How FOV size affects dose and resolution
Effective dose roughly scales with the irradiated volume. Halving the FOV diameter cuts dose by a factor of about 4. Smaller FOV also tends to allow finer voxel size (down to 75–100 μm) because the detector covers less area at the same pixel count.
Picking a 16 cm FOV when a 5 cm FOV would do means delivering 8–10× the dose for no clinical benefit. Many regulatory bodies (FDA, ICRP, EFOMP) explicitly call out FOV optimization as the single biggest dose reduction lever in CBCT.
Typical FOV by indication
Endodontics, single-tooth pathology, periapical cyst: 4×4 to 5×5 cm. Implant planning of 1–3 sites: 5×5 to 8×8 cm. Full quadrant or sinus assessment: 8×8 to 10×10 cm. Full arch, orthognathic planning, TMJ bilateral: 13×13 to 23×17 cm. Always center on the area of interest.