Patel Shanon, Brown Jackie, Foschi Federico, Al-Nuaimi Nassr, Fitton James
Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Guy's & St Thomas NHS Foundation Trust, London, UK.
Int Endod J. 2025 May;58(5):787-796. doi: 10.1111/iej.14203. Epub 2025 Feb 18.
The aim of this study was to investigate the applications of cone beam computed tomography (CBCT) amongst endodontic specialists in the United Kingdom (UK) via an online survey.
An online invitation to take part in the survey was sent out to 306 specialist endodontists registered on the UK specialist register. The survey consisted of a series of questions associated with demographics, access and use of CBCT, utilization of dose optimization parameters, and frequency of use in different clinical scenarios.
In total, 202 respondents completed the survey (a response rate of 66.3%), 128 were male (63.4%), and 74 were female (36.6%). Of the 202 respondents, 174 (85.7%) used CBCT for diagnosis and/or management of endodontic problems. A CBCT scanner was on-site in 71.3% (n = 124) and 28.7% (n = 50) being off-site. A small field of view (FOV) was the prescribed scan in most cases (88.5%, n = 154/174). The cost of the CBCT scan was included in the assessment/treatment fee in 21.8% (38/174) of cases, with 78.2% (136/174) charged a separate fee for the scan. In total, 89.1% (155/174) respondents used CBCT 'often or always' for management of complex root canal anatomy, 87.4% (152/174) for root resorption, 84.5% (147/174) for periapical microsurgery, only 20.7% (36/174) of respondents would use CBCT to assess the outcome of treatment. Only 35.1% (61/174) of respondents would prescribe a CBCT scan for a pregnant patient and 78.2% (136/174) would take a CBCT scan for a paediatric patient. In total, 22.4% (39/174) of respondents did not report or request reports of their CBCT scans. Respondents chose to alter the exposure parameters depending on the patient's age or if the dentition was deemed extensively restored. Of the clinicians who incorporate CBCT into their practice, 93.7% (164/174) believe it improves the quality of the care they provide, and 93.6% (163/174) felt that the use of CBCT improves confidence in their diagnosis.
The use of CBCT amongst specialist endodontists in the UK is commonplace. However, usage does not appear to completely follow best practice guidance for certain clinical scenarios and highlights the need for further training in CBCT.
本研究旨在通过在线调查，探究锥形束计算机断层扫描（CBCT）在英国牙髓病专科医生中的应用情况。
向在英国专科医生注册名录上登记的306名牙髓病专科医生发出参与该调查的在线邀请。该调查包含一系列与人口统计学、CBCT的获取与使用、剂量优化参数的利用以及在不同临床场景中的使用频率相关的问题。
共有202名受访者完成了调查（回复率为66.3%），其中128名男性（63.4%），74名女性（36.6%）。在这202名受访者中，174名（85.7%）使用CBCT进行牙髓病问题的诊断和/或管理。71.3%（n = 124）的机构有现场CBCT扫描仪，28.7%（n = 50）的机构没有。在大多数情况下（88.5%，n = 154/174），规定扫描使用小视野（FOV）。21.8%（38/174）的病例中，CBCT扫描费用包含在评估/治疗费用中，78.2%（136/174）的病例扫描收取单独费用。总体而言，89.1%（155/174）的受访者“经常或总是”使用CBCT来处理复杂的根管解剖结构，87.4%（152/174）用于牙根吸收，84.5%（147/174）用于根尖显微外科手术，只有20.7%（36/174）的受访者会使用CBCT评估治疗效果。只有35.1%（61/174）的受访者会为孕妇开具CBCT扫描，78.2%（136/174）会为儿科患者进行CBCT扫描。总体而言，22.4%（39/174）的受访者未报告或未要求提供其CBCT扫描报告。受访者会根据患者年龄或牙列是否被认为广泛修复来选择改变曝光参数。在将CBCT纳入其临床实践的临床医生中，93.7%（164/174）认为这提高了他们提供的护理质量，93.6%（163/174）觉得使用CBCT增强了他们诊断的信心。
在英国，牙髓病专科医生中使用CBCT很常见。然而，在某些临床场景中，其使用似乎并未完全遵循最佳实践指南，这凸显了在CBCT方面进行进一步培训的必要性。
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