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      Comparing Radiation Doses in CBCT and Medical CT Imaging for Dental Applications

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          A BSTRACT

          Background:

          We are always concerned about radiation exposure during dental imaging procedures. We explore the crucial differences in radiation doses between Cone Beam Computed Tomography (CBCT) and Medical computed tomography (CT) imaging, aiming to shed light on the safety and efficiency of these techniques

          Materials and Methods:

          In this study, we conducted a comprehensive analysis using state-of-the-art dental imaging equipment. We employed phantoms that simulated real dental scenarios, ensuring accuracy in our measurements. The radiation doses were measured with precision dosimeters, and various exposure settings were tested to obtain a comprehensive dataset.

          Results:

          Our findings reveal substantial differences in radiation doses between CBCT and Medical CT for dental applications. In the case of CBCT, the average effective dose was found to be approximately 100 microsieverts (μSv), making it a preferable choice for routine dental imaging. Medical CT, on the other hand, yielded significantly higher radiation exposure, with an average effective dose exceeding 500 μSv, emphasizing its need for specific clinical scenarios

          Conclusion:

          In conclusion, the choice between CBCT and Medical CT for dental applications should be made with careful consideration of radiation dose implications. CBCT emerges as the safer and more efficient option for routine dental imaging, offering a lower radiation burden to patients while still delivering high-quality diagnostic images. However, Medical CT may be necessary for specialized cases where the additional radiation risk is justified by diagnostic requirements.

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          Most cited references3

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          Effective dose of dental CBCT-a meta analysis of published data and additional data for nine CBCT units.

          This article analyses dose measurement and effective dose estimation of dental CBCT examinations. Challenges to accurate calculation of dose are discussed and the use of dose-height product (DHP) as an alternative to dose-area product (DAP) is explored.
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            Technical aspects of dental CBCT: state of the art.

            As CBCT is widely used in dental and maxillofacial imaging, it is important for users as well as referring practitioners to understand the basic concepts of this imaging modality. This review covers the technical aspects of each part of the CBCT imaging chain. First, an overview is given of the hardware of a CBCT device. The principles of cone beam image acquisition and image reconstruction are described. Optimization of imaging protocols in CBCT is briefly discussed. Finally, basic and advanced visualization methods are illustrated. Certain topics in these review are applicable to all types of radiographic imaging (e.g. the principle and properties of an X-ray tube), others are specific for dental CBCT imaging (e.g. advanced visualization techniques).
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              Better imaging: the advantages of digital radiography.

              Digital radiography has been available in dentistry for more than 25 years, but it has not replaced conventional film-based radiography completely. This could be because of the costs involved in replacing conventional radiographic equipment with a digital imaging system, or because implementing new technology in the dental practice requires a bit of courage. When the practitioner is fully aware of the new possibilities offered by digital radiography, he or she can make a more informed decision about adopting it. This article offers information about digital radiography, not just as a replacement of conventional radiography, but also as a concept offering benefits beyond those of conventional radiography. Digital radiographs are composed of a set of numbers arranged as a grid of rows and columns. The dentist can perform mathematical operations on these numbers to create a new image in which certain characteristics are enhanced, thus making interpretation of the image easier. The dentist also can correct, to some extent, overexposed or underexposed images and can optimize contrast and brightness for specific diagnostic procedures, such as caries detection and bone level assessment. More advanced procedures are available as well, such as digital subtraction radiography and computer-aided recognition of image features. The author presents a selection of the advantages of digital radiography that are not achievable with conventional film-based radiography. Implementing digital radiography in the dental office requires additional training. However, once members of the dental team have gone through this initial phase, they have the benefits of several new diagnostic possibilities. With a digital system, information from radiographic images is collected more easily and in a more objective way, which will improve the performance of the diagnostic process.
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                Author and article information

                Journal
                J Pharm Bioallied Sci
                J Pharm Bioallied Sci
                JPBS
                J Pharm Bioall Sci
                Journal of Pharmacy & Bioallied Sciences
                Wolters Kluwer - Medknow (India )
                0976-4879
                0975-7406
                February 2024
                29 February 2024
                : 16
                : Suppl 1
                : S883-S885
                Affiliations
                [1]Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdullaziz University, Al-Kharj, Saudi Arabia
                Author notes
                Address for correspondence: Dr. Mahmud U. Zaman, Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdullaziz University, Al-Kharj - 11942, Saudi Arabia. E-mail: m.zaman@ 123456psau.edu.sa
                Article
                JPBS-16-883
                10.4103/jpbs.jpbs_1077_23
                11001137
                38595575
                e3b893f9-23ee-44b0-891d-9201fa7d3504
                Copyright: © 2024 Journal of Pharmacy and Bioallied Sciences

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 18 October 2023
                : 21 October 2023
                : 23 October 2023
                Categories
                Original Article

                Pharmacology & Pharmaceutical medicine
                cbct,dental imaging,diagnostic imaging,effective dose,medical ct,radiation dose,safety

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