TY - JOUR
T1 - Best clinical practice guidance for prescribing dental radiographs in children and adolescents
T2 - an EAPD policy document
AU - Kühnisch, J.
AU - Anttonen, V.
AU - Duggal, M. S.
AU - Spyridonos, M. Loizides
AU - Rajasekharan, S.
AU - Sobczak, M.
AU - Stratigaki, E.
AU - Van Acker, J. W.G.
AU - Aps, J. K.M.
AU - Horner, K.
AU - Tsiklakis, K.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Background: The European Academy of Paediatric Dentistry (EAPD) proposes this best clinical practice guidance to help practitioners decide when and how to prescribe dental radiographs in children and adolescents. Methods: Four expert working groups conducted each a systematic review of the literature. The main subjects were radiation protection, intraoral dental radiography (bitewing and periapical radiographs), panoramic radiography (PR) and cone-beam computed tomography (CBCT). In addition, three workshops were held during the corresponding EAPD Interim Seminar in Chania (Crete, Greece) in 2019. On the basis of the identified evidence, all invited experts presented their findings and during the workshops aspects of clinical relevance were discussed. Results: Several clinical-based recommendations and statements were agreed upon. Conclusion: There is no or low-grade evidence about the efficacy of dental radiographic examinations in young populations. The given recommendations and rationales should be understood as best clinical practice guidance. It is essential to respect the radiological principles of an individualized and patient-specific justification. When a dental radiograph is required, its application needs to be optimized, aiming at limiting the patient’s exposure to ionising radiation according to the ALADAIP principle (As Low As Diagnostically Achievable being Indication-oriented and Patient-specific).
AB - Background: The European Academy of Paediatric Dentistry (EAPD) proposes this best clinical practice guidance to help practitioners decide when and how to prescribe dental radiographs in children and adolescents. Methods: Four expert working groups conducted each a systematic review of the literature. The main subjects were radiation protection, intraoral dental radiography (bitewing and periapical radiographs), panoramic radiography (PR) and cone-beam computed tomography (CBCT). In addition, three workshops were held during the corresponding EAPD Interim Seminar in Chania (Crete, Greece) in 2019. On the basis of the identified evidence, all invited experts presented their findings and during the workshops aspects of clinical relevance were discussed. Results: Several clinical-based recommendations and statements were agreed upon. Conclusion: There is no or low-grade evidence about the efficacy of dental radiographic examinations in young populations. The given recommendations and rationales should be understood as best clinical practice guidance. It is essential to respect the radiological principles of an individualized and patient-specific justification. When a dental radiograph is required, its application needs to be optimized, aiming at limiting the patient’s exposure to ionising radiation according to the ALADAIP principle (As Low As Diagnostically Achievable being Indication-oriented and Patient-specific).
KW - Adolescent
KW - Bitewing radiography
KW - Child
KW - Cone-beam computed tomography
KW - Dental radiography
KW - Guideline
KW - Panoramic radiography
UR - http://www.scopus.com/inward/record.url?scp=85075950119&partnerID=8YFLogxK
U2 - 10.1007/s40368-019-00493-x
DO - 10.1007/s40368-019-00493-x
M3 - Review article
C2 - 31768893
AN - SCOPUS:85075950119
SN - 1818-6300
VL - 21
SP - 375
EP - 386
JO - European Archives of Paediatric Dentistry
JF - European Archives of Paediatric Dentistry
IS - 4
ER -