title: Is there a consensus for CBCT use in Orthodontics?
abstract: This article aims to discuss current evidence and recommendations for cone-beam computed tomography (CBCT) in Orthodontics. In comparison to conventional radiograph, CBCT has higher radiation doses and, for this reason, is not a standard method of diagnosis in Orthodontics. Routine use of CBCT in substitution to conventional radiograph is considered an unaccepted practice. CBCT should be indicated with criteria only after clinical examination has been performed and when the benefits for diagnosis and treatment planning exceed the risks of a greater radiation dose. It should be requested only when there is a potential to provide new information not demonstrated by conventional scans, when it modifies treatment plan or favors treatment execution. The most frequent indication of CBCT in Orthodontics, with some evidence on its clinical efficacy, includes retained/impacted permanent teeth; severe craniofacial anomalies; severe facial discrepancies with indication of orthodontic-surgical treatment; and bone irregularities or malformation of TMJ accompanied by signs and symptoms. In exceptional cases of adult patients when critical tooth movement are planned in regions with deficient buccolingual thickness of the alveolar ridge, CBCT can be indicated provided that there is a perspective of changes in orthodontic treatment planning.
authors.affiliation: School of Dentistry, University of São Paulo, Bauru.
authors.forename: Daniela G
authors.initials: DG
authors.lastname: Garib
authors.affiliation: School of Dentistry, University of São Paulo, Bauru.
authors.forename: Louise Resti
authors.initials: LR
authors.lastname: Calil
authors.affiliation: Hospital for Rehabilitation of Craniofacial Anomalies, USP.
authors.forename: Claudia Resende
authors.initials: CR
authors.lastname: Leal
authors.affiliation: Department of Orthodontics, School of Dentistry, University of São Paulo, Bauru.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Janson
mesh_terms: D054893:Cone-Beam Computed Tomography / Q000706:statistics & numerical data*; D032921:Consensus; D055094:Evidence-Based Dentistry; D006801:Humans; D009970:Orthodontics; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D011829:Radiation Dosage; D018570:Risk Assessment