Radiation Dose Optimization in CBCT Endodontics

References

[1] Patel, S., Durack, C., Abella, F., Shemesh, H., Roig, M., & Lemberg, K. (2019). Cone beam computed tomography in Endodontics – A review. International Endodontic Journal, 52(8), 1138-1152. https://doi.org/10.1111/iej.13113

[2] Singh, S. (2018). The efficacy of 3D imaging and cone-beam computed tomography (CBCT) in enhancing endodontic diagnosis and treatment planning. International Journal of Scientific Research and Management, 6(6), 27-29.

[3] Kruse, C., Spin-Neto, R., Wenzel, A., & Kirkevang, L. L. (2019). Cone beam computed tomography and periapical lesions: A systematic review analysing studies on diagnostic efficacy by a hierarchical model. International Endodontic Journal, 52(6), 817-828. https://doi.org/10.1111/iej.13113

[4] Estrela, C., Bueno, M. R., Leles, C. R., & Azevedo, B. C. (2019). Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. Journal of Endodontics, 45(3), 205-212. https://doi.org/10.1016/j.joen.2018.11.017

[5] .Tsesis, I., Rosen, E., Taschieri, S., Telishevsky-Strauss, Y., Ceresoli, V., & Del Fabbro, M. (2019). Diagnosis of vertical root fractures in endodontically treated teeth by clinical and radiographic indices: A systematic review. Journal of Endodontics, 45(1), 12–19. https://doi.org/10.1016/j.joen.2018.10.019

[6] Bornstein, M. M., Scarfe, W. C., Vaughn, V. M., & Jacobs, R. (2019). Cone beam computed tomography in implant dentistry: A systematic review with emphasis on guidelines, indications, and radiation dose risks. International Journal of Oral & Maxillofacial Implants, 34(2), e29–e50. https://doi.org/10.11607/jomi.7367

[7] .Gambarini, G., Plotino, G., Grande, N. M., Testarelli, L., Galli, M., Pompa, G., & et al. (2019). Differential diagnosis of endodontic-related lesions by CBCT with treatment planning implications. Journal of Oral Research, 8(2), 66–73. https://doi.org/10.17126/joralres.2019.014

[8] Patel et al. demonstrated and reviewed cone beam computed tomography and its indications and limitations in Endodontics in 2019. Br Dent J. 226(4):301–312. DOI: 10.1038/sj.bdj.2019.122.

[9] Dawood, A., Marti Marti, B., Sauret-Jackson, V., & Darwood, A. (2019). 3D imaging in Dentistry: The applications of CBCT in diagnosis and treatment planning. British Dental Journal, 227(5), 378–386. https://doi.org/10.1038/sj.bdj.2019.738

[10] Pauwels, R., Jacobs, R., Singer, S. R., & Mupparapu, M. (2019). CBCT-based dose reduction and dose optimization strategies: a review. Dentomaxillofacial Radiology., 48(5), 20190012. https://doi.org/10.1259/dmfr.20190012

[11] Scarfe, W. C., Angelopoulos, C., & Farman, A. G. (2019). Dose and image quality of CBCT systems for oral and maxillofacial radiology: variability and optimization. Clin Oral Investig., 23(5), 1897–1909. https://doi.org/10.1007/s00784-019-02879-5

[12] Spin-Neto, R., Matzen, L.H., Schropp, L., & Wenzel, (2017) A. Factors affecting patient dose in dental cone beam computed tomography examinations: A review of literature. Radi. Prot. Dosim., 183(3), 314–320, 2019. https://doi.org/10.1093/rpd/ncy276

[13] Pauwels, R., Beinsberger, J., Collaert, B., Theodorakou, C., Rogers, J., and Walker, A. Effective dose ranges for dental cone beam computed tomography scanners. Eur. J. Radiol., 116, 123–130, 2019. https://doi.org/10.1016/j.ejrad.2019.04.010

[14] Suomalainen, A., Kiljunen, T., Kaser, Y., Peltola, J., & Kortesniemi, M. Dosimetry and optimization in dental cone beam CT. Dentomaxillofacial Radiology, 48(1), 20180250., 2019. https://doi.org/10.1259/dmfr.20180250

[15] .Horner, K., Islam, M.R., Flygare, L., Tsiklakis, K., & Whaites, E. (2019). Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dentomaxillofacial Radiology, 48(1), 20190047. https://doi.org/10.1259/dmfr.20190047

@article{1710595,
      author = {Peter Johnson},
      title = {Radiation Dose Optimization in CBCT Endodontics},
      journal = {Iconic Research And Engineering Journals},
      year = {2019},
      volume = {2},
      number = {10},
      pages = {503-508},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1710595.pdf},
      abstract = {CBCT technique in the field of endodontics has become an important imaging modality providing 3D visualization to aid in diagnosis, treatment planning, and final outcome assessments. However, several authors confirm that CBCT, when used for very difficult cases, subjects the patient to increased radiation doses in comparison to conventional two-dimensional radiogrpahy. As most endodontic procedures involve comparatively younger patients and a very localized anatomical area, it becomes essential to avoid unnecessary exposure while ensuring adequate diagnostic image quality. Consideration needs to be given to measures put in place for the optimization of radiation dose based on ALARA (As Low As Reasonably Achievable) and ALADA (As Low As Diagnostically Acceptable) principles. Some of these methods include selecting appropriate cases at proper times; utilizing limited-field views; applying lower exposure parameters; using image reconstruction algorithms; and respecting clinical guidelines for radiation dose. This paper discusses the principles, techniques, and clinical considerations concerning exposure optimization in CBCT endodontics, where patient safety is weighed against diagnostic acceptance.},
      keywords = {CBCT, Endodontics, Radiation Dose Optimization, ALARA, ALADA, Field of View, Image Quality, Patient Safety},
      month = {April},
      doi = {https://doi.org/10.64388/IREV2I10-1710595-4569}
  }