Midwestern University College of Dental Medicine, Arizona.
Department of Oral and Maxillofacial Radiology, Midwestern University College of Dental Medicine, Arizona.
J Dent Educ. 2020 Mar;84(3):301-307. doi: 10.21815/JDE.019.179.
Historically, predoctoral and advanced dental education programs used two-dimensional panoramic and periapical radiographs for implant planning. Three-dimensional (3D) Cone Beam Computed Tomography (CBCT) imaging has improved visualization of anatomic structures that can positively influence implant planning and surgical implant placement. The aim of this study was to assess how U.S. postdoctoral periodontics programs have incorporated CBCT technology into their curricula. A ten-question survey was sent to all 57 U.S. postdoctoral periodontics programs in November-December 2018. Thirty-seven responses were received, for a 65% response rate. All participating programs reported providing residents access to CBCT machines, and most of their residents received some training in the acquisition and interpretation of CBCT images. Nearly all (95%) participating programs provided training to apply implant planning software. Among the participating programs, 14% reported using a surgical guide fabricated with a CBCT scan 76-100% of the time, and 60% reported obtaining a CBCT scan for implant cases 76-100% of the time. These results suggest that, while residents are receiving training in CBCT and implant planning, it is not used often. There may be merit in adopting the American Academy of Oral and Maxillofacial Radiology's recommendation to use 3D imaging for all implant planning, with CBCT as the imaging modality of choice.
历史上，牙科学位前和高级的牙科教育计划使用二维全景和根尖周射线照相术进行种植体规划。三维（3D）锥形束计算机断层扫描（CBCT）成像改善了对解剖结构的可视化，这可以积极影响种植体规划和手术种植体放置。本研究旨在评估美国牙周病学博士后课程如何将 CBCT 技术纳入其课程。2018 年 11 月至 12 月，向所有 57 个美国牙周病学博士后课程发送了一份十项问题的调查。收到了 37 份答复，回复率为 65%。所有参与的项目都报告说为居民提供了 CBCT 机的使用机会，并且他们的大多数居民都接受过 CBCT 图像获取和解释方面的培训。几乎所有（95%）参与计划都提供了应用种植体规划软件的培训。在参与的计划中，14%的计划报告说使用基于 CBCT 扫描的手术导板的频率为 76-100%，60%的计划报告说为植入病例获得 CBCT 扫描的频率为 76-100%。这些结果表明，虽然居民正在接受 CBCT 和种植体规划方面的培训，但使用频率并不高。采用美国口腔颌面放射学会的建议，即对所有种植体规划使用 3D 成像，将 CBCT 作为首选成像方式，可能具有一定的价值。
