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- W2072568162 abstract "You enjoy teaching 1 day a week in the orthodontic residency program at your local university. At a clinic session that is slower than usual, you find time to chat with another part-time instructor interested in publishing a scientific paper. He says that he and a resident are developing a clinical study to assess peripubertal growth rates using pretreatment and posttreatment, large-field, cone-beam computed tomography (CBCT) scans. You ask how he expects to obtain institutional review board (IRB) approval for this project. You are aware that production of CBCTs for research stands little chance of approval in the United States. He explains that all his patients routinely receive CBCT scans, regardless of the severity of their malocclusion. He has petitioned the IRB with the statement that the investigation will be conducted retrospectively, using his routine CBCTs while treating his patients. “I should have no problem with the IRB,” he says, “because I explain that I need these films to treat my patients and assess their treatment results. I also make that quite clear to their parents!” You begin to ponder the ethical issues involved here. First, is it ethical to produce CBCTs for all patients regardless of the severity of their malocclusion? Do their parents understand that such exposure is not the accepted standard of care in the United States and is under stronger scrutiny in Europe? 1 Cone beam CT for dental and maxillofacial radiology (evidence-based guidelines). Radiation protection 172. Available at: http://www.sedentexct.eu/files/radiation_protection_172.pdf. Accessed June 3, 2013. Google Scholar Is it ethical to sidestep the IRB by using films that are retrospectively introduced for a study? Finally, would every parent consent to CBCT imaging for a child if he or she knew the unanswered questions about this modality? Let the truth about CBCT be knownAmerican Journal of Orthodontics and Dentofacial OrthopedicsVol. 145Issue 4PreviewWe are fond of Dr Peter Greco's column on ethics, which appears every month in the AJO-DO. Full-Text PDF" @default.
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- W2072568162 date "2013-12-01" @default.
- W2072568162 modified "2023-09-26" @default.
- W2072568162 title "Let the truth be known" @default.
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- W2072568162 doi "https://doi.org/10.1016/j.ajodo.2013.09.004" @default.
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