Grasielle Manoel Caiado1, Karine Evangelista1, Maria do Carmo Matias Freire1, Fabiana Tolentino Almeida2, Camila Pacheco-Pereira2, Carlos Flores-Mir2, Lucia Helena Soares Cevidanes3, Antonio Carlos de Oliveira Ruelas4, Karla de Faria Vasconcelos5, Flavia Preda5, Guy Willems5, Reinhilde Jacobs5, José Valladares-Neto1, Maria Alves Garcia Silva6. 1. Department of Stomatology & Division of Orthodontics, School of Dentistry, Federal University of Goiás, 1a Avenida, S/N, esq. praça universitária, setor Universitário, Goiânia, Goiás, 74605-220, Brazil. 2. Division of Oral Pathology and Radiology & Division of Orthodontics, School of Dentistry, Faculty of Medicine and Dentistry, School of Dentistry, University of Alberta, 116 St. and 85 Ave., Edmonton, Canada. 3. Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, 500 S State St, Ann Arbor, MI, USA. 4. Department of Orthodontics, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, Rio de Janeiro, 373, Brazil. 5. Department of Imaging and Pathology & Department of Oral Health Sciences-Orthodontics, Faculty of Medicine, Katholieke Universiteit Leuven, Oude Markt 13, Leuven, Belgium. 6. Department of Stomatology & Division of Orthodontics, School of Dentistry, Federal University of Goiás, 1a Avenida, S/N, esq. praça universitária, setor Universitário, Goiânia, Goiás, 74605-220, Brazil. mariaagsilva@gmail.com.
Abstract
OBJECTIVES: This study aimed to describe and compare CBCT imaging prescription in clinical practice among orthodontists from five countries in Europe and America. Additionally, it investigated factors associated with the prescribing and the use of guidelines for CBCT imaging. MATERIALS AND METHODS: A cross-sectional survey was carried out using an online questionnaire sent to all registered orthodontists in Belgium, Brazil, Canada, Romania, and the United States of America (USA). The data were analyzed by descriptive statistics, bivariate tests, and Poisson regression. RESULTS: The final sample consisted of 1284 participants. CBCT was prescribed by 84.4% of the participants for selected cases (84.9%), mainly for impacted teeth (92.4%), presurgical planning (54.1%), and root resorption (51.9%). High cost was most frequently the limiting factor for CBCT prescription (55.4%). Only 45.2% of those who were using CBCT imaging reported adhering to guidelines. CBCT imaging prescription was associated with the orthodontists' countries (p < .009, except for Belgium, p = .068), while the use of guidelines was associated with the respondents' country and additional training on CBCT imaging (p < .001). CONCLUSIONS: Orthodontists refer patients for CBCT for selected indications (impacted teeth, root resorption, presurgical planning, dentofacial deformities, as suggested by the international guidelines, and also for upper airway and temporomandibular joint evaluation). Many do not adhere to specific guidelines. There are substantial variations between the countries about the orthodontists' referral for CBCT and guideline usage, irrespective of gender. CBCT prescription may be limited by financial barriers, adhering to specific guidelines and prior CBCT training. CLINICAL RELEVANCE: CBCT prescription among orthodontists must be based on prescription criteria and current guidelines. It is advised to improve CBCT education and training to enhance CBCT selection, referral, analysis, and interpretation in orthodontic practice.
OBJECTIVES: This study aimed to describe and compare CBCT imaging prescription in clinical practice among orthodontists from five countries in Europe and America. Additionally, it investigated factors associated with the prescribing and the use of guidelines for CBCT imaging. MATERIALS AND METHODS: A cross-sectional survey was carried out using an online questionnaire sent to all registered orthodontists in Belgium, Brazil, Canada, Romania, and the United States of America (USA). The data were analyzed by descriptive statistics, bivariate tests, and Poisson regression. RESULTS: The final sample consisted of 1284 participants. CBCT was prescribed by 84.4% of the participants for selected cases (84.9%), mainly for impacted teeth (92.4%), presurgical planning (54.1%), and root resorption (51.9%). High cost was most frequently the limiting factor for CBCT prescription (55.4%). Only 45.2% of those who were using CBCT imaging reported adhering to guidelines. CBCT imaging prescription was associated with the orthodontists' countries (p < .009, except for Belgium, p = .068), while the use of guidelines was associated with the respondents' country and additional training on CBCT imaging (p < .001). CONCLUSIONS: Orthodontists refer patients for CBCT for selected indications (impacted teeth, root resorption, presurgical planning, dentofacial deformities, as suggested by the international guidelines, and also for upper airway and temporomandibular joint evaluation). Many do not adhere to specific guidelines. There are substantial variations between the countries about the orthodontists' referral for CBCT and guideline usage, irrespective of gender. CBCT prescription may be limited by financial barriers, adhering to specific guidelines and prior CBCT training. CLINICAL RELEVANCE: CBCT prescription among orthodontists must be based on prescription criteria and current guidelines. It is advised to improve CBCT education and training to enhance CBCT selection, referral, analysis, and interpretation in orthodontic practice.
Authors: J B Ludlow; R Timothy; C Walker; R Hunter; E Benavides; D B Samuelson; M J Scheske Journal: Dentomaxillofac Radiol Date: 2015 Impact factor: 2.419
Authors: Anne Caroline Oenning; Ruben Pauwels; Andreas Stratis; Karla De Faria Vasconcelos; Elisabeth Tijskens; Annelore De Grauwe; Reinhilde Jacobs; Benjamin Salmon Journal: Sci Rep Date: 2019-04-02 Impact factor: 4.379