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

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.

J Mich Dent Assoc August 2025

The Journal of the Michigan Dental Association

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 …

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

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).

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

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.