Evidence map›Paper›PMID 31768893›Full record

SynthesisEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2020

Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document.

J Kühnisch, V Anttonen, M S Duggal, M Loizides Spyridonos, S Rajasekharan, M Sobczak, E Stratigaki, J W G Van Acker, J K M Aps, K Horner and 1 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Clinical outcomes of interproximal enamel reduction in orthodontic treatment of children and adolescents: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  3. Incidental findings from cone-beam computed tomography in children and adolescents: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  4. Trial
  5. The impact of radiographic examination timing and gag reflex on dental fear and cooperation in children: a comparative clinical study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Gingival and periodontal diseases and conditions in children and adolescents: consensus report.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

J KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Goethestraße 70, 80336, München, Germany. jkuehn@dent.med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-4063-2291
V AnttonenDepartment of Cariology, Endodontology and Paediatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
M S DuggalFaculty of Dentistry, National University of Singapore, Singapore, Singapore.
M Loizides SpyridonosSpecialist Private Practice, Paediatric Dentistry, Nicosia, Cyprus.
S RajasekharanDepartment of Paediatric Dentistry, PaeCoMeDiS Research Cluster, Ghent University, Ghent, Belgium.
M SobczakSpecialized Dental Practice, Warsaw, Poland.
E StratigakiDepartment of Orthodontics and Paediatric Dentistry, University of Basel, Basel, Switzerland.
J W G Van AckerDepartment of Paediatric Dentistry, PaeCoMeDiS Research Cluster, Ghent University, Ghent, Belgium.
J K M ApsDivision of Oral Diagnostic and Surgical Sciences, University of Western Australia, Perth, Australia.
K HornerDivision of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
K TsiklakisDepartment of Oral Diagnosis and Radiology National and Kapodistrian, University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsFour 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.

resultsSeveral clinical-based recommendations and statements were agreed upon.

conclusionThere 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).

Indexed as

Cone-Beam Computed TomographyPediatric DentistryAdolescentChildGreeceHumansRadiography, DentalRadiography, PanoramicAdolescentBitewing radiographyChildCone-beam computed tomographyDental radiographyGuidelinePanoramic radiography

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.