---
title: "The Role of CBCT in Modern Orthodontics"
date: 2025-05-16
author: "Dr. Ryan Redford"
categories:
  - name: "Ceramic Braces Orthodontist"
    url: "/category/ceramic-braces-orthodontist.md"
  - name: "Child Orthodontist"
    url: "/category/child-orthodontist.md"
  - name: "Damon Braces Orthodontist"
    url: "/category/damon-braces-orthodontist.md"
  - name: "Invisalign Clear Braces"
    url: "/category/invisalign-clear-braces.md"
  - name: "Invisalign for Teenagers"
    url: "/category/invisalign-for-teenagers.md"
  - name: "Orthodontist"
    url: "/category/orthodontist.md"
  - name: "Retainers and Sports Mouthguards"
    url: "/category/retainers-and-sports-mouthguards.md"
  - name: "Teen Orthodontist"
    url: "/category/teen-orthodontist.md"
  - name: "Temecula Orthodontist"
    url: "/category/temecula-orthodontist.md"
  - name: "Traditional Metal Braces"
    url: "/category/traditional-metal-braces.md"
---

# The Role of CBCT in Modern Orthodontics

## **How 3-D Imaging Transforms Diagnosis and Treatment**

**A New Era of Clarity in Orthodontics**

A generation ago, orthodontists worked almost entirely from two-dimensional X-rays and plaster models. Today, **cone beam computed tomography (CBCT)** provides a three-dimensional map of the teeth and jaws—often in less than ten seconds. At Burke & Redford Orthodontists, our CBCT images could be considered as the “MRI of the smile”: a crystal-clear window into complex anatomy that traditional images can only hint at.

Parents who visit our Temecula or Lake Elsinore offices may wonder, *“Why does my child need a 3D scan?”* This article answers that question in depth—showing how CBCT enhances safety, aids in treatment planning and decision making, and improves the results of braces, [Invisalign](https://burkeredfordorthodontists.com/invisalign/), and the specialized appliances we use for growing patients.

## **What is CBCT?**

- **Cone beam** refers to the cone-shaped X-ray beam that rotates around the head.
- **Computed tomography** means the machine’s software reconstructs hundreds of low-dose images into a true 3-D view.

The result is a volumetric model that can be sliced in any plane—front-to-back, side-to-side, or top-to-bottom—without distortion.

![planmeca panoramic 3d imaging for orthodontics](https://burkeredfordorthodontists.com/wp-content/uploads/planmeca-3d-imaging.jpg "planmeca panoramic 3d imaging for orthodontics")Planmeca Panoramic 3D Imaging for Orthodontics**Key advantages over 2-D films:**

1. **Zero overlap** of roots or jaw structures—critical for tooth-level detail.
2. **True measurements** (length, width, and angulation) with no magnification error.
3. **Single scan** replaces multiple traditional X-rays, often at a similar or lower radiation dose.

### **Why CBCT Matters for Children and Teenagers**

Growing patients present unique challenges:

**Diagnostic Need****2-D Limitation****CBCT Solution***[Impacted teeth](https://burkeredfordorthodontists.com/impacted-teeth/)*Overlapping roots hide exact position3-D identifies depth, angle, and proximity to adjacent tooth roots*[Jaw asymmetry](https://burkeredfordorthodontists.com/dental-midline/)*Panoramic images distort widthCBCT distinguishes bone asymmetry from dental tipping*[Temporary anchorage devices (TADs)](https://burkeredfordorthodontists.com/temporary-anchorage-device/)*Blind placement near roots3-D aids in locating safe miniscrew sites, avoiding damageEarly clarity often means simpler treatment: less invasive treatment plans and accurate assessment of the risk impacted teeth may present.

#### **Burke & Redford Orthodontists CBCT Workflow**

1. **Low-dose scan (6–8 seconds).**
    - Our **Planmeca ProMax® 3D Classic** unit adjusts radiation automatically for smaller patients.
2. **Digital impression ([iTero](https://burkeredfordorthodontists.com/itero/)).**
    - Combines with CBCT to build a “digital twin” of teeth and bone.
3. **Integrated treatment plan.**
    - Dr. Redford or Dr. Burke uses the information obtained from the 3-D scan to make a customized treatment plan for the patient.
4. **Parent consultation.**
    - We review 3-D findings on an easy to view monitor, so families see **exactly** why a tooth stuck in the jaw (Ie. an impacted canine) is a problem and how it can be addressed.

![child orthodontic - children orthodontist - kids braces - child braces](https://burkeredfordorthodontists.com/wp-content/uploads/temecula-orthodontic-office-600x450.jpeg)Dr. Ryan Redford and some wonderful children learning about orthodontics with their friend getting treated!**Practical Applications**

### **Treating Ectopic and Impacted Canines**

A common problem encountered by orthodontists is impacted canines. This refers to when a canine tooth is stuck in the jaws (underneath the gums). This can be a serious problem because impacted canines can damage the roots of the adjacent incisor teeth. CBCT helps by:

- Identifying the exact position of the impacted canine(s).
- Confirming whether roots of teeth adjacent to the canines have sustained damage. This will help determine how proactive or conservative a treatment plan to pursue.
- Planning precise movements to guide the impacted canine safely around the roots of other teeth and into the mouth.

![Temecula Orthodontist](https://burkeredfordorthodontists.com/wp-content/uploads/Temecula-Orthodontist-600x450.jpeg)Dr. Ryan Redford with Our Amazing Braces Patients and Their Friends!### **Miniscrews for Vertical Control (Open-Bite Management)**

As discussed in our previous article, miniscrews intrude molars or extrude incisors. CBCT lets us:

- Measure *inter-radicular space* to millimeter accuracy.
- Verify *sinus floor location* to avoid sinus perforation.

Result: faster [open-bite](https://maps.app.goo.gl/a5hrLEvsdLMpRsgm8) closure with less discomfort, potentially avoiding jaw surgery.

**Radiation Safety—What Parents Should Know**

Modern CBCT machines use **pulsed emission** and child-size fields of view. Key facts:

- A typical orthodontic CBCT (~60 µSv) is similar to one trans-Atlantic flight or two weeks of normal background radiation.
- We follow ALARA principles— “as low as reasonably achievable”—scanning only when the diagnostic benefit outweighs the dose.

**Example Case Study – Emily, Age 10**

**Problem:** upper permanent canine teeth erupting waywardly (ectopically).

**CBCT Findings**

- Canine tooth positioned out of the normal arch form towards the roof of the mouth.
- No damage (root resorption) to the adjacent permanent incisor roots to date.

**Treatment Plan**

1. [Space maintainer](https://burkeredfordorthodontists.com/correcting-bites/) place to preserve dental arch length.
2. Removal of the baby canine teeth to encourage normalization of the permanent canine position.
3. Checkup appointments at regular intervals to ensure the space maintainer is working properly and that the permanent canines are re-directing as expected.

**Outcome (18 months)**

- The permanent canines normalized their eruption paths and erupted into the mouth spontaneously.
- The safety and integrity of the incisor roots was maintained.
- Avoidance of surgical recovery of the canines had they worsened without intervention.

Emily now is ready for comprehensive treatment with braces or [Invisalign for teens](https://burkeredfordorthodontists.com/invisalign/) in a straightforward and predictable way.

![best child orthodontist before and after braces off day](https://burkeredfordorthodontists.com/wp-content/uploads/best-child-orthodontist-600x293.jpg)Before and After Self-Ligating Braces Treatment with Our Happy Patient at Burke & Redford Orthodontists in Temecula and Lake Elsinore, California.#### **How CBCT Streamlines the Patient Journey**

**Stage****Without CBCT****With CBCT at B&R****Diagnosis**Multiple 2-D films to localize impacted canines, possible exploratory surgerySingle 3-D scan answers where impacted canines are located and if they have compromised adjacent tooth rotos**Comfort & Safety**Blind TAD placement risks roots/sinus3-D imaging helps with safe, quick insertion**Parent Confidence**Hard-to-interpret X-rays3-D visuals everyone understands## **Our Orthodontic Services Integrated with 3-D Imaging**

**[Self-Ligating Braces](https://burkeredfordorthodontists.com/) ([metal braces](https://burkeredfordorthodontists.com/metal-braces/) & ceramic)**

When canines are impacted, we use your child’s CBCT scan we map exact tooth positions and plan for the needed tooth movements. The result is safer, more efficient treatment—whether your teen selects the low-profile metal brackets or the nearly [invisible ceramic braces](https://burkeredfordorthodontists.com/ceramic-braces/) option.

### **Miniscrews (TADs) for Bite Correction**

TAD placement used to be “feel and hope.” Now we use the CBCT images to plan where to place the TADs.

## **Frequently Asked Questions**

### **Q: How long does the CBCT appointment take?**

*A:* The scan itself is under 10 seconds; the entire visit is usually 20-30 minutes if only records are being taken or 30-60 minutes if a sit-down consultation is taking place.

### **Q: Can my child move during the scan?**

*A:* The unit captures images rapidly, but we have techniques to “coach” young patients so they stay still.

### **Q: How often is CBCT repeated?**

*A:* Additional scans are only taken if essential for safety or major plan changes.

#### **Why Families Trust Burke & Redford Orthodontists**

- **Board-certified expertise** – [Dr. Redford](https://burkeredfordorthodontists.com/dr-ryan-redford/) and [Dr. Burke](https://burkeredfordorthodontists.com/dr-michael-burke/) (both ABO certified) have over 40 years of combined experience.
- **Cutting-edge tech** – Planmeca CBCT, iTero scanners, state of the art bracket and aligner systems.
- **Kid-centric care** – Experienced and gentle assistants.
- **Transparent fees** – Interest-free payment plans; family discounts.
- **Proven results** – Tens of thousands of successfully treated cases.

![metal braces orthodontist](https://burkeredfordorthodontists.com/wp-content/uploads/metal-braces-600x293.jpg)Before and After Braces Pictures with Burke & Redford Orthodontists in Temecula and Lake Elsinore, California.**Ready to See Your Child’s Smile in 3D?**

An early, accurate picture is the first step toward a healthy bite and lifelong confidence. If your child has [impacted canines](https://burkeredfordorthodontists.com/crossbite-impacted-teeth/), [crowding](https://burkeredfordorthodontists.com/crowded-teeth/), or a [crossbite](https://burkeredfordorthodontists.com/crossbite-treatment-in-children/), or if you just want an expert opinion, request a consultation with our team today.

Call Our Office 📞 **[(951) 699-8011](tel:951-699-8011)**

Experience the clarity of CBCT and the caring expertise of [Burke & Redford Orthodontists](https://maps.app.goo.gl/C8P49JqqtEjVWwYP7), where every growing smile gets the precision it deserves.