Kumar Nithin, Malik Bhavna, Dubey Alok, Kaur Harveen, Mujoo Sheetal, Jugade Shraddha C, Gulia Sunil K
School of Dentistry, Central Asian University, Tashkent, Uzbekistan.
Department of Dentistry, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2585-S2587. doi: 10.4103/jpbs.jpbs_295_24. Epub 2024 Jul 31.
Cone beam computed tomography (CBCT) has become a cornerstone in oral and maxillofacial radiology due to its high-resolution, three-dimensional imaging capabilities and lower radiation exposure compared to traditional computed tomography (CT). The purpose of this retrospective study is to examine long-term patterns in the use of CBCT in a tertiary care context, with an emphasis on patient characteristics, CBCT indications, and variations in use patterns over time.
During the course of 5 years, a tertiary care facility performed 500 CBCT scans, all of which were included in the study. Information on the age, sex, and source of referral for each patient was gathered from their electronic medical records. Radiology data were used to categorize CBCT indications, which included implant planning, impacted tooth assessment, and pathology evaluation. Regression analysis and descriptive statistics were used to examine utilization trends.
Throughout the study period, there was a consistent rise in the use of CBCT, with implant planning being the most often cited indication. Impacted tooth assessment and pathology evaluation were next in line. Considerable differences were noted in the use of CBCT for various age groups and indications. The results demonstrate how CBCT is improving oral and maxillofacial radiology's diagnostic precision and treatment planning. In summary, this study offers a significant understanding of the long-term patterns in CBCT use in a tertiary care context. With ramifications for resource allocation, patient care, and future research objectives, the observed trends highlight the increasing acceptability and incorporation of CBCT into standard clinical practice.
锥形束计算机断层扫描（CBCT）凭借其高分辨率、三维成像能力以及相较于传统计算机断层扫描（CT）更低的辐射剂量，已成为口腔颌面放射学的基石。这项回顾性研究的目的是在三级医疗环境中考察CBCT的长期使用模式，重点关注患者特征、CBCT的适应证以及使用模式随时间的变化。
在5年期间，一家三级医疗机构进行了500次CBCT扫描，所有扫描均纳入本研究。从患者的电子病历中收集每位患者的年龄、性别和转诊来源信息。利用放射学数据对CBCT的适应证进行分类，包括种植体规划、阻生牙评估和病理学评估。采用回归分析和描述性统计来考察使用趋势。
在整个研究期间，CBCT的使用持续增加，种植体规划是最常提及的适应证。阻生牙评估和病理学评估紧随其后。不同年龄组和适应证在CBCT使用方面存在显著差异。结果表明CBCT如何提高口腔颌面放射学的诊断准确性和治疗规划水平。总之，本研究对三级医疗环境中CBCT的长期使用模式有了重要认识。观察到的趋势对资源分配、患者护理和未来研究目标具有影响，凸显了CBCT在标准临床实践中越来越高的可接受性和应用程度。
