Rédaction Africa Links 24 with Annalisa Merelli
Published on 2024-02-02 20:56:58
In light of the technological advancements in X-ray equipment and the evolving understanding of radiation safety, lead vests and aprons, which have been used since the 1920s to protect patients from X-ray exposure, are being called into question. New safety guidelines from the American Dental Association (ADA) have recommended discontinuing the use of lead aprons among patients in dental X-rays due to the significant advancement in X-ray technology over the years. Digital X-ray film and improved machine design have made the use of lead aprons unnecessary. Other medical organizations such as the American Associations of Physicists in Medicine and the American College of Radiologists have also supported this recommendation.
On the contrary, it is still recommended that doctors and technicians wear lead garments when working in rooms where X-rays are delivered. However, scholarly opinion suggest that lead aprons and other lead shields offer no additional benefit to the patient, except for psychological comfort. Modern X-ray machines are designed to restrict the beam and deliver smaller doses of radiation, making lead aprons redundant and counterproductive in many cases. Despite these changing guidelines and practices, there is resistance to discontinuing the use of lead aprons, which can be attributed to a long-standing legacy practice.
Challenging this conventional practice requires educating not only medical professionals but also the patients. The dental community is acknowledging the evidence that lead aprons do not provide significant protection. However, moving away from lead aprons is seen as a challenging cultural shift, and patients and providers have grown accustomed to the notion that X-rays use high doses of dangerous radiation.
The use of lead aprons among patients and the resistance to change is further complicated by the associated psychological comfort and habit ingrained over many years. The need for reassurance and education is paramount for implementing guideline changes. Efforts are being made to educate practitioners and patients about the updated radiation safety guidelines. Additionally, the concept of patient reassurance has been highlighted, as most patients may feel comfortable with the tradition of wearing lead aprons during dental X-rays.
Practitioners continue to wear lead shielding to protect themselves from routine exposure to scattered radiation, necessitating effective education of practitioners on current practices. Despite the challenges associated with implementation, it is important to ensure that patients understand the safety guidelines and are reassured about the rationale behind these recommendations. In cases where patients are reluctant to adhere to the guidelines, practitioners have the option to address their concerns and provide reassurance as needed.
In essence, the shift away from lead apron usage calls for an educational learning curve for both healthcare professionals and patients. While resistance to change poses a challenge, providing education, reassurance, and clear communication are key elements in ensuring the successful adoption of updated safety guidelines.
