Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document

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....

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Published in:European archives of paediatric dentistry 2020-08, Vol.21 (4), p.375-386
Main Authors: Kühnisch, J., Anttonen, V., Duggal, M. S., Spyridonos, M. Loizides, Rajasekharan, S., Sobczak, M., Stratigaki, E., Van Acker, J. W. G., Aps, J. K. M., Horner, K., Tsiklakis, K.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Child
Children
Clinical medicine
Computed tomography
Cone-Beam Computed Tomography
Dental materials
Dentistry
Dentists
Greece
Humans
Invited Review
Ionizing radiation
Literature reviews
Medicine
Optimization
Pediatric Dentistry
Pediatrics
Principles
Radiation
Radiation protection
Radiographs
Radiography
Radiography, Dental
Radiography, Panoramic
Teenagers
Tomography
Working groups
Workshops
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Summary: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 ( A s L ow A s D iagnostically A chievable being I ndication-oriented and P atient-specific).
ISSN:1818-6300
1996-9805
DOI:10.1007/s40368-019-00493-x