Utilization and Perceptions of Cone Beam Computed Tomography (CBCT) in Endodontic Practice: A Survey of Dentists in Sulaimania, Erbil, and Duhok Cities
DOI:
https://doi.org/10.56056/amj.2025.374Keywords:
Cone Beam Computed Tomography, Dental imaging, Dental practice, Endodontics, Root canal treatmentAbstract
Background and objectives: Cone Beam Computed Tomography has become an increasingly important tool in dental practice, offering high-resolution three-dimensional images with lower radiation exposure compared to traditional computed tomography. This study aims to investigate Cone Beam Computed Tomography utilization, perception among dentists in Sulaimania, Erbil, Duhok cities.
Methods: A cross-sectional survey conducted among dentists in Sulaimania, Erbil, and Duhok cities in 2022. A sample of 385 dentists (general dental practitioner and specialist) participated in this survey. Demographic information and experience with Cone Beam Computed Tomography were collected. Data were analyzed using descriptive statistics, chi-squared tests, and regression analysis.
Results: from the total of 385 dentists, 221 (57.4%) had taken a course on root canal treatment, while 56 (14.5%) had a training course in Cone Beam Computed Tomography. Only 53 (13.8%) reported having a Cone Beam Computed Tomography device in their practice. Among those with access, 16 (4.2%) reported using it for follow-up, 131 (34.0%) for diagnosis, 151 (39.2%) for treatment planning, and 149 (38.7%) for assessing treatment success. It was more commonly used for diagnosing vertical root fractures (60.8%) and apical lesions (18.2%). A significant majority (94.3%) used it to assess lesion size. Reasons for not using included cost (80.0%), unavailability (60.5%), and radiation concerns (53.5%).
Conclusion: This study provides insights into the utilization and perceptions of Cone Beam Computed Tomography among dentists. While it offers benefits, adoption is influenced by cost, availability, and radiation concerns.
Downloads
References
1. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: Part 1. Conventional and alternative radiographic systems. Int Endod J. 2015;48(1):3-15.
2. Setzer FC, Hinckley N, Kohli MR, Bhullar A, Somani C, Smith GT. A survey of cone-beam computed tomographic use among endodontic practitioners in the United States. J Endod. 2017;43(5):699-704.
3. Aminoshariae A, Kulild JC, Nagendrababu V. Cone-beam computed tomography in endodontics: current status and future directions. J Endod. 2021;47(7):1025-1037.
4. Michetti J, Maret D, Mallet JP, Diemer F. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod. 2010;36(7):1187-1190.
5. Kruse C, Spin-Neto R, Wenzel A, Kirkevang LL, Vaeth M, Horie N, et al. Cone beam computed tomography and periapical lesions: a systematic review analysing studies on diagnostic efficacy by a hierarchical model. Int Endod J. 2015;48(9):815-828.
6. Ee J, Fayad MI, Johnson BR. 3D reconstruction of root canals using cone-beam computed tomography. Int Endod J. 2014;47(11):1034-1043.
7. Venskutonis T, Plotino G, Tocci L, Gambarini G, Mamani SA, Gano LB, et al. Periapical and endodontic status scale based on periapical bone lesions and endodontic treatment quality evaluation using cone-beam computed tomography. J Endod. 2015;41(2):190-196.
8. Rigolone M, Pasqualini D, Bianchi L, Berutti E, Bianchi SD. Vestibular surgical access to the palatine root of the superior first molar: "low-dose cone-beam" CT analysis. J Endod. 2003;29(11):773-775.
9. Xu J, Zhao H, Li Z. Cone-beam computed tomographic study on apical curvatures and locations of mesiobuccal root canals. Int J Oral Sci. 2017;9(1): e1.
10. Liang YH, Li G, Shemesh H, Wesselink PR, Wu MK. The association between complete absence of post-treatment periapical lesion and root canal surface area. Int Endod J. 2011;44(4):303-312.
11. Connert T, Truckenmüller M, ElAyouti A, Löst C, Krug R, Decker EL, et al. Micro-surgical endodontic re-treatment utilizing cone-beam computed tomography. J Endod. 2019;45(9):1169-1180.
12. Patel S, Wilson R, Dawood A, Mannocci F. Detection of periapical pathosis using CBCT - part 2: A 1-year follow-up. Int Endod J. 2012;45(8):711-723.
13. Tyndall DA, Rathore S. Cone-beam CT diagnostic applications. Dent Clin North Am. 2008;52(4):825-841.
14. Devereux S, Walker L, Christell H, Kupperman E, Van Gorden E, Nolen D, et al. Cost-effectiveness of CBCT for endodontic treatment. J Endod. 2017;43(10):1694-1699.
15. Elsherpieny EA, Walsh TL, Gröndahl HG. Cost-effectiveness of CBCT in endodontics: A systematic review. Int Endod J. 2018;51(4):392–402.
16. Hidalgo Rivas JA, Horner K, Thiruvenkatachari B, Davies J, Theodorakou C. CBCT dosimetry during endodontic diagnosis. Dentomaxillofac Radiol. 2015;44(3):20140175.
17. Dawood A, Patel S, Brown J, Sauret-Jackson V, Purkayastha S. Optimization of cone beam CT exposure for pre-surgical evaluation of the implant site. Dentomaxillofac Radiol. 2015;44(7):20150089.
18. Seo SH, Kim KH, Kim SW, Park H, Choi IB, Lee HK,et al . Radiation Dose from Cone-beam Computed Tomography in Endodontic Procedures: A Systematic Review and Meta-analysis. J Endod. 2021;47(10):1534-1543.
19. American Association of Endodontists, American Academy of Oral and Maxillofacial Radiology. Joint Position Statement of the American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology: Use of Cone Beam Computed Tomography in Endodontics 2015 Update. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology. 2015;120(4):508-512.
20. American Association of Endodontists, American Academy of Oral and Maxillofacial Radiology. Joint Position Statement of the American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology: Use of Cone Beam Computed Tomography in Endodontics 2020 Update. Journal of Endodontics. 2020;46(8):1042-1047.
21. Fayad MI, Galili D, Johnson BR, Petersson A, Pitt Ford TR, Ree M, et al. The use of cone-beam computed tomography in endodontics: a joint statement from the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology. J Endod. 2022;48(1):18.
22. Christell H, Birch S, Lindh C, Horner K, Rohlin M, Fedrickson M. Cost-effectiveness of cone beam computed tomography in the management of mandibular third molars: a societal perspective. Am J Orthod Dentofacial Orthop. 2018;154(6):760-770.
23. Rasoulian M, Abrishami M, Vali S, Hafeziahmadi MR, Jowkar Z. Cost-effectiveness of cone beam computed tomography in the management of complex endodontic cases: a systematic review and meta-analysis. J Endod. 2021;47(10):1544-1555.
24. Brusselers GM, Jacobs R, Adamidis IP, Gizani S, Van Dijck I. Cone-beam computed tomography in endodontics: current status and future directions. Int Endod J. 2019;52(8):1138-1152.
25. Nair MK, Paulson RP, Levin MD, Nair UP. Cone beam computed tomography for the endodontic professional: a review. J Endod. 2019;45(8):1046-1061.
26. Roa I, Lee SJ, Badiner N, Pawar RR. Cone-beam computed tomography use in endodontics: a nationwide survey of dentists in the United States. J Endod. 2020;46(9):1295-1301.
27. Gomes AVN, Costa EFD, Silva RHAD, Belladonna FG, Biance ID, Lopes FF. Availability and use of cone-beam computed tomography in endodontics in Latin America: a multi-national survey study. Int Endod J. 2021;54(5):664-674.
28. Brusselers GM, Jacobs R, Adamidis IP, Gizani S, Van Dijck I. Cone-beam computed tomography education in dental curricula: a systematic review. Int Endod J. 2019;52(8):1138-1152.
29. Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography - part 2: a 1-year post-treatment follow-up. Int Endod J. 2012;45(8):711-723.
30. Connert T, Truckenmüller M, ElAyouti A, Löst C, Krug R, Ohman C, et al. Micro-surgical endodontic re-treatment: investigation of patient-specific planning, procedure, and outcome variables utilizing cone-beam computed tomography. J Endod. 2019;45(9):1169-1180.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Chro Muhsin Ameen , Bestoon Mohammed Faraj

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in AMJ (The Scientific Journal of Kurdistan Higher Council of Medical Specialties )is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0)










