PDF: Orthodontic treatment plan changed by 3D images

Cone-Beam Computed Tomography (CBCT) was introduced in the 90’s and studies have improved its use in dentistry.

Despite the advances, conventional CT has been applied in dentistry with restrictions due to high radiation doses, excessive size of the device, the need for the patient to be in supine position during the shot and its cost.

Towards the end of the 90's, technological advances led to a new version that met the needs of dental and maxillofacial regions, and became known as Cone-Beam Computed Tomography (CBCT).

The radiation dose emitted by CBCT depends on the desired field of view, exposure time, kilovoltage and milliamperage, but it has been reported that it corresponds to approximately 20% of a conventional CT and it is equivalent to the complete exposure of periapical radiographs.

The differential in the CBCT is also the possibility of shooting in real size in all three planes of space, unlike the two-dimensional X-rays that project the image of the structures in one plane, often distorted and overlapped.

The aim of this paper was to evaluate the influence of 3D exams in redirecting the orthodontic treatment plan.