International orthodontics · 2026
Cone-beam computed tomography integration in clear aligner treatment planning: A cross-sectional study exploring practices and perceptions among orthodontists and general practitioners.
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Horta Karla Carpio, Elias Majd, Fagundes Nathalia Carolina Fernandes, Miguel José Augusto Mendes, Vich Manuel Lagravère, Pacheco-Pereira Camila
Аннотация
OBJECTIVES: To assess the practices and perceptions of orthodontists (OT) and general dentists (GP) regarding the usage of Cone-Beam Computed Tomography (CBCT) integration in orthodontic treatment planning with Clear Aligner Therapy (CAT).
DESIGN: Cross-sectional study.
METHODS: A web-based survey invited orthodontic practitioners from Canada, Brazil, and Spain to participate. The survey was administered between April and August 2024 and assessed the integration of CBCT with CAT software for orthodontic planning. Descriptive statistics, along with bivariate and regression analysis, were used to analyze the collected data.
RESULTS: A total of 312 clinicians participated in the study, with 92.9% providing CAT and a median of 300 cases treated annually. CBCT scans were commonly used for specific cases in initial orthodontic records (OT: 73%, GP: 54%), while CBCT integration was utilized by 51% of OT and 77% of GP. Most users reported confidence in diagnosis and treatment planning with the integration tool, particularly for evaluating impacted teeth (OT: 91%, GP: 100%, OR: 100%) and planning dental expansion (OT: 76%, GP: 100%). Nearly 90% of participants found the integration useful in treatment decision-making, with 75% of OT indicating it could alter treatment plans.
CONCLUSIONS: The integration of CBCT into orthodontic planning with CAT is perceived as advantageous, especially for complex cases involving impacted teeth, skeletal discrepancies, and craniofacial disorders. 3D visualization capabilities to provide detailed 3D visualization of hard and soft tissue profiles may enhance diagnostic accuracy and treatment planning, especially for experienced orthodontists.
DESIGN: Cross-sectional study.
METHODS: A web-based survey invited orthodontic practitioners from Canada, Brazil, and Spain to participate. The survey was administered between April and August 2024 and assessed the integration of CBCT with CAT software for orthodontic planning. Descriptive statistics, along with bivariate and regression analysis, were used to analyze the collected data.
RESULTS: A total of 312 clinicians participated in the study, with 92.9% providing CAT and a median of 300 cases treated annually. CBCT scans were commonly used for specific cases in initial orthodontic records (OT: 73%, GP: 54%), while CBCT integration was utilized by 51% of OT and 77% of GP. Most users reported confidence in diagnosis and treatment planning with the integration tool, particularly for evaluating impacted teeth (OT: 91%, GP: 100%, OR: 100%) and planning dental expansion (OT: 76%, GP: 100%). Nearly 90% of participants found the integration useful in treatment decision-making, with 75% of OT indicating it could alter treatment plans.
CONCLUSIONS: The integration of CBCT into orthodontic planning with CAT is perceived as advantageous, especially for complex cases involving impacted teeth, skeletal discrepancies, and craniofacial disorders. 3D visualization capabilities to provide detailed 3D visualization of hard and soft tissue profiles may enhance diagnostic accuracy and treatment planning, especially for experienced orthodontists.