Evidence supporting the use of cone-beam computed tomography in orthodontics

The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics. The authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Em...

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Published inThe Journal of the American Dental Association (1939) Vol. 143; no. 3; pp. 241 - 252
Main Authors van Vlijmen, Olivier J.C., Kuijpers, Mette A.R., Berge, Stefaan J., Schols, Jan G.J.H., Maal, Thomas J.J., Breuning, Hero, Kuijpers-Jagtman, Anne Marie
Format Journal Article
LanguageEnglish
Published England Elsevier Inc 01.03.2012
American Dental Association
Subjects
2-D: Two-dimensional
3-D: Three-dimensional
CBCT: Cone-beam computed tomography
CINAHL: Cumulative Index to Nursing and Allied Health Literature
Clinical outcomes
CLP: Cleft lip and palate
Computed tomography
cone-beam computed tomography
Cone-Beam Computed Tomography - statistics & numerical data
CT: Computed tomography
Data processing
Dental care
Dental health
Dentistry
ECRR: European Committee on Radiation Risk
Evidence-Based Dentistry
Humans
ICRP: International Commission on Radiological Protection
imaging
maxillofacial
MeSH: Medical Subject Headings
mh: MeSH heading
Orthodontics
Radiation
Radiation Dosage
Respiratory tract
Review
Reviews
TAD: Temporary anchorage device
threedimensional imaging
TIAB: Title and abstract
Tomography
orthodontics
3-D: Three-dimensional
maxillofacial
CT: Computed tomography
Review
TAD: Temporary anchorage device
CBCT: Cone-beam computed tomography
cone-beam computed tomography
CLP: Cleft lip and palate
MeSH: Medical Subject Headings
ECRR: European Committee on Radiation Risk
threedimensional imaging
mh: MeSH heading
CINAHL: Cumulative Index to Nursing and Allied Health Literature
ICRP: International Commission on Radiological Protection
TIAB: Title and abstract
2-D: Two-dimensional
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Abstract The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics. The authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. They searched the articles' reference lists manually for additional articles and had no language limitations. They did not search the gray literature. Inclusion criteria were CBCT use in orthodontics and that the participants be human. The lowest level of evidence accepted for inclusion was a case series with five or more participants. The authors evaluated the studies' methodological quality according to 13 criteria related to study design, measurements and statistical analysis. The authors identified 550 articles, and 50 met the inclusion criteria. Study topics included temporary anchorage devices, cephalometry, combined orthodontic and surgical treatment, airway measurements, root resorption and tooth impactions, and cleft lip and palate. The methodological quality averaged 53 percent (range, 15–77 percent) of the maximum score. The authors found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies on airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.
AbstractList Olivier et al conducted a systematic review Of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodoptics. They found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies oh airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.
The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics. The authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. They searched the articles' reference lists manually for additional articles and had no language limitations. They did not search the gray literature. Inclusion criteria were CBCT use in orthodontics and that the participants be human. The lowest level of evidence accepted for inclusion was a case series with five or more participants. The authors evaluated the studies' methodological quality according to 13 criteria related to study design, measurements and statistical analysis. The authors identified 550 articles, and 50 met the inclusion criteria. Study topics included temporary anchorage devices, cephalometry, combined orthodontic and surgical treatment, airway measurements, root resorption and tooth impactions, and cleft lip and palate. The methodological quality averaged 53 percent (range, 15–77 percent) of the maximum score. The authors found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies on airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.
ABSTRACT Background The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics. Types of Studies Reviewed The authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. They searched the articles' reference lists manually for additional articles and had no language limitations. They did not search the gray literature. Inclusion criteria were CBCT use in orthodontics and that the participants be human. The lowest level of evidence accepted for inclusion was a case series with five or more participants. The authors evaluated the studies' methodological quality according to 13 criteria related to study design, measurements and statistical analysis. Results The authors identified 550 articles, and 50 met the inclusion criteria. Study topics included temporary anchorage devices, cephalometry, combined orthodontic and surgical treatment, airway measurements, root resorption and tooth impactions, and cleft lip and palate. The methodological quality averaged 53 percent (range, 15–77 percent) of the maximum score. Clinical Implications The authors found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies on airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.
The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics.BACKGROUNDThe authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine whether the use of CBCT is justified in orthodontics.The authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. They searched the articles' reference lists manually for additional articles and had no language limitations. They did not search the gray literature. Inclusion criteria were CBCT use in orthodontics and that the participants be human. The lowest level of evidence accepted for inclusion was a case series with five or more participants. The authors evaluated the studies' methodological quality according to 13 criteria related to study design, measurements and statistical analysis.TYPES OF STUDIES REVIEWEDThe authors identified articles by searching the Cochrane Library, PubMed, MEDLINE, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. They searched the articles' reference lists manually for additional articles and had no language limitations. They did not search the gray literature. Inclusion criteria were CBCT use in orthodontics and that the participants be human. The lowest level of evidence accepted for inclusion was a case series with five or more participants. The authors evaluated the studies' methodological quality according to 13 criteria related to study design, measurements and statistical analysis.The authors identified 550 articles, and 50 met the inclusion criteria. Study topics included temporary anchorage devices, cephalometry, combined orthodontic and surgical treatment, airway measurements, root resorption and tooth impactions, and cleft lip and palate. The methodological quality averaged 53 percent (range, 15-77 percent) of the maximum score.RESULTSThe authors identified 550 articles, and 50 met the inclusion criteria. Study topics included temporary anchorage devices, cephalometry, combined orthodontic and surgical treatment, airway measurements, root resorption and tooth impactions, and cleft lip and palate. The methodological quality averaged 53 percent (range, 15-77 percent) of the maximum score.The authors found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies on airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.CLINICAL IMPLICATIONSThe authors found no high-quality evidence regarding the benefits of CBCT use in orthodontics. Limited evidence shows that CBCT offers better diagnostic potential, leads to better treatment planning or results in better treatment outcome than do conventional imaging modalities. Only the results of studies on airway diagnostics provided sound scientific data suggesting that CBCT use has added value. The additional radiation exposure should be weighed against possible benefits of CBCT, which have not been supported in the literature. In future studies, investigators should evaluate the effects of CBCT on treatment procedures, progression and outcome quantitatively.
Author Kuijpers, Mette A.R.
Breuning, Hero
Berge, Stefaan J.
Maal, Thomas J.J.
Kuijpers-Jagtman, Anne Marie
van Vlijmen, Olivier J.C.
Schols, Jan G.J.H.
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  givenname: Olivier J.C.
  surname: van Vlijmen
  fullname: van Vlijmen, Olivier J.C.
– sequence: 2
  givenname: Mette A.R.
  surname: Kuijpers
  fullname: Kuijpers, Mette A.R.
– sequence: 3
  givenname: Stefaan J.
  surname: Berge
  fullname: Berge, Stefaan J.
– sequence: 4
  givenname: Jan G.J.H.
  surname: Schols
  fullname: Schols, Jan G.J.H.
– sequence: 5
  givenname: Thomas J.J.
  surname: Maal
  fullname: Maal, Thomas J.J.
– sequence: 6
  givenname: Hero
  surname: Breuning
  fullname: Breuning, Hero
– sequence: 7
  givenname: Anne Marie
  surname: Kuijpers-Jagtman
  fullname: Kuijpers-Jagtman, Anne Marie
  email: orthodontics@dent.umcn.nl
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22383204$$D View this record in MEDLINE/PubMed
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3-D: Three-dimensional
maxillofacial
CT: Computed tomography
Review
TAD: Temporary anchorage device
CBCT: Cone-beam computed tomography
cone-beam computed tomography
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Snippet The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to determine...
ABSTRACT Background The authors conducted a systematic review of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of...
Olivier et al conducted a systematic review Of cone-beam computed tomography (CBCT) applications in orthodontics and evaluated the level of evidence to...
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SubjectTerms 2-D: Two-dimensional
3-D: Three-dimensional
CBCT: Cone-beam computed tomography
CINAHL: Cumulative Index to Nursing and Allied Health Literature
Clinical outcomes
CLP: Cleft lip and palate
Computed tomography
cone-beam computed tomography
Cone-Beam Computed Tomography - statistics & numerical data
CT: Computed tomography
Data processing
Dental care
Dental health
Dentistry
ECRR: European Committee on Radiation Risk
Evidence-Based Dentistry
Humans
ICRP: International Commission on Radiological Protection
imaging
maxillofacial
MeSH: Medical Subject Headings
mh: MeSH heading
Orthodontics
Radiation
Radiation Dosage
Respiratory tract
Review
Reviews
TAD: Temporary anchorage device
threedimensional imaging
TIAB: Title and abstract
Tomography
Title Evidence supporting the use of cone-beam computed tomography in orthodontics
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