SynthesisEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2020
Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review.
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. An erratum has been issued. Cited by 22 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography: Clinical recommendations.Oral surgery, oral medicine, oral pathology and oral radiology · 2026Guideline
- American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography: Clinical recommendations.Journal of the American Dental Association (1939) · 2026Guideline
- Two decades of research on CBCT imaging in DMFR - an appraisal of scientific evidence.Dento maxillo facial radiology · 2021Pooled it
- Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020Pooled it
- A systematic review of relative indications and contra-indications for prescribing panoramic radiographs in dental paediatric patients.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020Pooled it
- An open deep learning-based framework and model for tooth instance segmentation in dental CBCT.Clinical oral investigations · 2025Article
- A Comparative Volumetric Evaluation of Three Different Obturation Techniques in Primary Teeth: AnInternational journal of clinical pediatric dentistry · 2025Article
- The impact of cone beam CT on outcomes associated with endodontic access cavity preparation: a controlled human analogue study using 3D-printed first maxillary molars.Dento maxillo facial radiology · 2025Article
- Clinical use of cone-beam computed tomography in Western Norway: a referral-based retrospective study.Acta odontologica Scandinavica · 2024Article
- ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment.Clinical oral investigations · 2024Article
- A Critical Review of the Efficacy and Safety of Radiological Imaging Techniques in Pediatric Orthodontics.Galen medical journal · 2024Review
- Bibliometric analysis and diagnostic efficacy of cone-beam computed tomography studies published in Imaging Science in Dentistry from 2011 to 2022.Imaging science in dentistry · 2023Article
- Measurement of the Dentin Wall Thickness of the Maxillary Central Incisor in Relation to the Stage of Root Development: A Pilot Study.Acta stomatologica Croatica · 2023Article
- Cone beam computed tomography (CBCT) referrals in paediatric patients: A 24-month retrospective study in two radiological centers in Campinas, Brazil.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023Article
- Determination of a cone-beam CT low-dose protocol for root fracture diagnosis in non-endodontically treated anterior maxillary teeth.Dento maxillo facial radiology · 2022Article
- Delaying Intraoral Radiographs during the COVID-19 Pandemic: A Conundrum.BioMed research international · 2022Review
- Paediatric dentist's ability to detect and diagnose dental trauma using 2D versus 3D imaging.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021Article
- Clinically applicable artificial intelligence system for dental diagnosis with CBCT.Scientific reports · 2021Article
- Guidelines for oral and maxillofacial imaging: COVID-19 considerations.Oral surgery, oral medicine, oral pathology and oral radiology · 2021Review
- Does anthropomorphic model design inDento maxillo facial radiology · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine in which clinical situations it is indicated or contra-indicated to prescribe cone beam computed tomography (CBCT) for paediatric patients.
methodsSystematic review of in vivo paediatric research studies of diagnostic efficacy using CBCT, with supplementary searches for guideline documents on CBCT and for systematic reviews permitting inclusion of ex vivo and adult studies.
resultsAfter screening, 190 publications were included, mostly case studies. No systematic reviews were found of in vivo paediatric research. Fourteen studies of diagnostic efficacy were identified. The supplementary searches found 18 guideline documents relevant to the review and 26 systematic reviews. The diagnostic efficacy evidence on CBCT was diverse and often of limited quality. There was ex vivo evidence for diagnostic accuracy being greater using CBCT than radiographs for root fractures. The multiplanar capabilities of CBCT are advantageous when localising dental structures for surgical planning. Patient movement during scanning is more common in children which could reduce diagnostic efficacy.
conclusionsNo strong recommendations on CBCT are possible, except that it should not be used as a primary diagnostic tool for caries. Guidelines on use of CBCT in the paediatric age group should be developed cautiously, taking into account the greater radiation risk and the higher economic costs compared with radiography. CBCT should only be used when adequate conventional radiographic examination has not answered the question for which imaging was required. Clinical research in paediatric patients is required at the higher levels of diagnostic efficacy of CBCT.
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Registered trials
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.