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Images were reconstructed to a voxel size of 156\u00a0\u03bcm and a slice thickness of 0.4 mm. Quantitative image quality was assessed using the contrast-to-noise ratio (CNR) between dental structures, while qualitative assessment of structures like enamel, dentine, root canals, and cortical bone was conducted by two experienced readers using a five-point scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The inter-reader reproducibility and intra-class correlation coefficient were excellent (all &gt;\u20090.947). CNRs ranged from 1.6 to 6.1 for all relevant contrasts, and qualitative scores were excellent for all dental structures. Dental pathologies were detected in a significant portion of patients: caries-induced decay in 9 patients (27%) at 26 sites, apical lesions in 12 patients (36%) at 26 sites, and alveolar bone loss in 12 patients (36%) at 12 sites. At least one pathology was present in 23 patients (70%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PCCT offers potential for opportunistic dental diagnostics, providing earlier detection of dental issues and potentially improving overall dental care outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-025-07585-9","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T03:05:09Z","timestamp":1768014309000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of opportunistic dental diagnostics in routine photon-counting CT examinations of the cervical spine"],"prefix":"10.1186","volume":"26","author":[{"given":"Stefan","family":"Sawall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joscha","family":"Maier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinan","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Gehrig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ti-Sun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian H.","family":"Ziener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heinz-Peter","family":"Schlemmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan O.","family":"Schoenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias F.","family":"Froelich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Kachelrie\u00df","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice","family":"Ruetters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,10]]},"reference":[{"issue":"1","key":"7585_CR1","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/RLI.0000000000000601","volume":"55","author":"MM Lell","year":"2020","unstructured":"Lell MM, Kachelrie\u00df M. 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