The objective of the European Academy of DentoMaxilloFacial Radiology (EADMFR) is to promote, advance and improve clinical practice, education and/or research specifically related to the specialty of dental and maxillofacial radiology within Europe, and to provide a forum for discussion, communication and the professional advancement of its members. EADMFR has a membership exceeding 300 individuals whose special interest is imaging of the dental and maxillofacial region. It is multi-disciplinary, including dental radiologists, medical physicists, radiographers and scientists. It includes both academics (teachers and researchers) and clinicians.
EADMFR recognised an urgent need to set standards for CBCT use. This need was also recognised by the SEDENTEXCT project. Indeed the content of Work Package 1 deals specifically with the development of such guidelines. Consequently, a decision was made to collaborate with EADMFR in the development of a set of “Basic Principles” that are based upon fundamental international principles, EU Directives[1,2] and previous Guidelines.
A Guideline Development Panel was formed to develop a set of draft statements using existing EU Directives and Guidelines on Radiation Protection. These statements were revised after an open debate of attendees at the 11th EADMFR Congress on 28th June 2008. A modified Delphi procedure was then used to present the revised statements to the EADMFR membership, utilising an online survey in October/November 2008. Consensus of EADMFR members, indicated by high level of agreement for all statements, was achieved without a need for further rounds of the Delphi process.
A set of 20 “Basic Principles” on the use of Dental CBCT have been devised. They will act as core standards for the use of CBCT and, it is hoped, will be of value in national standard setting within Europe for dentists, dental specialists and equipment manufacturers.
1. The Council of the European Union. Council Directive 96/29/Euratom of 13 May 1996 laying down basic safety standards for the protection of the health of workers and the general public against the dangers arising from ionizing radiation. Official Journal of the European Communities N° L 159, 1996. Available from:
2. The Council of the European Union. Council Directive 97/43/Euratom of 30 June 1997 on health protection of individuals against the dangers of ionizing radiation in relation to medical exposure, and repealing Directive 84/466/Euratom. Available from:
3. European Commission. Radiation Protection 136. European Guidelines on Radiation Protection in Dental Radiology. Luxembourg: Office for Official Publications of the European Communities, 2004. Available from:
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