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    Investigation of Dosage Distributions of Polyvinyl Siloxane Dental Impression Shields for Head and Neck Radiotherapy with Thermoluminances Dosimeters
    (Marmara Univ, Inst Health Sciences, 2023) Ulusoy, Habibe Ozturk; Deniz, Yesim; Aktas, Cagatay; Aygun, Esma Basak Gull
    Objective: This study aimed to assess the effects of denture materials on dose distribution on a head and neck radiotherapy-appropriate model and calculate the thickness of a stent by polyvinyl siloxane dental impression material for shielding scattered radiation from dental restorations. Methods: In the first step of the study, 5mm diameter and 5mm height of cylindrical dental material of titanium, zirconia lithium disilicate were irradiated with 6-Megavoltage photons from a clinical linear accelerator. In the second step, dental materials at the center of polyvinyl siloxane thicknesses of 5, 10, and 20mm were irradiated with 2 Gray and 10 Gray fractional doses. Measurements were made using three thermoluminescent dosimeters positioned laterally. The percentage backscattered dose and percentage dose decrease values were calculated Results: According to the result, dosages scattered from dental materials increased for samples irradiated with 2Gy; a decreased dose was reported for samples irradiated with a 10Gy. 5mm PVS samples provided higher dose attenuation than others. Regardless of dental material, it is seen that the attenuation intensities calculated from TLD-100 dosimeters ranged from 22.7 to 38,62 for 2Gy, and 10.01 to 38,87 for 10Gy. Conclusion: Dental material alters the scattered radiation. In irradiated head and neck cancer patients, a 5mm thick guard is sufficient to prevent radiation diffused from dental materials in clinical usage.

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