Dental cone beam computed tomography (CBCT) has become a cornerstone of advanced dental diagnostics, particularly in implant planning, endodontics, oral surgery, and TMJ analysis. However, the diagnostic value of CBCT depends not only on image acquisition but on the quality and structure of the radiology report. At 3Beam, we are committed to delivering high-quality, structured CBCT radiology reports that meet both clinical needs and professional guidelines.

What Should a CBCT Report Include?

A CBCT radiology report should provide a systematic and comprehensive interpretation of the volumetric dataset. According to the European Academy of Dental and Maxillofacial Radiology (EADMFR) and the SEDENTEXCT guidelines (2012), the essential components of a CBCT report include:

1. Patient and Examination Details
   • Full name, date of birth, and patient identifier
   • Date of examination and scanner specifications (e.g., voxel size, FOV)
   • Indication for the scan and any clinical question

1. Image Quality and Limitations

1. • Assessment of image quality
   • Any artefacts or limitations that could affect interpretation

1. Systematic Anatomical Review

1. • Structured evaluation of the scanned region: maxilla, mandible, TMJ, sinus, and adjacent structures
   • Clear identification of pathological, anatomical, or incidental findings

1. Findings Relevant to the Clinical Indication

1. • Tailored reporting based on the reason for the scan
   • Discussion of findings with relevance to implant planning, endodontic pathology, or other clinical domains

1. Conclusion and Recommendations

1. • Summary of key findings
   • Diagnostic impression and any suggested follow-up or clinical action

1. Radiologist Identification and Signature

1. • Name, qualifications, GMC/GDC number (where applicable)
   • Date of reporting

Clinical Applications and Special Considerations

1. CBCT Reporting for Implant Planning

Implant planning is one of the most common indications for dental CBCT. The radiology report should specifically address:

• Bone quality and quantity at the planned implant sites
• Distance to critical structures, such as the inferior alveolar canal, mental foramen, maxillary sinus, and nasal cavity
• Presence of pathology, such as periapical lesions, cysts, or sinus disease that may affect treatment
• Assessment of adjacent teeth (including root morphology and periodontal health)

A structured report supports surgical planning and reduces risk by ensuring key anatomical parameters are clearly documented.

2. CBCT for Endodontic Evaluation

High-resolution, small-FOV CBCT is invaluable in diagnosing complex endodontic cases. The radiology report should focus on:

• Periapical pathology: detection of lesions not visible on 2D imaging
• Root canal morphology: identification of missed canals or unusual configurations
• Root resorption, fractures, or perforations
• Assessment of treatment complications: such as overfilling, fractured instruments, or extrusions

Use of the AAPD/AAE Consensus Guidelines (2020) for CBCT in endodontics supports appropriate use and reporting standards.

3. Evaluation of the Temporomandibular Joints (TMJ)

CBCT provides a detailed assessment of the osseous components of the TMJ. The radiology report should describe:

• Condyle morphology and position
• Joint space symmetry
• Signs of degenerative joint disease, osteophytes, sclerosis, or ankylosis

Reporting must differentiate between normal anatomical variation and pathology that may contribute to TMD symptoms.

4. Incidental and Non-Dental Findings

While the clinical question directs the report, the radiologist has a duty to evaluate and comment on the entire volume scanned. This includes:

• Paranasal sinuses
• Cervical spine (if included)
• Soft tissue calcifications or lymphadenopathy

This broader review helps identify non-dental pathologies and ensures medico-legal compliance.

Guidelines and Legal Responsibilities

In the UK, CBCT interpretation must be undertaken by a suitably trained clinician, as per the Ionising Radiation (Medical Exposure) Regulations – IR(ME)R 2017. The Royal College of Radiologists and Faculty of General Dental Practice (FGDP UK) (now part of the College of General Dentistry) recommend that all CBCTs be formally reported by a radiologist or a dentist with enhanced training in dental radiology.

Key references include:

• SEDENTEXCT European Guidelines on CBCT (2012)
• RCR Guidelines: CBCT for Dental and Maxillofacial Radiology (2019)
• IR(ME)R 2017 Regulations
• AAE and AAPD Guidelines on CBCT Use in Endodontics

 

Conclusion

CBCT is an immensely powerful diagnostic tool, but its clinical value depends on skilled interpretation and structured reporting. At 3Beam, our team of highly experienced radiologists—such as Dr Rebecca Davies and Dr Lee Feinberg—deliver detailed, high-quality reports that support accurate diagnosis, treatment planning, and optimal patient outcomes.

We offer fixed-price CBCT reporting for any scan size at £130, with one of the fastest turnaround times in the UK—typically within 4 working days.

We offer CBCT reports for scans acquired at your own dental practice.

To submit a scan for reporting or learn more, visit:
👉 www.3beam.co.uk/radiology-reports