Lübbers Heinz-Theo, Bornstein Michael M, Dagassan-Berndt Dorothea, Filippi Andreas, Suter Valerie G A, Dula Karl
Private Practice for Oral and Maxillofacial Surgery, Archstrasse 12, CH-8400 Winterthur, Switzerland.
Department of Oral Health & Medicine, University Center for Dental Medicine Basel UZB, University of Basel, Mattenstrasse 40, CH-4058 Basel, Switzerland.
Swiss Dent J. 2024 Dec 4;134(4):86-115. doi: 10.61872/sdj-2024-04-07.
Cone beam computed tomography (CBCT) is established in dentistry for about 20 years. Technique evolved and indications clarified since then and since the Swiss consensus guidelines regarding CBCT were published in 2014 and 2015. Therefore, the Swiss association of dentomaxillofacial radiology decided to initiate the process of updating these guidelines by forming a consensus group divided into a core group responsible for the whole process and an approval group responsible for specific clinical matters. The manuscript outlines the revised guidelines in a practical way and is divided along the different specialties and clinical fields of dentistry. In result the guidelines are updated regarding reconstructive dentistry, orthodontics, geriatric dentistry, temporomandibular joint disorders, maxillofacial traumatology, benign and malignant tumors, assessment and detection of dental foci and endodontic infections and apical surgery. Overall, it can be stated that CBCT is utilized more consistently and somewhat broader than ten years ago. Today CBCT is well established and has proven benefits if indicated and analyzed precisely. Therefore, it might very well become more and more standard in dental radiology.
锥形束计算机断层扫描（CBCT）在牙科领域已应用约20年。自那时起，该技术不断发展，适应证也逐渐明确，自2014年和2015年瑞士关于CBCT的共识指南发布以来更是如此。因此，瑞士口腔颌面放射学会决定通过组建一个共识小组来启动更新这些指南的进程，该小组分为负责整个流程的核心小组和负责特定临床事务的审批小组。本手稿以实用的方式概述了修订后的指南，并按照牙科的不同专业和临床领域进行了划分。结果，在重建牙科、正畸、老年牙科、颞下颌关节紊乱、颌面创伤学、良性和恶性肿瘤、牙源性病灶及牙髓感染和根尖手术的评估与检测等方面，指南得到了更新。总体而言，可以说与十年前相比，CBCT的使用更加一致，范围也有所扩大。如今，CBCT已得到广泛应用，并且如果使用得当且分析精确，已证明具有诸多益处。因此，它很可能会在牙科放射学中越来越成为标准。
