Kim Irene H, Singer Steven R, Mupparapu Mel
Quintessence Int. 2019 Jan 25;50(2):136-145. doi: 10.3290/j.qi.a41332. Epub 2018 Nov 8.
The aim of this article is to investigate, study, and summarize cone beam computed tomography (CBCT)-related guidelines offered by relevant organizations and associations within North America to provide the dental practitioner a clearer direction on the practice of CBCT-related procedures in North America.
Scientific databases including PubMed, Science Direct, Scopus, MedLine, and Web of Science were used for the search of relevant literature on the CBCT guidelines developed in North America. In addition, the World Wide Web was searched for comparative CBCT guidelines nationally or internationally using the same search strategies.
In 1999, the American Dental Association (ADA) recognized Oral and Maxillofacial Radiology as the ninth dental specialty in the United States. The American Academy of Oral and Maxillofacial Radiology (AAOMR) issued their first statement on the use of CBCT in 2008. There have since been several statements issued, independently or jointly with other specialty organizations, related to the use and interpretation of the CBCT volumes. The guidelines identified Oral and Maxillofacial Radiologists (OMR) as providers of interpretative services, portrayed as key players in the dissemination of information related to CBCT, implementation of CBCT-related services and radiation protection, as well as interpretation assistance for CBCT volumes, especially medium to large volumes covering anatomical areas of head and neck, considered beyond the scope of a general dentist. Regulations concerning radiation-producing devices are promulgated through state health codes and practice acts. Selection criteria and interpretation of imaging studies are left to the clinician's choice and abilities.
本文旨在调查、研究和总结北美相关组织和协会提供的锥束计算机断层扫描（CBCT）相关指南，为牙科从业者在北美进行CBCT相关程序的操作提供更清晰的指导。
使用包括PubMed、Science Direct、Scopus、MedLine和Web of Science在内的科学数据库搜索北美制定的CBCT指南的相关文献。此外，使用相同的搜索策略在万维网上搜索国内或国际上的比较性CBCT指南。
1999年，美国牙科协会（ADA）认可口腔颌面放射学为美国第九个牙科专业。美国口腔颌面放射学会（AAOMR）于2008年发布了关于使用CBCT的第一份声明。此后，已经独立或与其他专业组织联合发布了几份关于CBCT容积的使用和解读的声明。这些指南将口腔颌面放射科医生（OMR）确定为解读服务的提供者，他们被描绘为在传播与CBCT相关的信息、实施CBCT相关服务和辐射防护以及为CBCT容积（尤其是覆盖头颈部解剖区域的中到大容积）提供解读协助方面的关键角色，而这超出了普通牙医的范围。关于辐射产生设备的法规通过州健康法规和执业法案颁布。成像研究的选择标准和解读由临床医生自行决定和能力决定。
