Cone-beam CT in paediatric dentistry: DIMITRA project position statement

Oenning, Anne Caroline Costa; Jacobs, Reinhilde; Pauwels, Ruben; Stratis, Andreas; Hedeșiu, Mihaela; Salmon, Benjamin

doi:10.1007/s00247-017-4012-9

Cited by 230 publications

(208 citation statements)

References 69 publications

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“…Instead of emphasizing the absolute value of the effective dose ranges, we converted them to panoramic equivalents for professionals and background radiation for patients (Oenning et al, ). For this conversion, we used 10 μSv for one panoramic radiograph and 5,1 mSv background radiation per year (Bornstein, Scarfe, Vaughn, & Jacobs, ).…”

Section: Methodsmentioning

confidence: 99%

An optimized imaging protocol for orofacial cleft patients

Mulder

Llano-Pérula

Willems

et al. 2018

Clinical & Exp Dental Res

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The objective was to present an optimized imaging protocol for orofacial cleft (OFC) patients, which might be used as an international recommendation for OFC care programs. The present radiological protocol has been structured by the OFC team of the University Hospitals Leuven based on a combined approach of clinical experience and scientific evidence. The development was based on careful monitoring of the existing needs for radiological diagnosis by the involved disciplines. Needs were revised by expert consensus and radiological optimization. Effective doses were converted to panoramic equivalents (professional conversion) and background radiation (patient conversion). At the age of 6, a panoramic radiograph is taken for the evaluation of dental anomalies. For the preoperative planning of secondary alveolar bone, grafting a low‐resolution cone beam computer tomography (CBCT) of a limited field of the maxilla is taken at the age of 7 to 9. At the age of 10, 15, and 20, a low‐resolution CBCT of both jaws with the smallest possible field is taken serving as conventional, presurgical, and end of treatment records, respectively. Two‐dimensional images are reconstructed out of 3D ones. There are currently no international guidelines concerning the imaging protocol for OFC patients. It is clear that a multidisciplinary approach plays a key role in radiation hygiene. In this article, we presented an optimized imaging protocol for OFC patients based on European guidelines to accomplish the concepts of justification and optimization, which might be used as an international recommendation for OFC care programs.

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Section: Methodsmentioning

confidence: 99%

An optimized imaging protocol for orofacial cleft patients

Mulder

Llano-Pérula

Willems

et al. 2018

Clinical & Exp Dental Res

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“…This rule is applied by the majority of pediatric dentists in Serbia. The European DIMITRA project (Dentomaxillofacial pediatric imaging: an investigation toward low-dose radiation induced risks) published a review about the use of CBCT in pediatric dentistry where it is stated that CBCT is more useful in diagnostics of periapical pathology arising from traumatic events, in comparison to intraoral radiographs 12 .…”

Section: Indications For Radiographymentioning

confidence: 99%

Evaluation of dentists’ knowledge about the use of radiology in pediatric dentistry in Serbia

et al. 2021

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Background/Aim: Radiology is a crucial part of dentists' everyday practice. It plays a vital role in diagnosis, treatment planning and for follow-up care of patients. The aim of this study was to evaluate knowledge of dentists in Serbia concerning the use of radiology in pediatric dentistry.Methods: 252 dentists from across Serbia participated in the study. A questionnaire was created in order to examine dentists' knowledge towards using radiology in pediatric dentistry. The questionnaire consists of 39 questions. All questions were analyzed in SPSS 24 statistical software. Statistical significance is defined by p<0.05.Results: According to the results, 42.1% dentists work in private practice, 17.8% in University clinics and 40.1% in NHS. Out of total 252 respondents, only 82 (32.5%) havex-ray units. A total of 199 (79%) dentists replied they would diagnose early caries lesions only by inspection, but 30 (11.9%) dentists said they would make a diagnose by doing both inspection and taking a radiograph. The results show that 187 (74.2%) respondents said that they do not make an OPG for every patient. When asked about the disposal of radiological waste 84.3% of dentists did not answer the question. Conclusion:Based on the conducted survey and the obtained results, it is concluded that attempts should be made in order to upgrade and update dentists overall knowledge towards radiology in pediatric dentistry. Uvod/Cilj: Rendgenologija predstavlja važan deo stomatološke prakse. Njena primena je veoma značajna u dijagnozi, planiranju i kasnijem praćenju zdravstvenog stanja pacijenta. Cilj ovog istraživanja bio je da se proceni znanje i stavovi doktora stomatologije u Srbiji o primeni rendgenologije u dečjoj stomatologiji. 4 Metod: U studiji je učestvovalo 252 stomatologa iz Republike Srbije. Konstruisan je upitnik za ispitivanje stavova stomatologa o primeni rendgenologije u dečjoj stomatologiji. Upitnik se sastoji od 39 pitanja. Sva pitanja su obrađena u SPSS 24 statističkom program. Statistički značajna razlika definisana je sa p<0,05. Rezultati: Na osnovu dobijenih rezultata, 42,1% stomatologa radi u privatnoj praksi, 17,8% na Univerzitetskim klinikama i 40,1% u domovima zdravlja. Ukupno 199 (79%) stomatologa je odgovorilo da bi ranu karijesnu leziju dijagnostifikovali samo inspekcijom, ali 30 (11,9%) stomatologa je odgovorilo da bi postavili dijagnozu na osnovu inspekcije i radiografisanja. Od ukupno 252 ispitanika, samo 82 (32,5%) ima rendgen aparat. Rezultati pokazuju da je 187 (74,2%) ispitanika odgovorilo da ne prave ortopantomografski snimak za svakog pacijenta. Na pitanje o odlaganju radiografskog otpada, 84,3% stomatologa nije imalo odgovor. Zaključak: Na osnovu urađene ankete i dobijenih podataka, zaključili smo da postoji potreba da se znanja o primeni rendgenologije u dečjoj stomatologiji nadograde i unaprede. Ključne reči: stomatološka radiologija, dečja stomatologija, zdravstvo, intraoralna radiografija, ortopantomografija, kompjuterizovana tomografija, CBCT

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“…At present, clinical evidence on dental CBCT use in children remains limited and linked with aspects of justification, limitation, and optimization [4]. Dental CBCT is mainly utilized for oral and maxillofacial surgery, orthodontics, endodontics, and implantology.…”

Section: Dental Cbct Indications and Clinical Effectivenessmentioning

confidence: 99%

Dental Cone Beam Computed Tomography in Children: Clinical Effectiveness and Cancer Risk due to Radiation Exposure

et al. 2019

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Firstly used in the early 90s to generate 3-dimensional projections of X-ray images, cone beam computed tomography (CBCT) has resulted in a large application in dentomaxillofacial imaging, even in children. CBCT uses ionizing radiation that may cause damage to the DNA, and children are at the greatest carcinogenesis risk due to their higher tissue radiosensitivity and their longer life expectancy compared to adults. The questions of whether the cancer risk is really increased after repeated dental CBCT in childhood and of what the underlying biological basis is have become hot topics in the field of dentistry and radiobiology. We performed an overview of the current literature to assess an acceptable role of CBCT in pediatric dentistry.

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Cone-beam CT in paediatric dentistry: DIMITRA project position statement

Cited by 230 publications

References 69 publications

An optimized imaging protocol for orofacial cleft patients

An optimized imaging protocol for orofacial cleft patients

Evaluation of dentists’ knowledge about the use of radiology in pediatric dentistry in Serbia

Dental Cone Beam Computed Tomography in Children: Clinical Effectiveness and Cancer Risk due to Radiation Exposure

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