Cone-Beam Computed Tomography in Orthodontics.

Area of Science:

• Orthodontics
• Radiology
• Pediatric Dentistry

Background:

• Orthodontic patients are often children, a population sensitive to ionizing radiation.
• Cone-beam computed tomography (CBCT) presents both risks and benefits in orthodontic practice.
• Understanding the appropriate use of CBCT is crucial for patient safety and effective treatment.

Purpose of the Study:

• To determine when Cone-beam computed tomography (CBCT) adds value to orthodontic practice.
• To review the benefits and evidence-based indications for CBCT in orthodontics.
• To guide clinicians in the judicious prescription of CBCT for selected patients.

Main Methods:

• Narrative review of existing literature on CBCT in orthodontics.
• Discussion of radiation dosage, limitations, and justifications for CBCT use.
• Presentation of ten case studies illustrating valuable CBCT applications.

Main Results:

• CBCT has recognized indications in orthodontics, including assessing impacted teeth, airway, and surgical planning.
• The benefits of CBCT are justified when it changes treatment outcomes compared to conventional imaging.
• Ten presented cases demonstrate the clinical value of CBCT in orthodontics.

Conclusions:

• CBCT should be considered for selected orthodontic patients when it provides a clear benefit.
• Judicious clinical judgment is paramount when prescribing CBCT.
• CBCT can be a valuable tool in orthodontics when used appropriately for specific indications.