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Powerful 3-D X-rays for kids in braces should be the exception, not the rule
Date:1/28/2011

diation received has cumulative effects, adding unnecessary radiation exposure to the patient may result in a higher biological risks, particularly in the more susceptible young children. This is why selecting the patients that would benefit the most from this additional exposure needs to be done on a case-by-case basis."

Both Kapila and Benavides said when used judiciously, CBCT is an invaluable tool with a definite place in orthodontic treatment planning. The paper published by Kapila and his colleagues advocates "a balanced approach to utilizing CBCT in our patients," Kapila said.

To that end, Kapila and colleagues reviewed the existing data on CBCT and found that this type of imaging is typically recommended in cases that include those with impacted teeth, temporomandibular joint disease, craniofacial abnormalities, and jaw deformities. While other patients could also benefit from 3D imaging, the decision to scan these patients should be made on a case-by-case basis after a clinical exam and evaluation of the specific patient needs, particularly when 2-D imaging has shown that addition 3-D information would result in a demonstrable benefit that would likely alter the treatment plan.

"There is nothing published on current usage patterns," Kapila said. "Most of the information is anecdotal. Some clinicians and orthodontists are using this technology routinely, but I believe that most of those that use 3-D imaging use it fairly judiciously," Kapila said.

The patients who are scanned at U-M Dental School are referred after clinical evaluation by dental specialists and the area to be scanned is carefully limited, Benavides said.


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Contact: Laura Bailey
baileylm@umich.edu
734-764-1552
University of Michigan
Source:Eurekalert

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