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American Academy of Periodontology Best Evidence Consensus Statement on Selected Oral Applications for Cone‐Beam Computed Tomography
Author(s) -
Mandelaris George A.,
Scheyer E. Todd,
Evans Marianna,
Kim David,
McAllister Bradley,
Nevins Marc L.,
Rios Hector F.,
Sarment David
Publication year - 2017
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2017.170234
Subject(s) - periodontology , evidence based dentistry , medicine , cone beam computed tomography , periodontitis , dentistry , evidence based practice , evidence based medicine , medical physics , scientific evidence , orthodontics , computed tomography , alternative medicine , radiology , pathology , philosophy , epistemology
Background: The American Academy of Periodontology (AAP) recently embarked on a Best Evidence Consensus (BEC) model of scientific inquiry to address questions of clinical importance in periodontology for which there is insufficient evidence to arrive at a definitive conclusion. This review addresses oral indications for use of cone‐beam computed tomography (CBCT). Methods: To develop the BEC, the AAP convened a panel of experts with knowledge of CBCT and substantial experience in applying CBCT to a broad range of clinical scenarios that involve critical structures in the oral cavity. The panel examined a clinical scenario or treatment decision that would likely benefit from additional evidence and interpretation of evidence, performed a systematic review on the individual, debated the merits of published data and experiential information, developed a consensus report, and provided a clinical bottom line based on the best evidence available. Results: This BEC addressed the potential value and limitations of CBCT relative to specific applications in the management of patients requiring or being considered for the following clinical therapies: 1) placement of dental implants; 2) interdisciplinary dentofacial therapy involving orthodontic tooth movement in the management of malocclusion with associated risk on the supporting periodontal tissues (namely, dentoalveolar bone); and 3) management of periodontitis. Conclusion: For each specific question addressed, there is a critical mass of evidence, but insufficient evidence to support broad conclusions or definitive clinical practice guidelines.