{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:07:01Z","timestamp":1777950421043,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthod"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate access to, frequency of use, justification, challenges and training regarding cone-beam computed tomography (CBCT) imaging in orthodontics in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional questionnaire study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Web-based.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An online questionnaire was developed after a review of the literature and discussion with practising orthodontists to identify key themes of importance. It was piloted before use and then distributed via the British Orthodontic Society (BOS). All responses were anonymous.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 82 complete responses were received (~7% response rate). Access to CBCT facilities was primarily through NHS secondary care (68%). Usage was mainly for assessment of impacted teeth, and 80% of respondents who use CBCT reported increased CBCT imaging referrals over the past 5 years. Barriers included geographic distance and cost. Almost 60% of respondents had formal CBCT training, but over one-third lacked easy access to dental\/maxillofacial radiology reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Access to CBCT for orthodontic patients in the UK was mainly through NHS secondary care. Most respondents reported using CBCT for fewer than 10% of patients, most commonly for assessment of unerupted or impacted teeth. The majority of those who used CBCT reported an increase in CBCT referrals over the past 5 years. Reported challenges included cost, travelling distance to CBCT facilities, and limited access to dental and maxillofacial radiology reporting. Although most respondents had undertaken formal CBCT training, over one-third reported difficulty accessing specialist radiology support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14653125261444746","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:41:14Z","timestamp":1777556474000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A preliminary survey of cone-beam computed tomography use in orthodontics in the UK"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4221-8502","authenticated-orcid":false,"given":"Fahad","family":"Alawsi","sequence":"first","affiliation":[{"name":"Orthodontics Services, Kettering General Hospital NHS Trust, Northamptonshire, UK"},{"name":"Department of Orthodontics, UCL Eastman Dental Institute, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Meadows","sequence":"additional","affiliation":[{"name":"Orthodontics Services, Kettering General Hospital NHS Trust, Northamptonshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan J","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, UCL Eastman Dental Institute, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-2279"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjt100"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjq102"},{"issue":"2","key":"e_1_3_3_5_1","first-page":"45","article-title":"A new x-ray technique and its application to orthodontia","volume":"1","author":"Broadbent BH","year":"1931","unstructured":"Broadbent BH (1931) A new x-ray technique and its application to orthodontia. 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(2002) Three-dimensional imaging in orthognathic surgery: The clinical application of a new method. The International Journal of Adult Orthodontics and Orthognathic Surgery 17(4): 318\u2013330.","journal-title":"The International Journal of Adult Orthodontics and Orthognathic Surgery"},{"key":"e_1_3_3_14_1","volume-title":"Cone beam CT for dental and maxillofacial radiology (evidence based guidelines)","author":"Horner K","year":"2012","unstructured":"Horner K (2012) Cone beam CT for dental and maxillofacial radiology (evidence based guidelines). Publication Office of the European Commission."},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/74941012"},{"key":"e_1_3_3_16_1","volume-title":"Guidelines for the Use of Radiographs in Clinical Orthodontics","author":"Isaacson KG","year":"2015","unstructured":"Isaacson KG, Thom AR, Atack NE, et al. (2015) Guidelines for the Use of Radiographs in Clinical Orthodontics. 4th edn. 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