Dula Karl, Benic Goran I, Bornstein Michael, Dagassan-Berndt Dorothea, Filippi Andreas, Hicklin Stefan, Kissling-Jeger Franziska, Luebbers Heinz-Theo, Sculean Anton, Sequeira-Byron Patrick, Walter Clemens, Zehnder Matthias
Section of Dental Radiology and Stomatology, Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland.
Swiss Dent J. 2015;125(9):945-53. doi: 10.61872/sdj-2015-09-01.
In 2011, the first consensus conference on guidelines for the use of cone-beam computed tomography (CBCT) was convened by the Swiss Society of Dentomaxillofacial Radiology (SGDMFR). This conference covered topics of oral and maxillofacial surgery, temporomandibular joint dysfunctions and disorders, and orthodontics. In 2014, a second consensus conference was convened on guidelines for the use of CBCT in endodontics, periodontology, reconstructive dentistry and pediatric dentistry. The guidelines are intended for all dentists in order to facilitate the decision as to when the use of CBCT is justified. As a rule, the use of CBCT is considered restrictive, since radiation protection reasons do not allow its routine use. CBCT should therefore be reserved for complex cases where its application can be expected to provide further information that is relevant to the choice of therapy. In periodontology, sufficient information is usually available from clinical examination and periapical radiographs; in endodontics alternative methods can often be used instead of CBCT; and for implant patients undergoing reconstructive dentistry, CT is of interest for the workflow from implant planning to the superstructure. For pediatric dentistry no application of CBCT is seen for caries diagnosis.
2011年,瑞士口腔颌面放射学会(SGDMFR)召开了关于锥束计算机断层扫描(CBCT)使用指南的首次共识会议。本次会议涵盖了口腔颌面外科、颞下颌关节功能障碍和疾病以及正畸学等主题。2014年,召开了第二次共识会议,讨论CBCT在牙髓病学、牙周病学、修复牙科和儿童牙科中的使用指南。这些指南旨在为所有牙医提供便利,以便他们决定何时使用CBCT是合理的。通常,CBCT的使用被认为是受限的,因为出于辐射防护的原因不允许其常规使用。因此,CBCT应保留用于复杂病例,在这些病例中,预计其应用能够提供与治疗选择相关的更多信息。在牙周病学中,通常通过临床检查和根尖片就能获得足够的信息;在牙髓病学中,通常可以使用替代方法而非CBCT;对于接受修复牙科治疗的种植牙患者,从种植体规划到上部结构的工作流程中,CT是值得关注的。对于儿童牙科,在龋齿诊断中未见CBCT的应用。