Attitudes and perceptions of Albanian dentists regarding the advantages of CBCT over panoramic radiography

Abstract

Aim: Nowadays, cone-beam computed tomography (CBCT) is increasingly used in dentistry as a reliable diagnostic tool. This study aimed to assess Albanian dentists’ attitudes and perceptions toward CBCT and its advantages relative to panoramic radiography. Methods: This cross-sectional study was conducted using a structured questionnaire distributed to Albanian dentists. Data were analyzed to evaluate demographic characteristics, CBCT prescription and interpretation practices, sources of CBCT-related knowledge, and perceptions of its advantages over PR. Results: A total of 209 completed questionnaires were included in the analysis. Of the respondents, 58% were female dentists. Nearly half of the participants (50.3%) were aged between 35 and 45 years, and the most represented group in terms of work experience had 10–20 years of practice (53.8%). Among the participants, 47.5% reported prescribing CBCT examinations, while 41.5% reported interpreting CBCT images themselves.

Regarding sources of knowledge, 38% of dentists reported receiving CBCT-related training during postgraduate specialization studies. Specialists were more likely to recognize the advantages of CBCT compared to general practitioners (OR = 1.43, 95% CI: 0.58–2.84). Specialists also showed slightly higher awareness of radiation dose reduction in pediatric patients (OR = 1.36, 95% CI: 0.58–2.68). Conclusion: CBCT is recognized by Albanian dentists as a more accurate diagnostic tool than PR. However, its safe and effective use is limited by gaps in image interpretation skills and awareness of radiation safety principles. Targeted educational and training programs are essential for enhancing clinicians’ competencies and ensuring the appropriate and reliable clinical application of CBCT in dental practice.