Comment on ‘When Is CBCT Required? Insights From Oral and Maxillofacial Surgeons on Radiographic Signs of Maxillary Sinus Involvement in Upper Third Molar Extractions’

Muhammed Said Aydin; Gökay Özler

doi:10.1111/ors.70080

August 12, 2026Oral Surgery

Comment on ‘When Is CBCT Required? Insights From Oral and Maxillofacial Surgeons on Radiographic Signs of Maxillary Sinus Involvement in Upper Third Molar Extractions’

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Key Points

To critically evaluate a study examining how oral and maxillofacial surgeons interpret panoramic radiographs to decide when cone beam computed tomography is necessary before maxillary third molar extractions.
Reviewed the methodology of a study surveying surgeon referral patterns based on panoramic radiographic markers of maxillary sinus involvement.
Assessed diagnostic validity given the absence of three-dimensional anatomical confirmation and post-extraction clinical outcomes.
Surgeon decision-making in the evaluated study reflected subjective referral behavior rather than validated anatomical involvement or complication rates.
Panoramic radiography alone without 3D confirmation provides insufficient evidence to establish standardized CBCT indications.
Highlighted the necessity for prospective, outcome-based investigations that adhere to patient-specific radiation protection principles.

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Implication

Expert commentary reveals reliance on referral patterns rather than surgical outcomes in third molar imaging, highlighting the need for outcome-based radiation guidelines.

Abstract

This Letter to the Editor comments on a study evaluating how oral and maxillofacial surgeons interpret panoramic radiographic signs and decide when to request cone beam computed tomography before maxillary third molar extraction. We emphasize that the study primarily measures referral behaviour rather than validated anatomical or surgical outcomes, highlight limitations related to panoramic radiography and absence of cone beam computed tomography confirmation and advocate for prospective outcome‐based studies guided by patient‐specific radiation protection principles.

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Aydin et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec735b70b84ec8b913562 https://doi.org/10.1111/ors.70080

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Comment on ‘When Is CBCT Required? Insights From Oral and Maxillofacial Surgeons on Radiographic Signs of Maxillary Sinus Involvement in Upper Third Molar Extractions’

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Discussion

Cite This Study

Comment on ‘When Is CBCT Required? Insights From Oral and Maxillofacial Surgeons on Radiographic Signs of Maxillary Sinus Involvement in Upper Third Molar Extractions’

Key Points

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