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You’re parents, so you worry. It comes with the job description! That’s why you make regular appointments with your children’s doctors and dentists for preventive care and examinations. That’s why you make sure your kids wear mouth guards and other protective gear when playing sports. And that’s why you want to know all about the X-rays that are used when your children need dental treatment.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, doctors are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different oral and dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays from their dentists or orthodontists:

• To confirm that their teeth and jaws are developing properly.
• To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them.
• To plan orthodontic treatment.

And if your child has any dental or medical conditions that can best be treated by an oral surgeon, diagnostic X-rays might be needed. Dental X-rays are used, for example, in order to:

• Check the progress and placement of wisdom teeth before they are extracted.
• Locate fractures, breaks, or other damage to the teeth and jaws after an accident or injury.
• Discover and treat damage or infection which recurs after root canal work.
• Diagnose and plan treatment for conditions which might require corrective jaw surgery.
• Facilitate the placement of dental implants when children have lost or missing teeth. Because young jaws are still growing, this placement requires special care.

So, how do oral surgeons and radiologists make sure your child’s radiation exposure during any X-ray procedure is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, medical and dental associations around the world, including the American Association of Oral and Maxillofacial Surgeons, the Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance member organizations.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As oral surgical specialists, Dr. Theodotou and our team work to restore children’s smiles through many different procedures, and we ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about medical and dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our medical and dental procedures.

Please free to talk with our Pooler team about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s health and safety? That comes with our job description!

If you have oral surgery scheduled at our Pooler office, you have many options for your choice of anesthesia. After all, Dr. Theodotou and our team are trained in all forms of anesthesia and sedation therapy, so you will be able to choose the anesthesia experience that best suits your needs—and your comfort!

One such option is general anesthesia. If you choose this type of anesthesia, you will be carefully monitored at all times. While you are under our care, we want to make sure your treatment is safe, painless, and free from anxiety. And to make your experience go as smoothly as possible, there are some recommendations you can follow even before you arrive at the office.

• Communication is Key

Part of our job is to let you know all about your general anesthesia beforehand. If you have any questions or concerns, please voice them. And communication is a two-way street! If you have any medical conditions, or are taking any medications, or have a cold or the flu, please let us know in advance.

• Diet Restrictions

Talk to us before your surgery to learn about any diet restrictions you should observe before general anesthesia. You will need to abstain from food and drink for a set number of hours before the procedure, so we’ll give you directions based on whether your surgery is scheduled for morning or afternoon.

• Dress for Success

Wear loose, comfortable clothing. Make sure your sleeves are short or easily rolled up above your elbow if you’ll need an IV line or blood pressure monitoring. Leave your make-up, jewelry, and contact lenses at home.

• Go Along for the Ride

Ask a friend or a family member for a ride home after surgery. We want you to travel safely, and, even if you think you are good to go, your thinking and decision making, your reflexes, and even your memory can be impaired for up to 48 hours after general anesthesia. If you have arranged for a cab or a ride share, don’t call for your ride until our office gives you the all clear.

• Plan Ahead!

For the very same reasons you shouldn’t drive for several hours after general anesthesia, there are some normal everyday activities you should postpone as well. You shouldn’t operate machinery. Cooking can wait. Arrange for help with childcare if you have young children. The effects of general anesthesia will wear off over the course of a day or two—ask us for a timeline for returning to your normal activities.

We’re experts in providing you with a safe and comfortable anesthesia experience when you have oral surgery. And part of that expertise is letting you know the specifics about preparing for your general anesthesia. If you have any questions for how to get ready for the hours both before and after your surgery, give us a call!

Today’s braces have come a long way. Braces are less conspicuous, easier to keep clean, and, often, treatment takes less time than it did in the recent past. With early intervention and modern treatment techniques, orthodontists are able to help make your orthodontic journey more confident, carefree, and efficient.

Even with all of the benefits of modern orthodontics, though, there are still some reasons that a tooth should be extracted to give a patient the best, healthiest alignment and bite. When might your orthodontist recommend an extraction?

• Large teeth and/or a small jaw can mean that there’s just not enough space for your overcrowded teeth.
• The placement of a tooth or teeth make it impossible to correct a bite problem.
• Your wisdom teeth are impacted or erupting, and are likely to interfere with your bite and/or crowd your teeth.
• You have an extra, or supernumerary, tooth—a rare occurrence which can cause crowding, tooth displacement, or even block a healthy adult tooth from erupting.

If your orthodontist recommends extraction, it makes a lot of sense to ask for a referral to an oral and maxillofacial surgeon like Dr. Theodotou. Why an oral surgeon?

• Anything other than a simple extraction requires surgical treatment, and your oral surgeon has spent years of additional specialized medical study and training after dental school focusing specifically on facial, jaw, and dental surgeries.
• Oral surgeons know how to deal with complicated extraction issues and potential complications. Teeth that lie close to a nerve, teeth that are impacted, or teeth with long, curved roots most often mean that surgical extractions are the best and safest options.
• Your oral and maxillofacial surgeon is trained to administer all forms of anesthesia, including not only local anesthesia but a variety of sedation options as well. You can decide on the method that will make you most comfortable.
• Oral surgeons have a wealth of experience in extractions, whether simple or complicated, because this procedure is performed regularly in their offices.

If your orthodontist has recommended an extraction in order to achieve your healthiest bite and alignment, ask about our Pooler oral and maxillofacial surgery office.

If you’re feeling a bit nervous before you visit our office for a surgical procedure, we want to make your visit as worry-free as possible. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, WiFi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is called radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are many medical and dental conditions which can be treated by oral surgeons. When the problem is primarily a dental one, we have several different X-ray options which can be used as necessary, including:

• Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
• Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
• Cone Beam Computed Tomography, which uses an external machine to produce digital images creating a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But since they are not, we use X-rays to discover such conditions as infection in a tooth’s root or bone, a decrease in bone density, and fractures or other injuries. And to properly plan treatment, we often require 3-D images, which show the spatial relationship of teeth, roots, bone, nerves, and sinuses.

Many dental procedures benefit from X-ray imaging for diagnosis and treatment planning, among them:

• Extraction of a seriously decayed or damaged tooth
• Wisdom tooth extraction
• Dental implant surgery
• Treatment of traumatic injuries
• Root surgeries such as apicoectomies and root amputations, which can save a tooth when infection recurs after a root canal
• Replacement of an avulsed, or knocked out, tooth

How Do Oral Surgeons Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a typical panoramic X-ray provides roughly the same amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. Theodotou and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

• You have X-rays from another doctor. We’ll let you know if your earlier X-rays might be useful, and how to transfer them. (With digital X-ray technology, this transfer can be accomplished electronically!)
• You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play a vital part in helping us diagnose and treat our patients. If you have any concerns, contact our Pooler office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!