Strategies

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This search strategy was constructed to support the research for the peer reviewed article listed above. Full article abstract:

Background

The purpose of this systematic review was to determine the potential effect of dental treatment before cardiac valve surgery (CVS) or left ventricular assist device (LVAD) implantation on morbidity and mortality.

Types of Studies Reviewed

The authors included relevant studies from MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials, including randomized controlled trials and cohort studies, published from 1998 through 2019 and involving adults who received dental treatment before CVS or LVAD implantation. The authors assessed bias by …

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