We’ve all recently seen in the news that dentists all over North America are reporting an increase in bruxism, cracked and fractured teeth. As an oral maxillofacial radiologist reading this, my focus shifts to “What else are we missing?” I’m trained to systematically interpret 3D imaging scans and to approach each anatomical structure as if it were the “culprit.”
Yet, I’m often asked the questions:
“When would a CBCT scan add value to my diagnosis?”
“When should I use 3D imaging?”
If we take the report on bruxism and tooth fractures that’s been going around as an example, how would a 3D imaging scan add value?
So, does this mean we have to take a CBCT scan on every patient? Not really. It is advised to use 3D imaging as a diagnostic tool complementary to a thorough clinical examination. Adhering to the “as low as diagnostically achievable” radiography principle can guide clinicians in their choice of radiographs needed to optimize diagnosis, treatment planning and outcomes assessment for their patients.
As the world changes, the way we approach diagnoses and patient care must change as well. CBCT is one tool we can use to get to the root of our patients’ problems.