Affiliation:
1. Melbourne Dental School The University of Melbourne Carlton Victoria Australia
2. School of Dentistry The University of Queensland Herston Queensland Australia
Abstract
AbstractAimThis study investigated the adoption of cone‐beam computed tomography (CBCT) by dentists and endodontists around the world, including their preferences in endodontic CBCT usage.MethodologyAn online questionnaire surveyed dental association members in Australia and New Zealand, and endodontic association members in Australia, Britain, Canada, Italy, New Zealand and the USA, about their CBCT training history, considerations in acquisition/interpretation, access to and usage of CBCT, preferred scan interpreter, and preferred endodontic scan settings. Data were analysed with Chi‐squared, independent sample t‐tests, Cochran's Q and McNemar's tests.ResultsResponses from 578 endodontic specialists or postgraduates (Group E) and 185 non‐endodontic dentists (Group NE) were included. Continuing professional education (CPE) was the most common source of CBCT training (69.2%). Factors considered in CBCT acquisition/interpretation included beam hardening (75.4%), radiation exposure (61.1%) and patient movement (58.3%). Group E reported higher CBCT usage (90.8%) than Group NE (45.4%, p < .001) and greater workplace access to CBCT (81.1% vs. 25.9%, p < .001). Scans were interpreted by the respondent in most workplace scans (83.3%) and externally taken scans (60.5%); Group E were significantly more likely to interpret themselves than Group NE. Small field of view (83.6%) and high resolution (86.6%) were most preferred as settings for endodontic CBCTs; Group NE were less likely to choose these settings. There were some geographic variations within Group E.ConclusionsCBCT training was most commonly acquired via CPE. Endodontic respondents reported very high CBCT usage and access in the workplace. There are educational implications regarding CBCT limitations, appropriate applications and interpretation.
Reference64 articles.
1. AAPM. (2018)American Association of Physicists in Medicine position statement on radiation risks from medical imaging procedures. Available from:https://www.aapm.org/org/policies/details.asp?id=2548&type=[Accessed 7th July 2022].
2. AIHW. (2022)Oral health and dental care in Australia: dental workforce. Australian Institute of Health and Welfare. Available from:https://www.aihw.gov.au/getmedia/02a81091‐37f3‐4325‐b329‐82b78b7ac5fa/aihw_den_231_dentalworkforce_datatables_oralhealthanddentalcareinaustralia_tranche_5_17032022‐xlsx.xlsx.aspx[Accessed 12th July 2022].
3. Development of a compact computed tomographic apparatus for dental use
4. Accuracy of Cone-beam Computed Tomographic Image Interpretation by Endodontists and Endodontic Residents
5. Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root‐fractured permanent teeth