The “Dedicated” C.B.C.T. in Dentistry
Salvatore Distefano (Centro Odontoiatrico Distefano s.r.l., 95128 Catania, Italy),
Maria Grazia Cannarozzo (Cenacolo Odontostomatologico Italiano-Associazione Italiana Odontoiatria Generale, 95128 Catania, Italy),
Gianrico Spagnuolo (Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, 80138 Naples, Italy),
Marco Brady Bucci (Italian Academy of Legal and Forensic Dentistry (OL-F), 19122 La Spezia, Italy)
Roberto Lo Giudice (Department Clinical and Experimental Medicine, Messina University, 98122 Messina, Italy)
This position statement represents a consensus of an expert committee composed by the Italian Academy of General Dentistry (Accademia Italiana Odontoiatria Generale COI-AIOG) and Italian Academy of Legal and Forensic Dentistry (Accademia Italiana di Odontoiatria Legale e Forense OL-F) on the appropriate use of cone beam computed tomography (C.B.C.T.) in dentistry. This paper analyzes the use of C.B.C.T. in light of the rapid evolution of volumetric technologies, with the new low- and ultra-low-dose exposure programs. These upgrades are determining an improvement in the precision and safety of this methodology; therefore, the need of a guideline revision of the use of C.B.C.T. for treatment planning is mandatory. It appears necessary to develop a new model of use, which, in compliance with the principle of justification and as low as reasonably achievable (ALARA) and as low as diagnostically acceptable (ALADA), can allow a functional “Dedicated C.B.C.T.” exam optimized for the individuality of the patient.
Keywords: cone beam computed tomography C.B.C.T.; D.A.P.; low dose protocol; ultra low dose protocol; guidelines; medical physics