Authors' objectives: To reviewed evidence on the effectiveness, cost-effectiveness and safety of using Cone Beam Computed Tomography (CBCT) in Ministry Of Health dental facilities.

Authors' recommendations: There was fair level of retrievable evidence to indicate that Cone Beam Computed Tomography is effective in improving dental diagnosis such as Inflamatory Roots Resorption, Root Fractures, Mandibular invasion by lower gingival carcinoma, assessment of fracture line, clarify morphology of periapical defect, detecting canine impaction and irreversible pulpitis. Subsequently, CBCT also can improve treatment plan compared to conventional radiography. There was no retrievable scientific evidence on the safety or adverse events related to the use of CBCT in improving dental diagnosis and treatment planning from the scientific database. However, the United State Food & Drug Administration (US FDA) has cleared CBCT for premarket notification (510k) to sell in the US market and subjected to strict safety and quality rules (registered medical device). The US FDA regulates manufacturers of dental CBCT devices through the Electronic Product Radiation Control (EPRC) and medical device provisions of the Federal Food, Drug, and Cosmetic Act. Dental CBCT systems are classified under 21 CFR 892.1750. The American Dental Association (ADA) and the FDA recommended that clinicians perform dental X-ray examinations, including dental CBCT, only when necessary for the diagnosis or treatment of disease. There was only one study reporting about cost analysis on CBCT in different health care systems. The cost of CBCT examination seemed to be vary in different health care systems, highest being in Malmö (€556.93), Sweden and the lowest being in Leuven (€233.06), Belgium. The capital cost of CBCT was reported to be in the range of £95,000 to £130,000 (depending on the software package).

Project Status: Completed

Year Published: 2014

URL for published report: http://www.moh.gov.my/index.php/database_stores/store_view_page/30/242

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Malaysia

Organisation Name: Malaysian Health Technology Assessment

Contact Address: Malaysian Health Technology Assessment Section, Ministry of Health Malaysia, Federal Government Administrative Centre, Level 4, Block E1, Parcel E, 62590 Putrajaya Malaysia Tel: +603 8883 1229

Contact Name: htamalaysia@moh.gov.my

Contact Email: htamalaysia@moh.gov.my

Copyright: Malaysian Health Technology Assessment (MaHTAS)