ABSTRACT
Purpose: This study was conducted to investigate the safety of dental imaging in pregnant women with respect to fetal health. Materials and Methods: Searches were conducted of the PubMed, Scopus, and Web of Science databases in May 2023. The inclusion criteria encompassed cross-sectional and longitudinal studies that focused on the analysis of diagnostic dental imaging in pregnant women, as well as studies utilizing phantoms to simulate imaging examinations. The exclusion criteria consisted of reviews, letters to the editor, book chapters, and abstracts from scientific conferences and seminars. Results: A total of 3,913 articles were identified. Based on a review of the titles and abstracts, 3,892 articles were excluded, leaving 21 articles remaining for full-text review. Of these, 18 were excluded, and 4 additional articles were included as cross-references. Ultimately, 7 articles underwent quantitative-qualitative analysis. Three retrospective studies were focused on pregnant women who underwent dental imaging procedures. The remaining 4 studies utilized female phantoms to simulate imaging examinations and represent the radiation doses absorbed by the uterus or thyroid. Conclusion: Few dental radiology studies have been conducted to determine the safe radiation threshold for pregnant women. Additionally, the reviewed articles did not provide numbers of dental examinations, by type, corresponding to this dose. Dental imaging examinations of pregnant women should not be restricted if clinically indicated. Ultimately, practitioners must be able to justify the examination and should adhere to the "as low as diagnostically acceptable, being indication-oriented and patient-specific" (ALADAIP) principle of radioprotection.
ABSTRACT
Not only in Brazil, but there is a worldwide movement in search of environmental sustainability, due to the scarcity of natural resources. Therefore, this research asks: Is environmental, economic and social sustainability inserted in dental clinics and offices? In order to answer the guiding question of this study, a systematic review of the literature was carried out following the methodological guidelines outlined by PRISMA. The search for the articles occurred in the PubMed, Web of Science and Scopus databases. In this research, gray literature was added. The search strategy developed in the databases identified a total of 749 articles. Of these, 647 articles were excluded for not including dental clinics or offices as the object of study, but other areas of Health; in addition, 32 were excluded because they were duplicated. The resulting 70 articles were submitted to full text analysis; of the 53 studies, 28 were included in this research and 25 were excluded. According to the researched literature, there is growing interest and effort among dental professionals in search of sustainability in dental clinics. Although, often, the lack of knowledge and information is not the problem, but putting such knowledge into practice.
Não apenas no Brasil, mas há um movimento mundial em busca de uma sustentabilidade ambiental, devido à escassez de recursos naturais. Portanto, esta pesquisa questiona: A sustentabilidade ambiental, econômica e social está inserida nas clínicas e consultórios odontológicos? A fim de responder à questão norteadora deste estudo, foi realizada uma revisão sistemática na literatura seguindo as diretrizes metodológicas delineadas pelo PRISMA. A busca pelos artigos ocorridos nas bases de dados PubMed, Web of Science e Scopus. Nesta pesquisa, foi criado, ainda, a literatura cinza. A estratégia de busca desenvolvida nas bases de dados identificou um total de 749 artigos.Desses, 647 artigos foram excluídos por não incluir clínicas ou consultórios odontológicos como objeto de estudo, e sim outras áreas da Saúde; além disso, 32 foram excluídos por estarem duplicados. Os 70 artigos fundidos foram elaborados à análise de texto completo; dos 53 estudos, 28 foram incluídos nesta pesquisa e 25 foram excluídos. De acordo com a literatura pesquisada, há interesse e esforço crescente entre os profissionais da Odontologia em busca de sustentabilidade nas clínicas odontológicas. Embora, muitas vezes, a falta de conhecimento e de informação não seja o problema, e sim pôr em tal conhecimento prática.
