Cone beam computed tomography in paediatric dentistry: Overview of recent literature

被引:37
作者
Aps J.K.M. [1 ]
机构
[1] Department of Paediatric Dentistry, University of Washington, Seattle, WA, 98115, Magnusson Park
关键词
Cone beam computed tomography; Diagnosis; Paediatric dentistry; Safety;
D O I
10.1007/s40368-013-0029-4
中图分类号
学科分类号
摘要
Background: The use of cone beam computed tomography (CBCT) in paediatric dentistry has been mentioned in numerous publications and case reports. The indications for the use of CBCT in paediatric dentistry, however, have not yet been properly addressed. On the other hand, the three basic principles of radiation protection (justification, limitation and optimisation) should suffice. Review: A review of the current literature was used to assess the indications and contra-indications for the use of CBCT in paediatric dentistry. Paramount is the fact that CBCT generates a higher effective dose to the tissues than traditional dental radiographic exposures do. The effective radiation dose should not be underestimated, especially not in children, who are much more susceptible to stochastic biological effects. The thyroid gland in particular should be kept out of the primary beam as much as possible. Conclusion: As with any other radiographical technique, routine use of CBCT is not acceptable clinical practice. CBCT certainly has a place in paediatric dentistry, but its use must be justified on a patient case individual basis. © 2013 European Academy of Paediatric Dentistry.
引用
收藏
页码:131 / 140
页数:9
相关论文
共 44 条
[1]  
Ahmad M., Jenny J., Downie M., Application of cone beam computed tomography in oral and maxillofacial surgery, Austr Dental J, 57, pp. 82-94, (2012)
[2]  
Alkhader M., Kuribayashi A., Ohbayashi N., Nakamura S., Kurabayashi T., Usefulness of cone beam computed tomography in temporomandibular joints with soft tissue pathology, Dentomaxillofac Radiol, 39, pp. 343-348, (2010)
[3]  
Garcia Silva M.A., Wolf U., Heinicke F., Et al., Cone beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation, Am J Orthod Dentofacial Orthoped, 135, pp. 1-5, (2008)
[4]  
Dalili Kajan Z., Taromsari M., Value of cone beam CT in detection of dental root fractures, Dentomaxillofacial Radiol, 41, pp. 3-10, (2012)
[5]  
Davies J., Johnson B., Drage N.A., Effective doses from cone beam CT investigations of the jaws, Dentomaxillofac Radiol, 41, pp. 30-36, (2012)
[6]  
De Vos W., Casselman J., Swennen G.R.J., Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature, Int J Oral Maxillofac Surg, 38, pp. 609-625, (2009)
[7]  
Delamare E.L., Liedke G.S., Vizzotto M.B., Et al., Influence of a programme of professional calibration in the variability of landmark identification using cone beam computed tomography-synthesized and conventional radiographic cephalograms, Dentomaxillofac Radiol, 39, pp. 414-423, (2010)
[8]  
Donaldson K., O'Connor S., Heath N., Dental cone beam CT image quality possibly reduced by patient movement, Dentomaxillofac Radiol, (2012)
[9]  
Farman A.G., ALARA still applies-editorial, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 100, pp. 395-397, (2005)
[10]  
Graham D.T., Cloke P., Radiation protection, Principles of radiological physics, pp. 339-360, (2004)