Skip to main content
Erschienen in: Oral Radiology 2/2018

11.01.2018 | Review Article

Clinical guidelines for dental cone-beam computed tomography

verfasst von: Takafumi Hayashi, Yoshinori Arai, Toru Chikui, Sachiko Hayashi-Sakai, Kazuya Honda, Hiroko Indo, Taisuke Kawai, Kaoru Kobayashi, Shumei Murakami, Masako Nagasawa, Munetaka Naitoh, Eiji Nakayama, Yutaka Nikkuni, Hideyoshi Nishiyama, Noriaki Shoji, Shigeaki Suenaga, Ray Tanaka, A Committee on Clinical Practice Guidelines, Japanese Society for Oral and Maxillofacial Radiology

Erschienen in: Oral Radiology | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Dental cone-beam computed tomography (CBCT) received regulatory approval in Japan in 2000 and has been widely used since being approved for coverage by the National Health Insurance system in 2012. This imaging technique allows dental practitioners to observe and diagnose lesions in the dental hard tissue in three dimensions (3D). When performing routine radiography, the examination must be justified, and optimal protection should be provided according to the ALARA (as low as reasonably achievable) principles laid down by the International Commission on Radiological Protection. Dental CBCT should be performed in such a way that the radiation exposure is minimized and the benefits to the patient are maximized. There is a growing demand for widespread access to cutting-edge health care through Japan’s universal health insurance system. However, at the same time, people want our limited human, material, and financial resources to be used efficiently while providing safe health care at the least possible cost to society. Japan’s aging population is expected to reach a peak in 2025, when most of the baby boomer generation will be aged 75 years or older. Comprehensive health care networks are needed to overcome these challenges. Against this background, we hope that this text will contribute to the nation’s oral health by encouraging efficient use of dental CBCT.
Literatur
1.
Zurück zum Zitat Hounsfield G. Computerized transverse axial scanning (tomography) Part 1. Description of system. Br J Radiol. 1973;46:1016–22.PubMed Hounsfield G. Computerized transverse axial scanning (tomography) Part 1. Description of system. Br J Radiol. 1973;46:1016–22.PubMed
2.
Zurück zum Zitat Robb RA, Greenleaf JF, Ritman EL, Johnson SA, Sjostrand JD, Herman GT, et al. Three-dimensional visualization of the intact thorax and contents: a technique for cross-sectional reconstruction from multiplanar X-ray views. Comput Biomed Res. 1974;7:395–419.PubMed Robb RA, Greenleaf JF, Ritman EL, Johnson SA, Sjostrand JD, Herman GT, et al. Three-dimensional visualization of the intact thorax and contents: a technique for cross-sectional reconstruction from multiplanar X-ray views. Comput Biomed Res. 1974;7:395–419.PubMed
3.
Zurück zum Zitat Robb RA. The dynamic spatial reconstructor: an X-ray video-fluoroscopic CT scanner for dynamic volume imaging of moving organs. IEEE Trans Med Imaging. 1982;1:122–33. Robb RA. The dynamic spatial reconstructor: an X-ray video-fluoroscopic CT scanner for dynamic volume imaging of moving organs. IEEE Trans Med Imaging. 1982;1:122–33.
4.
Zurück zum Zitat Toyofuku F, Konishi K, Kanda S. Fluoroscopic computed tomography: an attempt at 3-D imaging of teeth and jaw bones. Oral Radiol. 1986;2:9–13. Toyofuku F, Konishi K, Kanda S. Fluoroscopic computed tomography: an attempt at 3-D imaging of teeth and jaw bones. Oral Radiol. 1986;2:9–13.
5.
Zurück zum Zitat Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8:1558–64.PubMed Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8:1558–64.PubMed
6.
Zurück zum Zitat Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol. 1999;28:245–8.PubMed Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol. 1999;28:245–8.PubMed
13.
14.
Zurück zum Zitat Hirata T, Inoue K, Shigemori S, Matsuzaki M, Inatomi K. Estimation of exposure dose on MDCT examination—the measurement of organ dose and effective dose by anthropomorphic phantom. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2010;66:901–10 (Japanese).PubMed Hirata T, Inoue K, Shigemori S, Matsuzaki M, Inatomi K. Estimation of exposure dose on MDCT examination—the measurement of organ dose and effective dose by anthropomorphic phantom. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2010;66:901–10 (Japanese).PubMed
20.
Zurück zum Zitat Horner K. Cone-beam computed tomography: time for an evidence-based approach. Prim Dent J. 2013;2:22–31.PubMed Horner K. Cone-beam computed tomography: time for an evidence-based approach. Prim Dent J. 2013;2:22–31.PubMed
21.
Zurück zum Zitat Okano T, Matsuo A, Gotoh K, Yokoi M, Hirukawa A, Okumura S, et al. Comparison of absorbed and effective dose from two dental cone beam computed tomography scanners. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2012;68:216–25 (Japanese).PubMed Okano T, Matsuo A, Gotoh K, Yokoi M, Hirukawa A, Okumura S, et al. Comparison of absorbed and effective dose from two dental cone beam computed tomography scanners. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2012;68:216–25 (Japanese).PubMed
25.
Zurück zum Zitat Gurtu A, Aggarwal A, Mohan S, Singhal A, Bansal R, Agnihotri K. CBCT: a revolutionary diagnostic aid for endodontic dilemmas. Miner Stomatol. 2014;63:325–31. Gurtu A, Aggarwal A, Mohan S, Singhal A, Bansal R, Agnihotri K. CBCT: a revolutionary diagnostic aid for endodontic dilemmas. Miner Stomatol. 2014;63:325–31.
26.
Zurück zum Zitat American Academy of Oral and Maxillofacial Radiology. Clinical recommendations regarding use of cone beam computed tomography in orthodontics [corrected]. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:238–57. https://doi.org/10.1016/j.oooo.2013.06.002. American Academy of Oral and Maxillofacial Radiology. Clinical recommendations regarding use of cone beam computed tomography in orthodontics [corrected]. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:238–57. https://​doi.​org/​10.​1016/​j.​oooo.​2013.​06.​002.
31.
Zurück zum Zitat Al Najjar A, Colosi D, Dauer LT, Prins R, Patchell G, Branets I, et al. Comparison of adult and child radiation equivalent doses from 2 dental cone-beam computed tomography units. Am J Orthod Dentofacial Orthop. 2013;143:784–92. https://doi.org/10.1016/j.ajodo.PubMed Al Najjar A, Colosi D, Dauer LT, Prins R, Patchell G, Branets I, et al. Comparison of adult and child radiation equivalent doses from 2 dental cone-beam computed tomography units. Am J Orthod Dentofacial Orthop. 2013;143:784–92. https://​doi.​org/​10.​1016/​j.​ajodo.PubMed
44.
Zurück zum Zitat Vizzotto MB, Silveira PF, Arús NA, Montagner F, Gomes BP, da Silveira HE. CBCT for the assessment of second mesiobuccal (MB2) canals in maxillary molar teeth: effect of voxel size and presence of root filling. Int Endod J. 2013;46:870–6. https://doi.org/10.1111/iej.12075.PubMed Vizzotto MB, Silveira PF, Arús NA, Montagner F, Gomes BP, da Silveira HE. CBCT for the assessment of second mesiobuccal (MB2) canals in maxillary molar teeth: effect of voxel size and presence of root filling. Int Endod J. 2013;46:870–6. https://​doi.​org/​10.​1111/​iej.​12075.PubMed
47.
Zurück zum Zitat Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. Dentomaxillofac Radiol. 2006;35:219–26.PubMed Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. Dentomaxillofac Radiol. 2006;35:219–26.PubMed
50.
Zurück zum Zitat Kawai T, Asaumi R, Sato I, Yoshida S, Yosue T. Classification of the lingual foramina and their bony canals in the median region of the mandible: cone beam computed tomography observations of dry Japanese mandibles. Oral Radiol. 2007;23:42–8. https://doi.org/10.1007/s11282-007-0064-0. Kawai T, Asaumi R, Sato I, Yoshida S, Yosue T. Classification of the lingual foramina and their bony canals in the median region of the mandible: cone beam computed tomography observations of dry Japanese mandibles. Oral Radiol. 2007;23:42–8. https://​doi.​org/​10.​1007/​s11282-007-0064-0.
58.
Zurück zum Zitat American Dental Association Council on Scientific Affairs. The use of cone-beam computed tomography in dentistry: an advisory statement from the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2012;143:899–902. American Dental Association Council on Scientific Affairs. The use of cone-beam computed tomography in dentistry: an advisory statement from the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2012;143:899–902.
59.
Zurück zum Zitat Health Protection Agency. Guidance on the safe use of dental cone beam CT (computed tomography) equipment. HPA-CRCE-010. Chilton: Health Protection Agency; 2010. Health Protection Agency. Guidance on the safe use of dental cone beam CT (computed tomography) equipment. HPA-CRCE-010. Chilton: Health Protection Agency; 2010.
61.
Zurück zum Zitat Araki M, Hashimoto K, Kawashima S, Matsumoto K, Akiyama Y. Radiographic features of enostosis determined with limited cone-beam computed tomography in comparison with rotational panoramic radiography. Oral Radiol. 2006;22:27–33. https://doi.org/10.1007/s11282-006-0044-9. Araki M, Hashimoto K, Kawashima S, Matsumoto K, Akiyama Y. Radiographic features of enostosis determined with limited cone-beam computed tomography in comparison with rotational panoramic radiography. Oral Radiol. 2006;22:27–33. https://​doi.​org/​10.​1007/​s11282-006-0044-9.
64.
Zurück zum Zitat Metzler P, Zemann W, Lübbers H-T, Guggenberger R, Lüssi A, Obwegeser JA, et al. Bone mineral density measurements performed by cone-beam computed tomography in the bisphosphonate-related osteonecrosis-affected jaw. Oral Radiol. 2012;28:101–8. https://doi.org/10.1007/s11282-012-0093-1. Metzler P, Zemann W, Lübbers H-T, Guggenberger R, Lüssi A, Obwegeser JA, et al. Bone mineral density measurements performed by cone-beam computed tomography in the bisphosphonate-related osteonecrosis-affected jaw. Oral Radiol. 2012;28:101–8. https://​doi.​org/​10.​1007/​s11282-012-0093-1.
68.
Zurück zum Zitat Chen C-H, Wang C-K, Lin L-M, Huang Y-D, Geist JR, Chen Y-K. Retrospective comparison of the frequency, distribution, and radiographic features of osteosclerosis of the jaws between Taiwanese and American cohorts using cone-beam computed tomography. Oral Radiol. 2014;30:53–63. https://doi.org/10.1007/s11282-013-0139-z. Chen C-H, Wang C-K, Lin L-M, Huang Y-D, Geist JR, Chen Y-K. Retrospective comparison of the frequency, distribution, and radiographic features of osteosclerosis of the jaws between Taiwanese and American cohorts using cone-beam computed tomography. Oral Radiol. 2014;30:53–63. https://​doi.​org/​10.​1007/​s11282-013-0139-z.
69.
Zurück zum Zitat Mochizuki N, Sugino N, Ninomiya T, Yoshinari N, Udagawa N, Taguchi A. Association of cortical shape of the mandible on panoramic radiographs with mandibular trabecular bone structure in Japanese adults: a cone-beam CT-image analysis. Oral Radiol. 2014;30:160–7. https://doi.org/10.1007/s11282-013-0155-z. Mochizuki N, Sugino N, Ninomiya T, Yoshinari N, Udagawa N, Taguchi A. Association of cortical shape of the mandible on panoramic radiographs with mandibular trabecular bone structure in Japanese adults: a cone-beam CT-image analysis. Oral Radiol. 2014;30:160–7. https://​doi.​org/​10.​1007/​s11282-013-0155-z.
82.
86.
Zurück zum Zitat Pedemonte E, Cabrera C, Torres A, Jacobs R, Harnisch A, Ramírez V, et al. Root and canal morphology of mandibular premolars using cone-beam computed tomography in a Chilean and Belgian subpopulation: a cross-sectional study. Oral Radiol. 2017. https://doi.org/10.1007/s11282-017-0297-5. Pedemonte E, Cabrera C, Torres A, Jacobs R, Harnisch A, Ramírez V, et al. Root and canal morphology of mandibular premolars using cone-beam computed tomography in a Chilean and Belgian subpopulation: a cross-sectional study. Oral Radiol. 2017. https://​doi.​org/​10.​1007/​s11282-017-0297-5.
94.
Zurück zum Zitat Şekerci AE, Şişman Y. Comparison between panoramic radiography and cone-beam computed tomography findings for assessment of the relationship between impacted mandibular third molars and the mandibular canal. Oral Radiol. 2014;30:170–8. https://doi.org/10.1007/s11282-013-0158-9. Şekerci AE, Şişman Y. Comparison between panoramic radiography and cone-beam computed tomography findings for assessment of the relationship between impacted mandibular third molars and the mandibular canal. Oral Radiol. 2014;30:170–8. https://​doi.​org/​10.​1007/​s11282-013-0158-9.
95.
98.
Zurück zum Zitat Gunduz K, Avsever H, Orhan K, Çelenk P, Ozmen B, Cicek R, et al. Comparison of intraoral radiography and cone-beam computed tomography for the detection of vertical root fractures: an in vitro study. Oral Radiol. 2013;29:6–12. https://doi.org/10.1007/s11282-012-0098-9. Gunduz K, Avsever H, Orhan K, Çelenk P, Ozmen B, Cicek R, et al. Comparison of intraoral radiography and cone-beam computed tomography for the detection of vertical root fractures: an in vitro study. Oral Radiol. 2013;29:6–12. https://​doi.​org/​10.​1007/​s11282-012-0098-9.
99.
Zurück zum Zitat Iikubo M, Kamio T, Hashimoto N, Nishioka T, Wakoh M, Sano T, et al. Comparison of bisecting and parallel intraoral radiography and cone-beam computed tomography for detecting various horizontal angle root fractures. Oral Radiol. 2015;31:173–80. https://doi.org/10.1007/s11282-015-0201-0. Iikubo M, Kamio T, Hashimoto N, Nishioka T, Wakoh M, Sano T, et al. Comparison of bisecting and parallel intraoral radiography and cone-beam computed tomography for detecting various horizontal angle root fractures. Oral Radiol. 2015;31:173–80. https://​doi.​org/​10.​1007/​s11282-015-0201-0.
101.
102.
109.
Zurück zum Zitat Honda K, Larheim TA, Johannessen S, Arai Y, Shinoda K, Westesson PL. Ortho cubic super-high resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:239–43.PubMed Honda K, Larheim TA, Johannessen S, Arai Y, Shinoda K, Westesson PL. Ortho cubic super-high resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:239–43.PubMed
110.
115.
Zurück zum Zitat Kajan ZD, Asli HN, Taramsari M, Chai SMF, Hemmaty YB. Comparison of height and width measurements of mandibular bone in various head orientations using cone beam computed tomography: an experimental in vitro study. Oral Radiol. 2015;31:28–35. https://doi.org/10.1007/s11282-014-0179-z. Kajan ZD, Asli HN, Taramsari M, Chai SMF, Hemmaty YB. Comparison of height and width measurements of mandibular bone in various head orientations using cone beam computed tomography: an experimental in vitro study. Oral Radiol. 2015;31:28–35. https://​doi.​org/​10.​1007/​s11282-014-0179-z.
120.
121.
Zurück zum Zitat International Commission on Radiological Protection. Radiological Protection in Medicine. ICRP Publication 105. Ann ICRP. 2007;37(6). International Commission on Radiological Protection. Radiological Protection in Medicine. ICRP Publication 105. Ann ICRP. 2007;37(6).
122.
Zurück zum Zitat Berrington de González A, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet. 2004;363:345–51.PubMed Berrington de González A, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet. 2004;363:345–51.PubMed
123.
Zurück zum Zitat Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ. 2013;346:f2360.PubMedPubMedCentral Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ. 2013;346:f2360.PubMedPubMedCentral
124.
Zurück zum Zitat OECD. Health at a Glance 2015: OECD indicators. Paris: OECD Publishing; 2015. OECD. Health at a Glance 2015: OECD indicators. Paris: OECD Publishing; 2015.
127.
Metadaten
Titel
Clinical guidelines for dental cone-beam computed tomography
verfasst von
Takafumi Hayashi
Yoshinori Arai
Toru Chikui
Sachiko Hayashi-Sakai
Kazuya Honda
Hiroko Indo
Taisuke Kawai
Kaoru Kobayashi
Shumei Murakami
Masako Nagasawa
Munetaka Naitoh
Eiji Nakayama
Yutaka Nikkuni
Hideyoshi Nishiyama
Noriaki Shoji
Shigeaki Suenaga
Ray Tanaka
A Committee on Clinical Practice Guidelines
Japanese Society for Oral and Maxillofacial Radiology
Publikationsdatum
11.01.2018
Verlag
Springer Singapore
Erschienen in
Oral Radiology / Ausgabe 2/2018
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-018-0314-3

Weitere Artikel der Ausgabe 2/2018

Oral Radiology 2/2018 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.