Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry
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 patien...
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Tehran University of Medical Sciences
2025-04-01
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| Series: | Journal of Craniomaxillofacial Research |
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| Online Access: | https://jcr.tums.ac.ir/index.php/jcr/article/view/523 |
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| author | Samareh Mortazavi Rasoul Sahebalam Soroush Sadeghi Iman Shiezadeh |
| author_facet | Samareh Mortazavi Rasoul Sahebalam Soroush Sadeghi Iman Shiezadeh |
| author_sort | Samareh Mortazavi |
| collection | DOAJ |
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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: Cone beam computed tomography (CBCT); Pediatric dentistry; Field of view
(FOV); Dental impaction; Pathological lesions.
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| format | Article |
| id | doaj-art-7ea3082f25e045cc9cfaeb91f167862c |
| institution | DOAJ |
| issn | 2345-5489 2345-6213 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Craniomaxillofacial Research |
| spelling | doaj-art-7ea3082f25e045cc9cfaeb91f167862c2025-08-20T03:10:31ZengTehran University of Medical SciencesJournal of Craniomaxillofacial Research2345-54892345-62132025-04-0111410.18502/jcr.v11i4.18710Cone-Beam Computed Tomography Prescriptions in Pediatric DentistrySamareh Mortazavi0Rasoul Sahebalam1Soroush Sadeghi2Iman Shiezadeh3Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Pedodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran. 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: Cone beam computed tomography (CBCT); Pediatric dentistry; Field of view (FOV); Dental impaction; Pathological lesions. https://jcr.tums.ac.ir/index.php/jcr/article/view/523Cone beam computed tomography (CBCT); Pediatric dentistry; Field of view (FOV); Dental impaction; Pathological lesions |
| spellingShingle | Samareh Mortazavi Rasoul Sahebalam Soroush Sadeghi Iman Shiezadeh Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry Journal of Craniomaxillofacial Research Cone beam computed tomography (CBCT); Pediatric dentistry; Field of view (FOV); Dental impaction; Pathological lesions |
| title | Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry |
| title_full | Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry |
| title_fullStr | Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry |
| title_full_unstemmed | Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry |
| title_short | Cone-Beam Computed Tomography Prescriptions in Pediatric Dentistry |
| title_sort | cone beam computed tomography prescriptions in pediatric dentistry |
| topic | Cone beam computed tomography (CBCT); Pediatric dentistry; Field of view (FOV); Dental impaction; Pathological lesions |
| url | https://jcr.tums.ac.ir/index.php/jcr/article/view/523 |
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