today AEEDC Dubai 2015

science & practice 17AEEDC Dubai 2015 conebeamCT,conebeamCT+den- tal,conebeamCT+dentalimplants, cone beam CT + orthodontics, cone beam CT+ oral surgery, cone beam CT+endodonticsinthesearchline. The results are in Table 1. Evaluation of Table 1 data clearly shows a significant pres- ence in the literature of articles pertainingtotheuseofCBCTinthe various disciplines in dentistry. The vast majority of literature dis- covered pertains to addressing the use of CBCT in treatment planning and diagnosis of patients in dental implant therapy, oral and maxillo- facial surgery, orthodontics, and endodontics.Articlesonnewappli- cations of CBCT technology to pa- tient care were also prevalent in the sample. Some articles ad- dressed the risk and benefits of CBCTbutnonedenouncedCBCTas harmful to the patient or insignifi- cant in treatment planning and di- agnosis. Two similar PubMed re- views of the literature on CBCT wereperformedbyauthorsAlamri et al (Applications of CBCT in den- tal practice: A review of the litera- ture. Gen Dent 2012; 60(5): 390–400) and De Vos et al (Cone- beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: A systematic review of the literature. Int J Oral Maxillofax Surg 2009; 38:609–625).Bothoftheseexhaus- tive articles demonstrate the plethora of literature addressing CBCT and its application in the many disciplines in dentistry. Professional Guidelines ForatechnologysuchasCBCTto become a standard of care in den- tistry, guidelines for its use and ap- plicationinpatientcaremustbees- tablished by the organisational bodies of those disciplines in den- tistry who employ the technology to treat patients. In dentistry, the dental practitioners most involved in the use and application of CBCT inpatientcareincludegeneralden- tists, oral and maxillofacial sur- geons, endodontists, oral and max- illofacial radiologists, orthodon- tists, and periodontists. The American Dental Associa- tionhasover180,000licensedden- tists representing approximately 75 % of dentists in the USA. The American Dental Association pub- lished an advisory statement arti- cle in its principal journal, The Journal of the American Dental As- sociation, in August 2012. The arti- cle discusses the many positive as- pects of CBCT, but stops short of calling CBCT a new standard of care. Rather, the ADA encourages the dentist to use CBCT “selec- tively, as an adjunct to conven- tional radiography.” The ADA fur- therrecognisesthevalueandpres- enceofCBCTbyincludingCBCT-re- lated courses at its annual meetings and continuing educa- tion courses during the year. The American Association of Oral and Maxillofacial Surgery (AAOMS) has over 9,000 members representing approximately 95 % of oral and maxillofacial surgeons practising in the US. Literature ad- dressingtheapplicationofCBCTin oral and maxillofacial surgery has been around since 2007. The AAOMS has offered continuing ed- ucation in the use and application ofCBCTforpatientcareasfarback as 2011.The AAOMS has worked with the IAC to develop guidelines and accreditation criteria for 3-D CBCT imaging. In a recent survey of OMFS residency programmes, 87 % of programme directors ac- knowledged the use of CBCT in pa- tient care by their residents. The American Association of Endodontists (AAE) and the Amer- ican Association of Oral and Max- illofacial Radiologists (AAOMR) have released a formal position pa- per on CBCT. This paper makes many important points, such as limiting the field of vision to min- imise radiation exposure and in- crease resolution, careful patient selection in CBCT, and the respon- sibility of the clinician to interpret the entire image. The position pa- per goes on to declare “the use of CBCTinendodonticsshouldbelim- ited to the assessment and treat- ment of complex conditions.” The Key words in search Number of articles Year article first appeared CBCT 5,537 1988 CBCT + dental 1,951 1998 CBCT + dental implant 617 2002 CBCT + orthodontics 725 2003 CBCT + oral surgery 1,041 1998 CBCT + endodontics 313 2007 Table I AD CBCT 5,5371988 CBCT + dental 1,9511998 CBCT + dental implant 6172002 CBCT + orthodontics 7252003 CBCT + oral surgery 1,0411998 CBCT + endodontics 3132007

today AEEDC Dubai 2015

Pages Overview