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Evaluation of Use of Cone Beam Computed Tomography in Paediatric Patients: A Cross-Sectional Study

Tuğba Yiğit, H. Yüksel, Şehrazat Evirgen, Işıl Kaçmaz, Ayşegül Türkmenoğlu

International Journal of Paediatric Dentistry, 2023

319 participants · 20 citations

Abstract

BACKGROUND

Cone-beam computed tomography (CBCT) is widely used in pediatric dentistry. Appropriate use of CBCT is important because children are more vulnerable to ionising radiation than adults.

AIM

To investigate the use of CBCT in children by describing reasons for the request and its distribution according to age, oral region, and department.

DESIGN

CBCT scans of patients (age <19 years) who presented to our dental clinic were investigated retrospectively according to sex, age (6-12 [group 1] and 13-18 [group 2] years based on dentition), referring department, imaging area (anterior/posterior, mandible/maxilla), and indication. Indications were grouped under five headings according to 2011 SEDENTEXCT guidelines: dental anomalies, impacted teeth, endodontics, bone pathosis, and others.

RESULTS

Overall, 334 CBCT scans at different times and for different reasons in 319 patients were evaluated. In recent years, CBCT requests increased in both age groups. 85 CBCT scans (25.44%) of 78 patients (24.45%) with a mean age of 10.37±1.60 years were examined in group 1 while, 249 CBCT scans (%74.55) of 241 patients (75.54%) with a mean age of 15.66±1.70 years were examined in group 2. The most frequent indication was the assessment of impacted teeth (46.1%). The anterior maxilla was the most frequently monitored region (41.6%). The oral and maxillofacial radiology department was the department that made the most CBCT requests in all the years considered (53.6%).

CONCLUSIONS

The most…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 319 participants or records.

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