Practice-based cone-beam computed tomography: a review

Abstract

Sectional imaging is a useful tool for the dental practitioner, especially in the fields of oral surgery and implant dentistry. Until recently, the most readily available way to gain three-dimensional information has been computed tomography (CT). The main drawbacks to using this technique have been the substantial dose of ionising radiation and accessibility. Cone-beam computed tomography (CBCT) allows 3D imaging to be made using bespoke equipment designed for the dental practice environment. Exposure to ionising radiation is substantially lower than that for an average x-ray CT scan, but in most cases is still greater than when other dental radiographs are taken. Various guidelines are now in the public domain and these are referenced within this review of CBCT. The concepts of appropriate selection criteria and optimisation of imaging parameters are stressed, along with compliance with the regulations relating to the use of ionising radiation-Ionising Radiation Regulations 1999 and Ionising Radiation (Medical Exposure) Regulations 2000-and training requirements.