Year : 2019 | Volume
: 31 | Issue : 2 | Page : 93-
Taking cone beam computed tomography to the next level
Ajay Pratap Singh Parihar
Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India
Dr. Ajay Pratap Singh Parihar
Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh
|How to cite this article:|
Parihar AP. Taking cone beam computed tomography to the next level.J Indian Acad Oral Med Radiol 2019;31:93-93
|How to cite this URL:|
Parihar AP. Taking cone beam computed tomography to the next level. J Indian Acad Oral Med Radiol [serial online] 2019 [cited 2019 Sep 18 ];31:93-93
Available from: http://www.jiaomr.in/text.asp?2019/31/2/93/261098
Cone beam computed tomography (CBCT) has revolutionized the clinical dentistry in India since the past 10 years. In the year 2009, very few CBCT machines were installed in India. As of now, almost every Indian state has few CBCT centers either as standalone maxillofacial diagnostic centers or into dental clinics. Despite all these developments, there are certain issues which require attention in Indian scenario such as radiation hazards, minimizing the radiation while practicing dental radiology, and implementation of quality assurance parameters. In deciding solution for upcoming and unseen scenario of CBCT in India, few aspects should be dealt with utmost focus. The first is to see the basic facilities required in CBCT centers such as space and other infrastructural requirements as per Atomic Energy Regulatory Board. Second, trained and state Dental Council of India (DCI)-registered oral medicine and radiology specialists for reporting and managing the centers. Another important aspect is that the radiographer working in these diagnostic centers should be trained under oral medicine and radiology experts to avoid radiation exposure and to understand the basic dental terminologies used by referred dentists. Finally, include “good practice manual” in each center, keeping radiology records and protocol for reporting of medicolegal cases. This will open new doors for multicentric studies and knowledge sharing.
An appropriate dental diagnostic CBCT reports take into account the patient's history, previous imaging, current signs and symptoms, and the results of other diagnostic tests. The outcome of CBCT report should not only give imaging findings but also reflect list of differential diagnosis, with suggestions for further investigations or patient management. Accurate mention of uncommon incidental findings is also an integral part of a good report. The interpretation and reporting of CBCT relies on wider, clinical, and professional experience of oral medicine and radiology expert.
A CBCT report should be actionable; it should be helpful to the patient and answer the queries of referring doctor. A good report should solve the clinical question with a list of differential diagnosis. The wording of the report should be unambiguous and distinct. Reporters should supplement their written report with verbal dialog with the referring dentist. Suggested histopathological correlation required to confirm the CBCT findings is must for the pathologies. All the above measures during reporting will strengthen the Indian Academy of Oral Medicine and Radiology (IAOMR). It is high time to work together, learn, imbibe, and involve ourselves so that we can use this technology for uplifting the IAOMR in India.