Optimizing radiation safety in dentistry: Clinical recommendations and regulatory considerations.

BACKGROUND: The value of dental radiographs to oral health care decision making must be balanced with radiation safety to minimize patient exposure and occupational risk of oral health care providers. This review summarizes recommendations and regulatory guidance regarding dental radiography and cone-beam computed tomography. An expert panel presents recommendations on radiation safety, appropriate imaging practices, and reducing radiation exposure. TYPES OF STUDIES REVIEWED: A systematic search run in Ovid MEDLINE, Embase, and Cochrane Database of Systematic Reviews identified relevant topical systematic reviews, organizational guidelines, and regulatory reviews published in the peer-reviewed literature since 2010. A supplemental search of the gray literature (eg, technical reports, standards, and regulations) identified topical nonindexed publications. Inclusion criteria required relevance to primary oral health care (ie, general or pediatric dentistry). RESULTS: A total of 95 articles, guidance documents, and regulations met the inclusion criteria. Resources were characterized as applicable to all modalities, operator and occupational protection, dose reduction and optimization, and quality assurance and control. PRACTICAL IMPLICATIONS: Understanding factors affecting imaging safety and applying fundamental principles of radiation protection consistent with federal, state, and local requirements are essential for limiting patient ionizing radiation exposure, in conjunction with implementing optimal imaging procedures to support prudent use of dental radiographs and cone-beam computed tomographic imaging. The regulatory guidance and best practice recommendations summarized in this article should be followed by dentists and other oral health care providers.

Cranial sexual dimorphism in the Kinda baboon (Papio hamadryas kindae).

OBJECTIVES: The smallest extant member of genus Papio, the Kinda baboon exhibits low sexual dimorphism and a distinctive cranial shape. Ontogenetic scaling accounts for most cranial-shape differences within Papio, but studies have shown that the Kinda follows a separate ontogenetic trajectory. If so, its cranial-dimorphism pattern should differ from other subspecies. To evaluate this hypothesis, morphometric analysis was used to investigate cranial dimorphism in Papio. MATERIALS AND METHODS: Three-dimensional landmarks were digitized on 434 adult crania representing six Papio subspecies. Size- and shape-dimorphism magnitudes were quantified using centroid size and Procrustes distances. Patterns of sex- and size-related variation were explored using MAN(C)OVA, multivariate regression, and form-space PCA. Canine dimorphism was investigated using dental metrics. RESULTS: Kinda size and shape dimorphism are significantly lower than in other Papio subspecies. The relative magnitude of Kinda shape dimorphism is similar to other southern baboons; Kinda canine dimorphism is unremarkable. MAN(C)OVA results support subspecies differences in cranial dimorphism and scaling. Allometric and dimorphism vectors differ significantly in some subspecies, and their vector-angle matrices are strongly correlated. The Kinda's allometric vector angles are divergent. Form-space PC3, summarizing size-independent dimorphism, separates the Kinda from other subspecies. DISCUSSION: The Kinda baboon exhibits significantly lower size and shape dimorphism than other baboons, but its relative dimorphism levels are unexceptional. The Kinda differs from other subspecies in patterns of allometry, size-related shape dimorphism, and residual shape dimorphism. Kinda facial shape is "masculinized" relative to size, especially in females, suggesting female sexual selection contributed to the evolution of Kinda dimorphism.