Book review: Cone beam computed tomography in orthodontics

  • S. D. Kapila
Wiley Blackwell price £116.99; pp 544 ISBN 9781118448489 | ISBN: 978-1-1184-4848-9

Imaging methods in dentistry provide essential information needed to plan and treat orthodontic abnormalities as well as diseases of the head and neck. Cone beam computed tomography (CBCT) is a relatively modern imaging method that obtains lots of clinically relevant information. I set about reading this book to increase my understanding of CBCT methodology, dosage to patients, image interpretation and to gain a full understanding of its uses. I found that this book covered these subjects very well and went further than I expected in explaining this type of imaging.

The book itself is split into three sections. The first part is the 'technical' information that explains the science of image formation and encompasses the history of imaging and radiation effects. The second part discusses and emphasises the need for a good evidence base in the use of any relatively new technique, as well as protocols for usage of CBCT in orthodontic practice. The third part describes how to interpret a CBCT scan, as well as covering topics such as temporary anchorage devices, planning treatment in craniofacial anomalies and in orthognathic surgery. These are the chapters with direct clinical relevance that make it more clear how powerful a tool CBCT is and the illustrations are excellent.

Overall this is a very technical book and as such this does give a full understanding of the subject. Every discussion is backed up by relevant research articles when appropriate and it is written well. The images used to illustrate, for example, visualising ectopic canines help the reader understand the true strength of CBCT imaging compared to conventional views. The book does provide a framework for the use of CBCT and emphasises case selection and outlines appropriate cases.

I'd recommend this book to anyone who wants a detailed understanding of CBCT or how to interpret the images as it does both well. As such it would most likely be of most benefit to postgraduate students, radiographers, orthodontic trainees or specialists or those with an interest in clinical imaging. It would suit those who like to appreciate the fine details of the scientific methodology as well as the clinical relevance.