Assessing the possible biological effects of exposure to low doses of ionizing radiation (IR) is one of the prime challenges in radiation protection, especially in medical imaging. Today, radiobiological data on cone beam CT (CBCT) related biological effects are scarce. In children and adults, the induction of DNA double strand breaks (DSBs) in buccal mucosa cells and 8-oxo-7,8-dihydro-2′-deoxyguanosine (8-oxo-dG) and antioxidant capacity in saliva samples after CBCT examination were examined. No DNA DSBs induction was observed in children nor adults. In children only, an increase in 8-oxo-dG levels was observed 30 minutes after CBCT. At the same time an increase in antioxidant capacity was observed in children, whereas a decrease was observed in adults. Our data indicate that children and adults react differently to IR doses associated with CBCT. Fully understanding these differences could lead to an optimal use of CBCT in different age categories as well as improved radiation protection guidelines. Uncertainties concerning low dose ionizing radiation exposure and medical imaging. Currently, a debate exists within the radiation protection community about which model best reflects the relation between the ionizing radiation (IR) dose and the additional health risk. Several models have been described thus far. These include: the linear non-threshold (LNT) model, the linear threshold model, the hormetic model and the hypersensitivity model 1. Currently, the linear non-threshold (LNT) model is used to estimate risks in radiation protection guidelines. Although the LNT model is supported by epidemiological evidence in the high dose range (>100 milliGray (mGy)), increasing evidence disproves it in the low dose range 2-5. One of the main critiques is the fact that the LNT model does not take into account biological defence mechanisms (e.g. DNA repair mechanisms) 6,7. In addition, a lot of uncertainties still exist about low doses (<100 mGy), mostly because of a lack of statistical power of the epidemiological data. Knowing which of these models supports the relation between exposure to low doses of IR and the involved risk best is of importance in medical imaging applications of IR. Such applications include computed tomography (CT) and, more recently, cone beam computed tomography (CBCT), which typically uses doses far below 100 mGy, (typically between 0.01-0.10 mGy) 8-11. Multiple controversial studies indicate that exposure of children to diagnostic radiology may lead to radiation-induced malignancies later in life. Retrospective studies observed that the use of CT scans in children could triple the risk of leukaemia and brain cancers 12-14. A 24% increase in cancer incidence was seen in an