Dental and Cone Beam CT: What to Expect

Dental and Cone Beam CT: What to Expect

Dental imaging may include an OPG panoramic X-ray or cone beam CT for detailed three-dimensional assessment of the teeth, jaws and facial bones.

What is cone beam CT?

Cone beam CT, or CBCT, uses a cone-shaped X-ray beam to create high-resolution three-dimensional images of the teeth, jaws and facial skeleton. It is designed mainly for dental and bony anatomy rather than detailed soft-tissue assessment.

Why might it be requested?

  • Dental implant planning and measurement of available bone.
  • Impacted teeth and wisdom-tooth assessment.
  • Complex root canal or tooth-root anatomy.
  • Orthodontic and craniofacial planning.
  • Jaw lesions, fractures or surgical planning.
  • Bony assessment of the temporomandibular joints.

OPG, CBCT and medical CT

An OPG is a two-dimensional panoramic image that provides a broad overview of the teeth and jaws. CBCT provides more detailed three-dimensional bony information. Conventional medical CT covers a larger region and is often better when soft tissue, complex facial trauma, tumour staging or contrast enhancement is important.

MRI, ultrasound or another test may still be required for soft tissue, salivary glands, nerves, discs or suspected cancer. The imaging choice depends on the dental or medical question.

Before and during the examination

Tell the clinic if you are pregnant or may be pregnant. Remove glasses, earrings, facial piercings, removable dental appliances and other metal around the head and neck when instructed.

You may stand, sit or lie down depending on the machine. Your head is positioned carefully and you may bite on a small guide. The scanner moves around your head while you remain still. The acquisition is quick and painless.

Radiation and results

CBCT uses ionising radiation. Dose varies with the field of view, resolution and protocol. The smallest field that answers the question should be used. A radiologist or appropriately qualified dental practitioner interprets the images and sends the result to the referrer.

 

 

Related Patient Guides

 

We have more detailed information on many interesting regenerative and radiological topics on our Insights page

Frequently Asked Questions

For other FAQs please visit our FAQs page

 

Does dental CBCT use contrast?

Usually not. Most dental CBCT examinations are performed without intravenous contrast.

 

Will braces or fillings affect the scan?

Dental metal can cause streak artefact but does not usually prevent the examination. Tell the clinic about removable appliances.

 

Is CBCT better than an OPG?

It provides more three-dimensional detail, but it also uses more radiation. The correct test is the least complex examination that can answer the clinical question.

 

Important: Dental CBCT is not a substitute for clinical dental examination, biopsy or dedicated medical imaging when the abnormality extends beyond teeth and bone.

PATIENT GUIDE  •  PG-2010 [Patient information: Dental imaging may include an OPG panoramic X-ray or cone beam CT for detailed three-dimensional assessment of the teeth, jaws and facial bones.]

For further reading on CT Scans please see below:

 

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