Indications for CBCT examination in pediatric patients: a cross-sectional study
Abstract
Objectives: This study aims to portray the characteristic of cone beam computed tomography (CBCT) indication on pediatric patients based on age, gender, specialist field, clinical indications, and radiation doses.Materials and Methods: CBCT images of 55 pediatric patients were investigated retrospectively. CBCT images were obtained with three categories field of view (FOV). CBCT indications were categorized as dental anomalies, impacted teeth, orofacial cleft, orthodontic needs, endodontics, osseous pathological lesion, dentoalveolar trauma, and temporo mandibular disorder. The effect of age, sex, and FOV were evaluated.
Results: The most common indication for using CBCT is impacted teeth (45%), osseous pathological lesion (17%), and dentoalveolar trauma (11%). There were not significant association between sex, age group, and FOV to CBCT indication.
Conclusion: CBCT examination at Dental Hospital of Hasanuddin University is needed in pediatric patients mainly to diagnose oral pathology, impacted teeth, and dentoalveolar trauma. Determining CBCT for pediatric patients should be indicative-oriented suitably with as low as diagnotically achievable being indication-oriented and patient-specific (ALADAIP) principles.
References
Theys S, Olszewski R. Cone beam computed tomography (CBCT) in pediatric dentistry. Nemesis. 2022;25(1):1–43.
Dean JA. Dentristry for the Child and Adolescent. 11th ed. Elsevier. St. Louis, Missouri; 2022.
Sarac F. Diagnostic Efficiency and Usage of Cbct in Pediatric Dentistry. International Journal of PharmATA. 2022;2(2):61–7.
Marwah N. Pediatric dentistry. fourth. Textbook of Pediatric Dentistry. New Delhi: Jaypee Brothers Medical Publisher. 2019.pp 85–86.
İşman Ö, Yılmaz HH, Aktan AM, Yilmaz B. Indications for cone beam computed tomography in children and young patients in a Turkish subpopulation. Int J Paediatr Dent. 2017;27(3):183–90.
De Felice F, Di Carlo G, Saccucci M, Tombolini V, Polimeni A. Dental Cone Beam Computed Tomography in Children: Clinical Effectiveness and Cancer Risk due to Radiation Exposure. Oncol. 2019;96(4):173–8.
Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol. 2018;48(3):308–16.
Marcu M, Hedesiu M, Salmon B, Pauwels R, Stratis A, Oenning ACC, et al. Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D. Int J Paediatr Dent. 2018;28(3):300–9.
Horner K, Barry S, Dave M, Dixon C, Littlewood A, Pang CL, et al. Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review. Eur Arch Paediatr Dent. 2020;21(4):407–26.
Bhardwaj SS, Alghamdi S, Almulhim B, Alassaf A, Almalki A, Bhardwaj A, et al. CBCT in pediatric dentistry: Awareness and knowledge of its correct use in Saudi Arabia. Appl Sci. 2022;12(1).
Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020;21(4):375–86.
Jensen ED, Jensen SW, Oliver K. Cone beam computed tomography as a first line investigation in the pediatric dental patient. Pediatr Dent J. 2021;31(2):129–35.
Astuti ER, Saputra D, Nurrachman AS, Putri DK, Aini RSN, Lutfiah U. Distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga. J Radiol Dentomaksilofasial Indones. 2021;5(3):100.
Vogiatzi T, Menz R, Verna C, Bornstein MM, Dagassan-Berndt D. Effect of field of view (FOV) positioning and shielding on radiation dose in paediatric CBCT. Dentomaxillofacial Radiol. 2022;51(6).
Colceriu-Şimon IM, Băciuţ M, Ştiufiuc RI, Aghiorghiesei A, Ţărmure V, Lenghel M, et al. Clinical indications and radiation doses of cone beam computed tomography in orthodontics. Med Pharm Reports. 2019;92(4):346–51.
Aps J. Radiography in pediatric dental practice. Clin Dent Rev [Internet]. 2020;4(1):1–16.
Mihaela H, Maria M, Benjamin S, Ruben P, Caroline OA, Oana A, et al. Irradiation provided by dental radiological procedures in a pediatric population. Eur J Radiol. 2018;103:112–7.
Krishnan V. Cone beam computed tomography – A risk-benefit analysis! J World Fed Orthod. 2019;8(4):129–30.
Eslami E, Barkhordar H, Abramovitch K, Kim J, Masoud MI. Cone-beam computed tomography vs conventional radiography in visualization of maxillary impacted-canine localization: A systematic review of comparative studies. Am J Orthod Dentofac Orthop. 2017;151(2):248–58.
Dean JA. Dentristry for the Child and Adolescent. 11th ed. Elsevier. St. Louis, Missouri; 2022.
Sarac F. Diagnostic Efficiency and Usage of Cbct in Pediatric Dentistry. International Journal of PharmATA. 2022;2(2):61–7.
Marwah N. Pediatric dentistry. fourth. Textbook of Pediatric Dentistry. New Delhi: Jaypee Brothers Medical Publisher. 2019.pp 85–86.
İşman Ö, Yılmaz HH, Aktan AM, Yilmaz B. Indications for cone beam computed tomography in children and young patients in a Turkish subpopulation. Int J Paediatr Dent. 2017;27(3):183–90.
De Felice F, Di Carlo G, Saccucci M, Tombolini V, Polimeni A. Dental Cone Beam Computed Tomography in Children: Clinical Effectiveness and Cancer Risk due to Radiation Exposure. Oncol. 2019;96(4):173–8.
Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol. 2018;48(3):308–16.
Marcu M, Hedesiu M, Salmon B, Pauwels R, Stratis A, Oenning ACC, et al. Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D. Int J Paediatr Dent. 2018;28(3):300–9.
Horner K, Barry S, Dave M, Dixon C, Littlewood A, Pang CL, et al. Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review. Eur Arch Paediatr Dent. 2020;21(4):407–26.
Bhardwaj SS, Alghamdi S, Almulhim B, Alassaf A, Almalki A, Bhardwaj A, et al. CBCT in pediatric dentistry: Awareness and knowledge of its correct use in Saudi Arabia. Appl Sci. 2022;12(1).
Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020;21(4):375–86.
Jensen ED, Jensen SW, Oliver K. Cone beam computed tomography as a first line investigation in the pediatric dental patient. Pediatr Dent J. 2021;31(2):129–35.
Astuti ER, Saputra D, Nurrachman AS, Putri DK, Aini RSN, Lutfiah U. Distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga. J Radiol Dentomaksilofasial Indones. 2021;5(3):100.
Vogiatzi T, Menz R, Verna C, Bornstein MM, Dagassan-Berndt D. Effect of field of view (FOV) positioning and shielding on radiation dose in paediatric CBCT. Dentomaxillofacial Radiol. 2022;51(6).
Colceriu-Şimon IM, Băciuţ M, Ştiufiuc RI, Aghiorghiesei A, Ţărmure V, Lenghel M, et al. Clinical indications and radiation doses of cone beam computed tomography in orthodontics. Med Pharm Reports. 2019;92(4):346–51.
Aps J. Radiography in pediatric dental practice. Clin Dent Rev [Internet]. 2020;4(1):1–16.
Mihaela H, Maria M, Benjamin S, Ruben P, Caroline OA, Oana A, et al. Irradiation provided by dental radiological procedures in a pediatric population. Eur J Radiol. 2018;103:112–7.
Krishnan V. Cone beam computed tomography – A risk-benefit analysis! J World Fed Orthod. 2019;8(4):129–30.
Eslami E, Barkhordar H, Abramovitch K, Kim J, Masoud MI. Cone-beam computed tomography vs conventional radiography in visualization of maxillary impacted-canine localization: A systematic review of comparative studies. Am J Orthod Dentofac Orthop. 2017;151(2):248–58.
Published
2025-05-31
How to Cite
ARISANDY, Marini; WULANSARI, Dwi Putri; RAHMAN, Fadhlil Ulum Abdul.
Indications for CBCT examination in pediatric patients: a cross-sectional study.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 1, p. 1-6, may 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1276>. Date accessed: 29 june 2025.
doi: https://doi.org/10.32793/jrdi.v9i1.1276.
Section
Original Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
