title: A comparative study of image quality and radiation exposure for dental radiographs produced using a charge-coupled device and a phosphor plate system.
abstract: OBJECTIVE
  To investigate the quality of periapical radiographic images produced by two digital dental radiography systems, a charge-coupled device (CCD) and a photostimulable phosphor (PSP) image plate system, and to examine the overall radiation exposure when using these systems in a clinical setting.
  
  
  METHODS
  Patients were randomly allocated to both systems and the resultant radiographs rated for quality. The expected radiation exposure for an investigation was calculated.
  
  
  RESULTS
  Overall, 98 images were acquired using the CCD system and 108 with the PSP system. The PSP system produced significantly higher quality (P < 0.001) periapical images compared with the CCD system. The CCD system required significantly more (P < 0.001) repeat exposures to obtain a diagnostic image than the PSP system but at a lower expected radiation exposure.
  
  
  CONCLUSIONS
  The image quality was superior using the phosphor plate system. Although more repeat radiographs were required using the CCD system, the images were produced with a lower expected radiation exposure.
authors: School of Dentistry, Cardiff University, Wales, UK.
authors: S L
authors: SL
authors: Farrier
authors: N A
authors: NA
authors: Drage
authors: R G
authors: RG
authors: Newcombe
authors: S J
authors: SJ
authors: Hayes
authors: P M H
authors: PM
authors: Dummer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001641:Bicuspid / Q000000981:diagnostic imaging; D003481:Cuspid / Q000000981:diagnostic imaging; D004867:Equipment Design; D005260:Female; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging; D008437:Maxilla / Q000000981:diagnostic imaging; D008875:Middle Aged; D008963:Molar / Q000000981:diagnostic imaging; D010486:Periapical Tissue / Q000000981:diagnostic imaging; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods*; D016300:Radiography, Bitewing / Q000379:methods / Q000592:standards; D019252:Radiography, Dental, Digital / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D016037:Single-Blind Method; D013997:Time Factors; D055815:Young Adult