J Kühnisch1, V Anttonen2,3, M S Duggal4, M Loizides Spyridonos5, S Rajasekharan6, M Sobczak7, E Stratigaki8, J W G Van Acker6, J K M Aps9, K Horner10, K Tsiklakis11. 1. Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Goethestraße 70, 80336, München, Germany. jkuehn@dent.med.uni-muenchen.de. 2. Department of Cariology, Endodontology and Paediatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland. 3. Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland. 4. Faculty of Dentistry, National University of Singapore, Singapore, Singapore. 5. Specialist Private Practice, Paediatric Dentistry, Nicosia, Cyprus. 6. Department of Paediatric Dentistry, PaeCoMeDiS Research Cluster, Ghent University, Ghent, Belgium. 7. Specialized Dental Practice, Warsaw, Poland. 8. Department of Orthodontics and Paediatric Dentistry, University of Basel, Basel, Switzerland. 9. Division of Oral Diagnostic and Surgical Sciences, University of Western Australia, Perth, Australia. 10. Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK. 11. Department of Oral Diagnosis and Radiology National and Kapodistrian, University of Athens, Athens, Greece.
Abstract
BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) proposes this best clinical practice guidance to help practitioners decide when and how to prescribe dental radiographs in children and adolescents. METHODS: Four expert working groups conducted each a systematic review of the literature. The main subjects were radiation protection, intraoral dental radiography (bitewing and periapical radiographs), panoramic radiography (PR) and cone-beam computed tomography (CBCT). In addition, three workshops were held during the corresponding EAPD Interim Seminar in Chania (Crete, Greece) in 2019. On the basis of the identified evidence, all invited experts presented their findings and during the workshops aspects of clinical relevance were discussed. RESULTS: Several clinical-based recommendations and statements were agreed upon. CONCLUSION: There is no or low-grade evidence about the efficacy of dental radiographic examinations in young populations. The given recommendations and rationales should be understood as best clinical practice guidance. It is essential to respect the radiological principles of an individualized and patient-specific justification. When a dental radiograph is required, its application needs to be optimized, aiming at limiting the patient's exposure to ionising radiation according to the ALADAIP principle (As Low As Diagnostically Achievable being Indication-oriented and Patient-specific).
BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) proposes this best clinical practice guidance to help practitioners decide when and how to prescribe dental radiographs in children and adolescents. METHODS: Four expert working groups conducted each a systematic review of the literature. The main subjects were radiation protection, intraoral dental radiography (bitewing and periapical radiographs), panoramic radiography (PR) and cone-beam computed tomography (CBCT). In addition, three workshops were held during the corresponding EAPD Interim Seminar in Chania (Crete, Greece) in 2019. On the basis of the identified evidence, all invited experts presented their findings and during the workshops aspects of clinical relevance were discussed. RESULTS: Several clinical-based recommendations and statements were agreed upon. CONCLUSION: There is no or low-grade evidence about the efficacy of dental radiographic examinations in young populations. The given recommendations and rationales should be understood as best clinical practice guidance. It is essential to respect the radiological principles of an individualized and patient-specific justification. When a dental radiograph is required, its application needs to be optimized, aiming at limiting the patient's exposure to ionising radiation according to the ALADAIP principle (As Low As Diagnostically Achievable being Indication-oriented and Patient-specific).