Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry
Abstract
Introduction: Cone Beam Computed Tomography (CBCT) is increasingly used in pediatric dentistry for better diagnostics and treatment, but concerns about its potential harm to children remain. This study evaluates CBCT indications and the appropriateness of the Field of View (FOV) in pediatric patients at Mashhad Dental School.Materials and Methods: This retrospective study analyzed CBCT radiographs and patient records of individuals aged 18 years or younger who visited the Radiology Department of Mashhad Dental School from April 2018 to the end of 2022. Patients were categorized into three age groups: under 6 years, 7-12 years, and 13-18 years. The study recorded patient age, gender, CBCT indication, anatomical region examined, and FOV used. The appropriateness of the FOV was assessed based on SEDENTEX-CT guidelines. Results: Out of 4285 patient records, 199 pediatric patients (102 girls and 97 boys) with a mean age of 13.42±3.59 years were included. The most common indication for CBCT was dental impaction (48.2%), particularly of the canine teeth, followed by pathological lesions (19.6%). The majority of CBCT scans used a medium-sized FOV (8x5 cm), which was appropriate in 67.8% of cases. There was a significant relationship between the indication for CBCT and the appropriateness of the FOV (p<0.001). Conclusion: CBCT is a valuable diagnostic tool in pediatric dentistry, particularly for evaluating dental impactions and pathological lesions. However, careful consideration of the FOV is crucial to minimize radiation exposure. Adherence to guidelines can enhance the safe and effective use of CBCT in pediatric patients.Keywords: CBCT; Pediatric dentistry; FOV; Dental impaction; Pathological lesions.
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21. Hennig CL, Schüler IM, Scherbaum R, Buschek R, Scheithauer M, Jacobs C, et al. Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure? Diagnostics (Basel). 2023;13(3).
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23. Hidalgo-Rivas JA, Theodorakou C, Carmichael F, Murray B, Payne M, Horner K. Use of cone beam CT in children and young people in three United Kingdom dental hospitals. International Journal of Paediatric Dentistry. 2014;24(5):336-48.
24. Sandra M, Anoosheh N, AhmadReza T. The Effect of Different Field of View Sizes on Contrast-to-Noise Ratio of Cone-Beam Computed Tomography Units: An In-Vitro Study. Frontiers in Dentistry. 2022;19(0).
25. Farha P, Nguyen M, Karanth D, Dolce C, Arqub SA. Orthodontic Localization of Impacted Canines: Review of the Cutting-edge Evidence in Diagnosis and Treatment Planning Based on 3D CBCT Images. Turk J Orthod. 2023;36(4):261-9.
26. Semerci ZM, Günen Yılmaz S. Evaluation of Rheumatic Diseases Affecting the Temporomandibular Joint: A Cone Beam Computed Tomography Study and Literature Review. Diagnostics (Basel). 2023;14(1).
27. Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B, et al. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatric Radiology. 2018;48(3):308-16.
2. Göksel S, Erturk AF, Oda G, Karabaş HÇ, Özcan İ. Use of cone-beam computed tomography in pediatric patients: A retrospective observational study. Sağlık Bilimlerinde İleri Araştırmalar Dergisi. 2023;6(2):173-8.
3. Alshomrani F. Cone-Beam Computed Tomography (CBCT)-Based Diagnosis of Dental Bone Defects. Diagnostics (Basel). 2024;14(13).
4. De Felice F, Di Carlo G, Saccucci M, Tombolini V, Polimeni A. Dental Cone Beam Computed Tomography in Children: Clinical Effectiveness and Cancer Risk due to Radiation Exposure. Oncology. 2019;96:1-6.
5. Horner K. Cone beam CT for dental and maxillofacial radiology (evidence based guidelines). 2012.
6. Horner K, Barry S, Dave M, Dixon C, Littlewood A, Pang CL, et al. Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review. Eur Arch Paediatr Dent. 2020;21(4):407-26.
7. Aps JK. Cone beam computed tomography in paediatric dentistry: overview of recent literature. European Archives of Paediatric Dentistry. 2013;14:131-40.
8. Kutanzi KR, Lumen A, Koturbash I, Miousse IR. Pediatric Exposures to Ionizing Radiation: Carcinogenic Considerations. Int J Environ Res Public Health. 2016;13(11).
9. Mehta V, Ahmad N. Cone beamed computed tomography in pediatric dentistry: Concepts revisited. J Oral Biol Craniofac Res. 2020;10(2):210-1.
10. İşman Ö, Yılmaz HH, Aktan AM, Yilmaz B. Indications for cone beam computed tomography in children and young patients in a Turkish subpopulation. International journal of paediatric dentistry. 2017;27(3):183-90.
11. Hajem S, Brogårdh-Roth S, Nilsson M, Hellén-Halme K. CBCT of Swedish children and adolescents at an oral and maxillofacial radiology department. A survey of requests and indications. Acta Odontologica Scandinavica. 2020;78(1):38-44.
12. Hidalgo‐Rivas JA, Theodorakou C, Carmichael F, Murray B, Payne M, Horner K. Use of cone beam CT in children and young people in three United Kingdom dental hospitals. International journal of paediatric dentistry. 2014;24(5):336-48.
13. Marcu M, Hedesiu M, Salmon B, Pauwels R, Stratis A, Oenning ACC, et al. Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D. International Journal of Paediatric Dentistry. 2018;28(3):300-9.
14. Gallichan N, Albadri S, Dixon C, Jorgenson K. Trends in CBCT current practice within three UK paediatric dental departments. Eur Arch Paediatr Dent. 2020;21(4):537-42.
15. Hajem S, Brogårdh-Roth S, Nilsson M, Hellén-Halme K. CBCT of Swedish children and adolescents at an oral and maxillofacial radiology department. A survey of requests and indications. Acta Odontol Scand. 2020;78(1):38-44.
16. Yiğit T, Yüksel HT, Evirgen Ş, Kaçmaz I, Türkmenoğlu A. Evaluation of use of cone beam computed tomography in paediatric patients: A cross-sectional study. Int J Paediatr Dent. 2023;33(5):468-76.
17. Van Acker JW, Martens LC, Aps JK. Cone-beam computed tomography in pediatric dentistry, a retrospective observational study. Clin Oral Investig. 2016;20(5):1003-10.
18. Gümrü B, Guldali M, Tarcin B, Idman E, Sertac Peker M. Evaluation of cone beam computed tomography referral profile: Retrospective study in a Turkish paediatric subpopulation. Eur J Paediatr Dent. 2021;22(1):66-70.
19. Ismayılov R, Özgür B. Indications and use of cone beam computed tomography in children and young individuals in a university-based dental hospital. BMC Oral Health. 2023;23(1):1033.
20. Hidalgo-Rivas JA, Theodorakou C, Carmichael F, Murray B, Payne M, Horner K. Use of cone beam CT in children and young people in three United Kingdom dental hospitals. Int J Paediatr Dent. 2014;24(5):336-48.
21. Hennig CL, Schüler IM, Scherbaum R, Buschek R, Scheithauer M, Jacobs C, et al. Frequency of Dental X-ray Diagnostics in Children and Adolescents: What Is the Radiation Exposure? Diagnostics (Basel). 2023;13(3).
22. Arslan ZB, utlu ECTğ, Tuğutlu EC, editors. A Two-Year Retrospective Evaluation of Cone Beam Computed A Two-Year Retrospective Evaluation of Cone Beam Computed Tomography Indications in Pediatric, Adolescent and Adult Tomography Indications in Pediatric, Adolescent and Adult Patients Patients2023.
23. Hidalgo-Rivas JA, Theodorakou C, Carmichael F, Murray B, Payne M, Horner K. Use of cone beam CT in children and young people in three United Kingdom dental hospitals. International Journal of Paediatric Dentistry. 2014;24(5):336-48.
24. Sandra M, Anoosheh N, AhmadReza T. The Effect of Different Field of View Sizes on Contrast-to-Noise Ratio of Cone-Beam Computed Tomography Units: An In-Vitro Study. Frontiers in Dentistry. 2022;19(0).
25. Farha P, Nguyen M, Karanth D, Dolce C, Arqub SA. Orthodontic Localization of Impacted Canines: Review of the Cutting-edge Evidence in Diagnosis and Treatment Planning Based on 3D CBCT Images. Turk J Orthod. 2023;36(4):261-9.
26. Semerci ZM, Günen Yılmaz S. Evaluation of Rheumatic Diseases Affecting the Temporomandibular Joint: A Cone Beam Computed Tomography Study and Literature Review. Diagnostics (Basel). 2023;14(1).
27. Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B, et al. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatric Radiology. 2018;48(3):308-16.
| Files | ||
| Issue | Vol 11, No 4 (Autumn 2024) | |
| Section | Original Article(s) | |
| Keywords | ||
| CBCT; Pediatric dentistry; FOV; Dental impaction; Pathological lesions. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mortazavi S, Sahebalam R, Sadeghi S, Shiezadeh I. Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry. J Craniomaxillofac Res. 2025;11(4):223-231.
