Loading…
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....
Saved in:
Published in: | European archives of paediatric dentistry 2020-08, Vol.21 (4), p.375-386 |
---|---|
Main Authors: | , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3 |
---|---|
cites | cdi_FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3 |
container_end_page | 386 |
container_issue | 4 |
container_start_page | 375 |
container_title | European archives of paediatric dentistry |
container_volume | 21 |
creator | 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. |
description | 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). |
doi_str_mv | 10.1007/s40368-019-00493-x |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2932318066</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2932318066</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3</originalsourceid><addsrcrecordid>eNp9kEtPxSAQhYnR-P4DLgyJ6-pQWgrufGtiogtdEzrQK6aXVriN-u9Fr4-dq5nMfOdM5hCyx-CQATRHqQIuZAFMFQCV4sXbCtlkSolCSahXcy-ZLAQH2CBbKT0D1A1vxDrZ4KwRUiq-SV5PXVpQ7H3waHo6RoMLj47OJm9NyE03xDx1CaNvfZhR68Iig9FYP8yiGZ8S9YHik-9tdIGaYKmxQ58FGUzHeUAvTu7P6Tj0Ht-pHXCa580OWetMn9zud90mj5cXD2fXxe3d1c3ZyW2BvKkXRWktyprXxnBVsg5ZhWVbVrzFtsHKQNWpGjqlGqNqwRQTzgjslGwNdw4Y8m1ysPQd4_Ay5V_18zDFkE_qUvGSMwlCZKpcUhiHlKLr9Bj93MR3zUB_Zq2XWeuctf7KWr9l0f639dTOnf2V_ISbAb4EUl6FmYt_t_-x_QDyGIwZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932318066</pqid></control><display><type>article</type><title>Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document</title><source>Springer Nature</source><creator>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.</creator><creatorcontrib>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.</creatorcontrib><description>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).</description><identifier>ISSN: 1818-6300</identifier><identifier>EISSN: 1996-9805</identifier><identifier>DOI: 10.1007/s40368-019-00493-x</identifier><identifier>PMID: 31768893</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>European archives of paediatric dentistry, 2020-08, Vol.21 (4), p.375-386</ispartof><rights>European Academy of Paediatric Dentistry 2019</rights><rights>European Academy of Paediatric Dentistry 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3</citedby><cites>FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3</cites><orcidid>0000-0003-4063-2291</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31768893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kühnisch, J.</creatorcontrib><creatorcontrib>Anttonen, V.</creatorcontrib><creatorcontrib>Duggal, M. S.</creatorcontrib><creatorcontrib>Spyridonos, M. Loizides</creatorcontrib><creatorcontrib>Rajasekharan, S.</creatorcontrib><creatorcontrib>Sobczak, M.</creatorcontrib><creatorcontrib>Stratigaki, E.</creatorcontrib><creatorcontrib>Van Acker, J. W. G.</creatorcontrib><creatorcontrib>Aps, J. K. M.</creatorcontrib><creatorcontrib>Horner, K.</creatorcontrib><creatorcontrib>Tsiklakis, K.</creatorcontrib><title>Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document</title><title>European archives of paediatric dentistry</title><addtitle>Eur Arch Paediatr Dent</addtitle><addtitle>Eur Arch Paediatr Dent</addtitle><description>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).</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child</subject><subject>Children</subject><subject>Clinical medicine</subject><subject>Computed tomography</subject><subject>Cone-Beam Computed Tomography</subject><subject>Dental materials</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Greece</subject><subject>Humans</subject><subject>Invited Review</subject><subject>Ionizing radiation</subject><subject>Literature reviews</subject><subject>Medicine</subject><subject>Optimization</subject><subject>Pediatric Dentistry</subject><subject>Pediatrics</subject><subject>Principles</subject><subject>Radiation</subject><subject>Radiation protection</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiography, Dental</subject><subject>Radiography, Panoramic</subject><subject>Teenagers</subject><subject>Tomography</subject><subject>Working groups</subject><subject>Workshops</subject><issn>1818-6300</issn><issn>1996-9805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPxSAQhYnR-P4DLgyJ6-pQWgrufGtiogtdEzrQK6aXVriN-u9Fr4-dq5nMfOdM5hCyx-CQATRHqQIuZAFMFQCV4sXbCtlkSolCSahXcy-ZLAQH2CBbKT0D1A1vxDrZ4KwRUiq-SV5PXVpQ7H3waHo6RoMLj47OJm9NyE03xDx1CaNvfZhR68Iig9FYP8yiGZ8S9YHik-9tdIGaYKmxQ58FGUzHeUAvTu7P6Tj0Ht-pHXCa580OWetMn9zud90mj5cXD2fXxe3d1c3ZyW2BvKkXRWktyprXxnBVsg5ZhWVbVrzFtsHKQNWpGjqlGqNqwRQTzgjslGwNdw4Y8m1ysPQd4_Ay5V_18zDFkE_qUvGSMwlCZKpcUhiHlKLr9Bj93MR3zUB_Zq2XWeuctf7KWr9l0f639dTOnf2V_ISbAb4EUl6FmYt_t_-x_QDyGIwZ</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Kühnisch, J.</creator><creator>Anttonen, V.</creator><creator>Duggal, M. S.</creator><creator>Spyridonos, M. Loizides</creator><creator>Rajasekharan, S.</creator><creator>Sobczak, M.</creator><creator>Stratigaki, E.</creator><creator>Van Acker, J. W. G.</creator><creator>Aps, J. K. M.</creator><creator>Horner, K.</creator><creator>Tsiklakis, K.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>M0S</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0003-4063-2291</orcidid></search><sort><creationdate>20200801</creationdate><title>Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child</topic><topic>Children</topic><topic>Clinical medicine</topic><topic>Computed tomography</topic><topic>Cone-Beam Computed Tomography</topic><topic>Dental materials</topic><topic>Dentistry</topic><topic>Dentists</topic><topic>Greece</topic><topic>Humans</topic><topic>Invited Review</topic><topic>Ionizing radiation</topic><topic>Literature reviews</topic><topic>Medicine</topic><topic>Optimization</topic><topic>Pediatric Dentistry</topic><topic>Pediatrics</topic><topic>Principles</topic><topic>Radiation</topic><topic>Radiation protection</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Radiography, Dental</topic><topic>Radiography, Panoramic</topic><topic>Teenagers</topic><topic>Tomography</topic><topic>Working groups</topic><topic>Workshops</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kühnisch, J.</creatorcontrib><creatorcontrib>Anttonen, V.</creatorcontrib><creatorcontrib>Duggal, M. S.</creatorcontrib><creatorcontrib>Spyridonos, M. Loizides</creatorcontrib><creatorcontrib>Rajasekharan, S.</creatorcontrib><creatorcontrib>Sobczak, M.</creatorcontrib><creatorcontrib>Stratigaki, E.</creatorcontrib><creatorcontrib>Van Acker, J. W. G.</creatorcontrib><creatorcontrib>Aps, J. K. M.</creatorcontrib><creatorcontrib>Horner, K.</creatorcontrib><creatorcontrib>Tsiklakis, K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Materials science collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>European archives of paediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kühnisch, J.</au><au>Anttonen, V.</au><au>Duggal, M. S.</au><au>Spyridonos, M. Loizides</au><au>Rajasekharan, S.</au><au>Sobczak, M.</au><au>Stratigaki, E.</au><au>Van Acker, J. W. G.</au><au>Aps, J. K. M.</au><au>Horner, K.</au><au>Tsiklakis, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document</atitle><jtitle>European archives of paediatric dentistry</jtitle><stitle>Eur Arch Paediatr Dent</stitle><addtitle>Eur Arch Paediatr Dent</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>21</volume><issue>4</issue><spage>375</spage><epage>386</epage><pages>375-386</pages><issn>1818-6300</issn><eissn>1996-9805</eissn><abstract>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).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31768893</pmid><doi>10.1007/s40368-019-00493-x</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4063-2291</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1818-6300 |
ispartof | European archives of paediatric dentistry, 2020-08, Vol.21 (4), p.375-386 |
issn | 1818-6300 1996-9805 |
language | eng |
recordid | cdi_proquest_journals_2932318066 |
source | Springer Nature |
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 |
title | Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T18%3A13%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Best%20clinical%20practice%20guidance%20for%20prescribing%20dental%20radiographs%20in%20children%20and%20adolescents:%20an%20EAPD%20policy%20document&rft.jtitle=European%20archives%20of%20paediatric%20dentistry&rft.au=K%C3%BChnisch,%20J.&rft.date=2020-08-01&rft.volume=21&rft.issue=4&rft.spage=375&rft.epage=386&rft.pages=375-386&rft.issn=1818-6300&rft.eissn=1996-9805&rft_id=info:doi/10.1007/s40368-019-00493-x&rft_dat=%3Cproquest_cross%3E2932318066%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c375t-2ddc8535aa3921fc14c2b243bcb7c4a04f950f997a9561916ea6cf98ba3ee01c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2932318066&rft_id=info:pmid/31768893&rfr_iscdi=true |