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Friedlander-Barenboim S, Hamed W, Zini A, Yarom N, Abramovitz I, Chweidan H, Finkelstein T, Almoznino G. Patterns of Cone-Beam Computed Tomography (CBCT) Utilization by Various Dental Specialties: A 4-Year Retrospective Analysis from a Dental and Maxillofacial Specialty Center. Healthcare (Basel) 2021; 9:healthcare9081042. [PMID: 34442182 PMCID: PMC8392371 DOI: 10.3390/healthcare9081042] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 08/08/2021] [Accepted: 08/10/2021] [Indexed: 01/30/2023] Open
Abstract
The study aimed to analyze the uses of cone-beam computed tomography (CBCT) in the diagnosis and treatment in various dental specialties. This 4-year cross-sectional study analyzed the records of 1409 individuals who underwent a CBCT at the Oral and Maxillofacial Center at Sheba Medical Center, Israel. The average age of the patients was 27.9 ± 11.5 (range: 9-86 years). Patients were referred for CBCT by the following departments: Oral and Maxillofacial Surgery (1063; 75.5%), Endodontics (182; 12.9%), Periodontology (122; 8.6%) and Orthodontics (42; 3.0%). Most CBCT radiographs evaluated the maxilla (774; 55.0%), followed by the mandible (481; 34.1%) and both (154; 10.9%). The target anatomical structures included: bone (694; 49.3%), teeth (307; 21.7%), and both jaws (408; 29.0%). The main indications for CBCT use were: assessment of anatomical structures and implant sites (787; 55.9%), determine root canals morphology (182; 12.9%), visualization of impacted teeth, tooth alignment, and localization (177; 12.6%), suspected cysts or tumors (148; 10.5%), evaluation of Temporomandibular joint disorders (106; 7.5%) and other reasons (9; 0.6%). In 279 (19.8%) of cases, the diagnosis changed following CBCT, mainly in Orthodontics tooth analysis (28 (66.7%); p < 0.001). Practitioners and health authorities should be aware of this baseline information regarding CBCT use in the diagnosis and assessment of various oral and maxillofacial pathologies, anomalies and tooth position relative to anatomic structures. Continuing research and publications of CBCT utilization and guidelines are recommended.
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Affiliation(s)
| | - Wafi Hamed
- Oral and Maxillofacial Center, Department of Prosthodontics, Israel Defense Forces Medical Corps, Tel-Hashomer, Ramat Gan 02149, Israel; (W.H.); (H.C.)
| | - Avraham Zini
- Hadassah Medical Center, Department of Community Dentistry, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel;
| | - Noam Yarom
- The Sheba Medical Center, Tel-Hashomer, Oral Medicine Unit, Ramat Gan 5265601, Israel; (S.F.-B.); (N.Y.); (T.F.)
- The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv 6139001, Israel
| | - Itzhak Abramovitz
- Hadassah Medical Center, Department of Endodontics, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel;
| | - Harry Chweidan
- Oral and Maxillofacial Center, Department of Prosthodontics, Israel Defense Forces Medical Corps, Tel-Hashomer, Ramat Gan 02149, Israel; (W.H.); (H.C.)
| | - Tamar Finkelstein
- The Sheba Medical Center, Tel-Hashomer, Oral Medicine Unit, Ramat Gan 5265601, Israel; (S.F.-B.); (N.Y.); (T.F.)
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6139001, Israel
| | - Galit Almoznino
- Hadassah Medical Center, Department of Endodontics, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel;
- Hadassah Medical Center, Department of Oral Medicine, Sedation & Maxillofacial Imaging, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel
- Hadassah Medical Center, Big Biomedical Data Research Laboratory, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel
- Correspondence: ; Tel.: +972-2-677-6194
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Schulze RKW, Drage NA. Cone-beam computed tomography and its applications in dental and maxillofacial radiology. Clin Radiol 2020; 75:647-657. [PMID: 32451060 DOI: 10.1016/j.crad.2020.04.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 04/16/2020] [Indexed: 12/14/2022]
Abstract
Cone-beam computed tomography (CBCT) was first used in dental and maxillofacial radiology (DMFR) at the end of the 1990s. Since then, it has been successfully established as the standard three-dimensional radiographic imaging technique in DMFR, with a wide variety of applications in this field. This manuscript briefly reviews the background information on the technology and summarises available data on effective dose and dose optimisation. In addition, typical clinical applications and indications of the technique in DMFR are presented.
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Affiliation(s)
- R K W Schulze
- Department of Oral and Maxillofacial Surgery, Section of Oral Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131, Mainz, Germany.
| | - N A Drage
- Department of Dental and Maxillofacial Radiology, University Dental Hospital, Cardiff, UK
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