Closing the Gap: CBCT Justification Knowledge and Radiation Dose Awareness Among Dental Practitioners in Abha City, Asir Region, Saudi Arabia: A Preliminary Survey

Background: This study aimed to assess cone-beam computed tomography (CBCT) knowledge, adherence to justification criteria, field-of-view (FOV) selection practices, and awareness of radiation protection guidelines among dental practitioners in the Asir region. In Saudi Arabia, the Saudi Food and Drug Authority (SFDA) and the Nuclear and Radiological Regulatory Commission are the regulatory bodies responsible for radiation protection and the safe use of dental imaging; limited awareness of their roles may undermine regulatory compliance and patient safety. Accordingly, the specific objectives of this study were: (i) to assess knowledge of CBCT justification criteria and radiation-dose magnitudes; (ii) to evaluate adherence to the requirement for a prior 2D radiograph; (iii) to examine FOV selection across standardized clinical vignettes; (iv) to explore factors associated with knowledge scores; and (v) to identify perceived barriers to appropriate CBCT prescribing. Methods: A cross-sectional descriptive-analytical survey targeted 73 dental practitioners in Abha, Saudi Arabia. A validated 30-item questionnaire was distributed via Google Forms using snowball convenience sampling. The effective target population comprised dental practitioners and interns working in Abha during the study period. Because recruitment used open snowball distribution without a fixed sampling frame, a formal response rate could not be calculated. Results: The mean knowledge score was 5.47/10 (standard deviation: 1.86). Item-level correct rates were 82.2% for caries detection, 80.8% for the requirement for a prior 2D radiograph, and 58.9% for paediatric CBCT justification. FOV selection across four clinical vignettes ranged from 27.4% to 68.5% correct, with the lower-left-molar implant vignette showing the lowest rate (27.4%) and the six-unit anterior implant bridge vignette also poorly answered (37.0%), reflecting a frequent tendency to select an inappropriately large FOV. Guideline awareness was low: 65.8% were completely unaware of the Safety and Efficacy of a New and Emerging Dental X-ray Modality Computed Tomography (SEDENTEX CT) 2012 guidelines, while 54.8% did not know that the American Dental Association publishes specific radiation guidelines. In an exploratory multivariable model, no factor was a statistically significant predictor of the knowledge score; formal CBCT training showed a small, non-significant association (B = 0.585; 95% confidence interval [−0.27, 1.44]; p = 0.175). Conclusions: In this preliminary survey, CBCT knowledge among dental practitioners in Abha was moderate but suboptimal, with almost half of respondents scoring below the satisfactory threshold and with significant gaps in FOV optimisation and guideline awareness. Given the small, non-probability sample, these findings should be regarded as preliminary and hypothesis-generating.