American Academy of Periodontology Best Evidence Consensus Statement on Selected Oral Applications for Cone‐Beam Computed Tomography. Issue 10 (1st October 2017)

• Record Type: Journal Article
• Authors: Mandelaris, George A.; Scheyer, E. Todd; Evans, Marianna; Kim, David; McAllister, Bradley; Nevins, Marc L.; Rios, Hector F.; Sarment, David
• Is Part Of: Journal of periodontology. Volume 88:Issue 10(2017)
• Page Start: 939
• Page End: 945
• Publication Date: 2017-10-01
• Subjects: Cone‐beam computed tomography -- consensus -- dental implants -- orthodontics -- periodontal diseases -- radiation exposure; Periodontics -- Periodicals; 617.632
• DOI: 10.1902/jop.2017.170234
• Languages: English
• ISSNs: 0022-3492

Abstract

Abstract : Background: The American Academy of Periodontology (AAP) recently embarked on a Best Evidence Consensus (BEC) model of scientific inquiry to address questions of clinical importance in periodontology for which there is insufficient evidence to arrive at a definitive conclusion. This review addresses oral indications for use of cone‐beam computed tomography (CBCT). Methods: To develop the BEC, the AAP convened a panel of experts with knowledge of CBCT and substantial experience in applying CBCT to a broad range of clinical scenarios that involve critical structures in the oral cavity. The panel examined a clinical scenario or treatment decision that would likely benefit from additional evidence and interpretation of evidence, performed a systematic review on the individual, debated the merits of published data and experiential information, developed a consensus report, and provided a clinical bottom line based on the best evidence available. Results: This BEC addressed the potential value and limitations of CBCT relative to specific applications in the management of patients requiring or being considered for the following clinical therapies: 1) placement of dental implants; 2) interdisciplinary dentofacial therapy involving orthodontic tooth movement in the management of malocclusion with associated risk on the supporting periodontal tissues (namely, dentoalveolar bone); and 3) management of periodontitis. Conclusion: For each specific question addressed, there is a critical mass of evidence, but insufficient evidence to support broad conclusions or definitive clinical practice guidelines.