Orthodontists treat malocclusions by applying three-dimensional forces. For years, the diagnosis of this three-dimensional condition and the related treatment plan has been based on two-dimensional imaging. Lateral and anteroposterior cephalometric, panoramic, and periapical radiographs are some of the two-dimensional radiographs routinely used in orthodontics. Despite being highly beneficial in evaluating skeletal and dental relations, these radiographs fail to provide sufficient two-dimensional information in certain cases. The purpose of this compilation is to review the use of cone-beam computed tomography in orthodontics.Keywords: Cone-beam computed tomography, lateral cephalometry, anteroposterior cephalometry
CONVENTIONAL COMPUTED TOMOGRAPHYComputed tomography (CT) was developed by Sir Godfrey Hounsfield in 1967. Six generations of these systems have been developed since 1967. The system classification is based on the pieces of the devices and the physical movements of the X-ray. There was a single radiation source and a detector in the first-generation tomographies. An image was taken in sections. In the second-generation tomographies, there were a number of detectors. However, these detectors were unable to display the entire object. In the third generation, on the other hand, great improvements were provided in the detectors and data gathering technology. The large detectors reduced the requirement of a radiation source to move around the object and were called "fan beam CT. " However, ring shaped artefacts and distortions usually occur on the generated images. Fourth-generation tomographies were developed to address this issue. A moving radiation source and a fixed detector were created. This indicated considering modifications in the angle of the radiation source; hence, there was a more reflected radiation. Finally, fifth and sixth generation tomographies were developed to diminish the movement and reflection artefacts. In both the generations, the detector is fixed and the electron ray scans the semicircular tungsten strip anode. Radiation is generated at the point where the electron ray hits the anode and is transmitted to the object through a rotating X-ray source (1).Conventional computed tomographies have certain restrictions. Owing to very large size, tomography machines require huge physical spaces where they are located. They are much more expensive than conventional radiography machines. Images are made of a number of sections, and it consumes immense time and money to obtain a final image. The main reason restricting the use of CT in orthodontics is however the high dose of radiation (1).
CONE-BEAM CT
CBCT TechniqueCone-beam CT (CBCT) was introduced in the market with an aim to bring a solution to the disadvantages of con-