Newly Developed Low Dose 180-degree CBCT Protocol Reduces Radiation Dose Without Compromising Diagnostic Value

Int J Oral Maxillofac Implants. 2023 Dec 12;38(6):1161-1167. doi: 10.11607/jomi.10364.

Abstract

Purpose: To compare the standard 360-degree CBCT acquisition protocol to the low dose 180-degree CBCT protocol for implant planning.

Materials and methods: Two groups of patients, each consisting of 35 patients, were included in the study. The first group was imaged with the conventional 360-degree CBCT protocol, and the second group was imaged with the low dose 180-degree CBCT protocol. The primary outcome of this study was the number of scans that needed to be repeated due to poor image quality. In addition, six secondary parameters were evaluated quantitatively and qualitatively.

Results: The results showed that there was no need to repeat any of the CBCT scans that were obtained in either group, which showed that 360-degree and 180-degree protocols had comparable image quality. As for the secondary parameters, the results showed that the evaluators were able to evaluate the six chosen parameters in a comparable manner.

Conclusions: The 180-degree low dose CBCT scan is a viable option for dental implant treatment planning in the posterior mandible as it provides comparable and adequate information regarding accuracy of measurements, identification of critical structures, evaluation of bone quality, and any pathology.

Keywords: 180-degree; ALARA; CBCT; dental implant; implant planning; low-dose radiation; radiation; radiology.

MeSH terms

  • Cone-Beam Computed Tomography* / methods
  • Humans
  • Mandible / diagnostic imaging
  • Radiation Dosage
  • Spiral Cone-Beam Computed Tomography*