Dental cone beam computed tomography (CBCT) has revolutionised the field of dentistry, offering high-resolution 3D images that allow for precise diagnoses and treatment planning. Despite its benefits, many dentists experience a lack of confidence when tasked with interpreting and writing CBCT radiology reports. This hesitation stems from several factors, ranging from limited training to the inherent complexity of CBCT images. Below, we explore the key reasons why dentists might feel uncertain and offer insights on how to address these challenges.
- Limited Formal Training in Radiology
One of the primary reasons dentists may lack confidence in writing CBCT reports is the limited emphasis on radiology during their formal education. While dental programs typically include basic radiographic interpretation, they often do not delve deeply into advanced imaging modalities like CBCT. Without specialised training, dentists may feel ill-equipped to analyse and report on the intricate anatomical details revealed by CBCT scans.
Solution: Continuing education courses focusing on CBCT interpretation can bridge this gap.
- Complexity of CBCT Data
CBCT scans provide a wealth of information, but this complexity can be overwhelming. The 3D nature of the images requires dentists to interpret multiple planes and understand various anatomical structures beyond the teeth, including sinuses, airways, and temporomandibular joints. Identifying abnormalities in these areas may fall outside a general dentist’s comfort zone, contributing to a lack of confidence.
Solution: Leveraging structured reporting templates can help dentists organise their findings systematically. These templates ensure that all relevant areas are addressed, reducing the likelihood of missed diagnoses. Remember any images that include anatomy outside of the dental remit must be reported on by a radiologist.
- Fear of Missing Critical Pathology
The fear of overlooking a significant pathology—such as a cyst, tumor, or systemic condition with oral manifestations—can be a worry. This is compounded by the medicolegal implications of incomplete or inaccurate reports. Consequently, some dentists may hesitate to take on the responsibility of writing CBCT reports, opting instead to refer cases to radiologists.
Solution: Collaborating with oral and maxillofacial radiologists can provide an additional layer of expertise. Dentists can send complex cases for a detailed interpretation, ensuring accuracy and peace of mind.
- Time Constraints
Dentists often juggle multiple responsibilities, including patient care, administrative duties, and continuing education. Writing detailed CBCT reports can be time-consuming, particularly for those who are not well-versed in the process. This time pressure can erode confidence and lead to procrastination.
Solution: Sharing your CBCT scan with a radiologist, can relieve this stress and pressure.
- Rapid Advancements in Imaging Technology
CBCT technology continues to evolve, with newer systems offering even greater levels of detail and functionality. While advancements are beneficial, they also require dentists to stay updated on the latest features and capabilities. Falling behind on technological trends can make interpreting scans more daunting.
Solution: Regularly attending CPD sessions and subscribing to industry publications can help dentists stay informed about technological advancements and how to utilise them effectively.
Conclusion
The lack of confidence many dentists feel when writing CBCT radiology reports is understandable, given the challenges associated with interpreting these complex images. However, by pursuing targeted education, utilising structured templates, collaborating with specialists, and embracing technological tools, dentists can overcome these barriers. Building confidence in CBCT interpretation not only enhances diagnostic accuracy but also elevates the quality of care provided to patients.
If you want to become more confident with reporting on your CBCT scans, please join our Reporting with Confidence Programme.
If you want to deepen your CBCT and Interpretation knowledge, please visit or list of CPD sessions. Some of which are completely free of charge. Click here for our live CPD sessions, and here for CPD which can be taken in your own time.
Please remember that the Level One (Core) Training in Dental CBCT is mandatory for those involved with dental CBCT, including Dental Nurses. And the Level Two course is mandatory for those who wish to report on their CBCT scans.
