By Mohamed Fayad, BRADFORD R. JOHNSON
This publication is designed to supply the reader with an entire realizing of the function of cone beam computed tomography (CBCT) in assisting to resolve a few of the so much difficult difficulties in endodontics. it's going to shorten the training curve in program of this fascinating imaging strategy in quite a few contexts: tough diagnostic circumstances, remedy making plans, assessment of inner teeth anatomy sooner than root canal treatment, nonsurgical and surgical remedies, early detection and therapy of resorptive defects, and results evaluation.
The skill to procure a correct 3D illustration of a teeth and the encompassing buildings via noninvasive CBCT imaging is altering the method of scientific choice making in endodontics. Clinicians lengthy familiar with operating in very small, 3-dimensional areas are not any longer limited through the restrictions of two-dimensional imaging. The demanding situations of learning the hot know-how can, even though, be daunting. The specific suggestions contained during this publication can help endodontists to take complete benefit of the real merits provided via CBCT.
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Extra info for 3D Imaging in Endodontics: A New Era in Diagnosis and Treatment
The evaluators were asked to select a preliminary diagnosis and treatment plan based solely on interpretation of the periapical and CBCT images. Diagnosis and treatment planning choices were then compared to determine if there was a change in decision-making from viewing just the periapical radiograph to the CBCT scan. In addition, both decisions were compared to the reference standard (known diagnosis confirmed during nonsurgical treatment and/or surgical exploration or extraction). 008) for examiner #3 (Fig.
D) Coronal view of tooth #12 demonstrating mid-root buccal bone loss (black arrow). The intact collar of marginal bone has a tight periodontal fiber attachment, which explains why many roots with VRF do not probe in the early stages. (e) 3D reconstruction demonstrating the intact marginal bone and loss of buccal bone (black arrow). I. R. Johnson b c Fig. 5 Continuation of case in Fig. 4: (a) Tooth #12 after surgical extraction. The black arrows are the VRF which corresponds to the area of buccal bone loss in the CBCT.
14. Stavropoulos A, Wenzel A. Accuracy of cone beam dental CT, intraoral digital and conventional film radiography for the detection of periapical lesions: an ex vivo study in pig jaws. Clin Oral Investig. 2007;11:101–6. 15. Nakata K, Naitoh M, Izumi M, et al. Effectiveness of dental computed tomography in diagnostic imaging of periradicular lesion of each root of a multirooted tooth: a case report. J Endod. 2006;32:583–7. 16. Lofthag-Hansen S, Huumonen S, Grondahl K, Grondahl HG. Limited cone-bean CT and intraoral radiography for the diagnosis of periapical pathology.
3D Imaging in Endodontics: A New Era in Diagnosis and Treatment by Mohamed Fayad, BRADFORD R. JOHNSON