DIAGNOSTIC EFFICIENCY AND USAGE OF CBCT IN PEDIATRIC DENTISTRY

Abstract

X-ray images are mostly needed in order to diagnose the problems of our patients who apply to dentistry clinics with many complaints. In cases where the diagnosis cannot be made with conventional x-ray techniques, it may be necessary to resort to advanced imaging techniques such as cone beam computed tomography (CBCT). Although CBCT applications provide lower x-ray spread compared to imaging methods with computed tomography, when pediatric dentistry applications are considered, the high x-ray spread compared to conventional x-rays requires careful selection of areas of use in children. Since children are highly sensitive to ionizing radiation, exposure should be kept reasonably low. There are a significant number of published guidelines on the clinical use of CBCT in the literature. However, there is limited literature information on when and how often CBCT is indicated in pediatric dentistry. The purpose of this article is to evaluate the diagnostic efficacy and usage areas of CBCT in pediatric dentistry.

Keywords

• cone beam computered tomography
• pediatric dentistry
• dental imaging

Kaynakça

1. 1. White S C, Pharoah M J . The evolution and application of dental maxillofacial imaging modalities. Dent Clin North Am, 2008; 52(4):689-705.
2. 2. Scarfe W.C, Farman A.G.What is cone-beam CT and how does it work? Dent Clin North Am, 2008; 52(4): 707-730.
3. 3. Mozzo P, Procacci C, Tacconi A, Martini P T, Andreis I A .A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. European radiol, 1998; 8(9):1558-1564.
4. 4. Ziegler C M, Woertche R, Brief J, Hassfeld S, Clinical indications for digital volume tomography in oral and maxillofacial surgery. Dentomaxillofac Radiol, 2002; 31(2):126-30.
5. 5. Hamada Y, Kondoh T, Noguchi K, et al. Application of limited cone beam computed tomography to clinical assessment of alveolar bone grafting: a preliminary report. Cleft Palate Craniofac J .2005; 42(2): 128-137.
6. 6. Mehta, V. and N. Ahmad, Cone beamed computed tomography in pediatric dentistry: Concepts revisited. Journal of Oral Biology and Craniofacial Research, 2020; 10(2):210-211
7. 7. Hintze H, Wenzel A Clinically undetected dental caries assessed by bitewing screening in children with little caries experience. Dentomaxillofacial Radiol, 1994; 23(1):19-23.
8. 8. White S.C, Pharoah M, Oral Radiology: Principles Anf Interpretation. 2012: Elsevier.

9. 9. Akdeniz B G, Gröndahl H-G, Magnusson B. Accuracy of proximal caries depth measurements: comparison between limited cone beam computed tomography, storage phosphor and film radiography. Caries Res, 2006; 40(3): 202-7.
10. 10. Sansare K, Singh D, Sontakke S, et al.Should cavitation in proximal surfaces be reported in cone beam computed tomography examination? Caries Res, 2014; 48(3): 208-213.
11. 11. Wenzel A , Hirsch E, Christensen J, et al. Detection of cavitated approximal surfaces using cone beam CT and intraoral receptors. Dentomaxillofacial Radiol, 2013; 42(1): 39458105-39458105.
12. 12. Danforth R A , Clark D E. Effective dose from radiation absorbed during a panoramic examination with a new generation machine.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89(2): 236-243.
13. 13. Haiter-Neto F, Wenzel A, Gotfredsen E. Diagnostic accuracy of cone beam computed tomography scans compared with intraoral image modalities for detection of caries lesions. Dentomaxillofacial Radiol. 2008; 37(1):18-22.
14. 14. Kositbowornchai S , Nuansakul R, Sikram S, Sinahawattana S, Saengmontri S. Root fracture detection: a comparison of direct digital radiography with conventional radiography. Dentomaxillofacial Radiol. 2001; 30(2):106-109.
15. 15. Cohenca N, Simon J H, Mathur A, Malfaz J M. Clinical indications for digital imaging in dento‐alveolar trauma. Part 2: root resorption. Dent Traumatol. 2007; 23(2):105-113.
16. 16. Cohenca N, Simon J H, Roges R, Morag Y, Malfaz J M. Clinical indications for digital imaging in dento‐alveolar trauma. Part 1: traumatic injuries. Dent Traumatol. 2007; 23(2): 95-104.
17. 17. Diangelis A J, Andreasen J O, Ebeleseder K A et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012; 28(1): 2-12.
18. 18. Flores M T, Andersson L, Andreasen J O, et al.Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dent traumatol. 2007; 23(2): 66-71.
19. 19. Palomo, L. and J.M. Palomo, Cone beam CT for diagnosis and treatment planning in trauma cases. Dental Clinics, 2009; 53(4): 717-727.
20. 20. Palomo L, Palomo J M. Clinical management of transverse root fractures. Dent Clin North Am.1995; 39(1): 53-78.
21. 21. Bernardes R A, de Moraes I G, Duarte M A H, et al. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2009;108(2): 270-277.
22. 22. Corbella S, Fabbro M D, Tamse A, et al.Cone beam computed tomography for the diagnosis of vertical root fractures: a systematic review of the literature and meta-analysis. Oral Surg, Oral Med, Oral Pathol and oral Radiol. 2014; 118(5):593-602.
23. 23. Long H, Zhou Y, Ye N, et al. Diagnostic accuracy of CBCT for tooth fractures: a meta-analysis. J Dent. 2014; 42(3): 240-248.
24. 24. Chang E, Lam E, Shah P, Azarpazhooh. A Cone-beam computed tomography for detecting vertical root fractures in endodontically treated teeth: a systematic review. J endod, 2016; 42(2):177-185.
25. 25. Talwar S, Utneja S, Nawal R R, et al. Role of cone-beam computed tomography in diagnosis of vertical root fractures: a systematic review and meta-analysis. J endod, 2016; 42(1):12-24.
26. 26. Salineiro F C S, Kobayashi-Velasco S, Braga M M, Cavalcanti M G P. Radiographic diagnosis of root fractures: a systematic review, meta-analyses and sources of heterogeneity. Dentomaxillofacial Radiol.2017; 46(8): 20170400.
27. 27. Bornstein M M, Wölner-Hanssen A B, Sendi P, Von Arx T.Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root‐fractured permanent teeth. Dent Traumatol, 2009; 25(6) : 571-577.
28. 28. Lauridsen E, Gerds T, Andreasen J O. Ove Andreasen, Alveolar process fractures in the permanent dentition. Part 2. The risk of healing complications in teeth involved in an alveolar process fracture. Dent Traumatol, 2016; 32(2):128-139.
29. 29. Lenzi M M, Alexandria A K, Ferreira D M T P, Maia L C. Does trauma in the primary dentition cause sequelae in permanent successors? A systematic review. Dental traumatology, 2015; 31(2): 79-88.