A survey of cone-beam computed tomographic use among Iranian endodontists

Cone beam computed tomography (CBCT) is an imaging modality that has recently gained increasing popularity for dental imaging. This study aimed to investigate the usage of CBCT imaging among Iranian Association of Endodontists members using an online survey.   Iranian endodontic practitioners were recruited to participate in the study. A web-based questionnaire was designed and sent to 328 endodontists. The questionnaire was available for a one-month long period during November 2019. The questionnaire included basic demographic details of the participants and questions related to CBCT application in endodontic treatment procedures. The validity and reliability of the questionnaire were assessed by expert endodontists. The chi-square test was used for data analysis, and a p-value less than 0.05 was considered statistically significant. A total of 101 participants completed the survey, giving an overall completed response rate of 30.8%. Ninety-four percent of participants (n=95) used CBCT imaging in their practice. There were significant differences in some variables between endodontists who frequently prescribed CBCT as compared to those who rarely prescribed it (P<0.05). CBCT was prescribed more frequently by endodontists who received training in CBCT usage, those performing periapical surgeries, and those using magnification in their practice. The survey indicated that CBCT technology is widely used among Iranian endodontists particularly if they have already received the required training. The most common indications for CBCT were detecting vertical root fracture, teeth with complex anatomy and additional canals, and root resorption.