Utilization and Perceptions of Cone Beam Computed Tomography (CBCT) in Endodontic Practice: A Survey of Dentists in Sulaimania, Erbil, and Duhok Cities

Background and objectives: Cone Beam Computed Tomography has become an increasingly important tool in dental practice, offering high-resolution three-dimensional images with lower radiation exposure compared to traditional computed tomography. This study aims to investigate Cone Beam Computed Tomography utilization, perception among dentists in Sulaimania, Erbil, Duhok cities. Methods: A cross-sectional survey conducted among dentists in Sulaimania, Erbil, and Duhok cities in 2022. A sample of 385 dentists (general dental practitioner and specialist) participated in this survey. Demographic information and experience with Cone Beam Computed Tomography were collected. Data were analyzed using descriptive statistics, chi-squared tests, and regression analysis. Results: from the total of 385 dentists, 221 (57.4%) had taken a course on root canal treatment, while 56 (14.5%) had a training course in Cone Beam Computed Tomography. Only 53 (13.8%) reported having a Cone Beam Computed Tomography device in their practice. Among those with access, 16 (4.2%) reported using it for follow-up, 131 (34.0%) for diagnosis, 151 (39.2%) for treatment planning, and 149 (38.7%) for assessing treatment success. It was more commonly used for diagnosing vertical root fractures (60.8%) and apical lesions (18.2%). A significant majority (94.3%) used it to assess lesion size. Reasons for not using included cost (80.0%), unavailability (60.5%), and radiation concerns (53.5%). Conclusion: This study provides insights into the utilization and perceptions of Cone Beam Computed Tomography among dentists. While it offers benefits, adoption is influenced by cost, availability, and radiation concerns.