Applications of Cone Beam Computed Tomography in Endodontics: A Review

Meena, N

doi:10.4172/2161-1122.1000242

Cited by 3 publications

(2 citation statements)

References 35 publications

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“…This has provided various advantages in making diagnoses in the field of endodontics 10) . It is now possible to clearly identify points requiring attention in non-surgical endodontic treatment of teeth with a general morphology and to anatomically detect the cause of treatment failure because CBCT can be used to obtain a precise understanding of the 3-D structure of the teeth and dental pulp.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Endodontic Management of Fused Mandibular Second Molar and Paramolar with Concrescent Supernumerary Tooth Using Cone-beam CT and 3-D Printing Technology: A Case Report

Katô

Kamio

2015

Bull. Tokyo Dent. Coll.

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Supernumerary teeth in the molar area are classified as paramolars or distomolars based on location. They occur frequently in the maxilla, but only rarely in the mandible. These teeth are frequently fused with adjacent teeth. When this occurs, the pulp cavities may also be connected. This makes diagnosis and planning of endodontic treatment extremely difficult. Here we report a case of a mandibular second molar fused with a paramolar, necessitating dental pulp treatment. Intraoral and panoramic radiographs were obtained for an evaluation and diagnosis. Although the images revealed a supernumerary tooth-like structure between the posterior area of the mandibular second molar and mandibular third molar, it was difficult to confirm the morphology of the tooth root apical area. Subsequent cone-beam computed tomography (CBCT) revealed that the supernumerary tooth-like structure was concrescent with the root apical area of the mandibular second molar. Based on these findings, the diagnosis was a fused mandibular second molar and paramolar with a concrescent supernumerary tooth. A 3-dimensional (3-D) printer was used to produce models based on the CBCT data to aid in treatment planning and explanation of the proposed procedures to the patient. These models allowed the complicated morphology involved to be clearly viewed, which facilitated a more precise diagnosis and better treatment planning than would otherwise have been possible. These technologies were useful in obtaining informed consent from the patient, promoting 3-D morphological understanding, and facilitating simulation of endodontic treatment.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and Endodontic Management of Fused Mandibular Second Molar and Paramolar with Concrescent Supernumerary Tooth Using Cone-beam CT and 3-D Printing Technology: A Case Report

Katô

Kamio

2015

Bull. Tokyo Dent. Coll.

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“…Likewise, recently cone beam conventional computed tomography came to fruition to provide a three-dimensional image of the same structure, providing better image quality and more valuable information to the dental practitioner (Gurtu et al, 2014) [5]. While it remains the most commonly used radiographic method in dental practice, the limitations of periapical radiographs are very significant as they are shown to compress a three dimensional anatomy, create geometric anomalies and anatomical noise (Meena et al, 2014) [6]. Research has proven that a higher percentage of misdiagnosis occurs in endodontics diagnoses when using conventional periapical radiographs as compared to CBCT which is considered as the standard of care (Peters and Peters, 2012) [7].…”

Section: Background Literaturementioning

confidence: 99%

June’s 2018 Full Issue PDF

2018

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Efficacy of Cone Beam Computed Tomography (CBCT) and Periapical (PA) Radiography in Endodontic Diagnosis and Treatment Planning

Zakaria

Puerto

Basri

et al. 2018

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Aim: The benefits and limitations of cone beam computed tomography (CBCT) over conventional periapical (PA) radiographs have been studied by many authors since many years ago. The subtle point of negotiation is to understand to what extent the use of CBCT over periapical can have a positive influence on initial radiographic diagnosis in different dental specialties in last recent researches. This article research was achieved by identifying which modality is superior in diagnostic accuracy and outlining what can affect the efficacy of CBCT and PA radiography in the assessment of early periapical lesions, vertical root fractures and bone defects respectively. Material and Methods: A retrospective study was conducted with the use of two different electronic databases were search between years 2006–2017, PubMed Central® (PMC), and ProQuest, with a strict inclusion and exclusion criteria. Search was limited to English and articles that compared CBCT to PA radiography with the inclusion of the factors studied. The search strategy included a self made formula for the insertion of keywords into the search engine. Formula was to either enter one radiographic technique followed by the factor being studied, or two radiographic techniques followed by one factor being studied. Articles that appeared in more than one database were considered as duplicates and were only considered once. Two examiners (Hassan Al Basri (HAB) and Mohhamed Fadhul (MF)) searched for the articles on the search engines. HB was assigned to search in PubMed, while MF explored ProQuest. A total of 262 title/abstracts were identified through the data base search engines. Most of the articles were found on PubMed (n = 189) while the other were identified on ProQuest (n = 173). Relevant articles by title/abstract were all recorded and categorized according to the relevance to the factor being studied as shown in the results (n = 107). Results: The total number of articles were categorized according to the factor being studied (n = 39) to end up with (n = 15) for periapical lesions, (n = 13) for vertical root fracture and (n = 11) for bone defects. Each category had its own table for analysis and data recording as shown in tables and diagrams. The 13 out of 15 articles concluded that CBCT is superior to PA radiography in, while the rest (n = 2) concluded that no difference was seen between the two modalities in the detection of periapical lesions. 10 out of 13 articles for vertical root fracture and 5 out of 11 in bone defects also concluded that CBCT is superior to PA in the detection of each factor respectively. Pie charts were used to illustrate these differences. Conclusion: The main findings of this study demonstrate that with in all three factors studied, the majority of studies emphasized that CBCT was superior to periapical radiography. Despite the limitations of the review conducted, evidence suggests that cone beam computed tomography is superior to periapical radiography in image quality and diagnostic. However, it can be concluded that the specifications like field of view and voxel size affect the quality of CBCT images and therefore can affect its ability to detect periapical lesions, vertical root fractures and bone defects when compared to periapical radiographs. However, dental clinicians should be cautious with further search regarding the radiation dose of CBCT.

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Applications of Cone Beam Computed Tomography in Endodontics: A Review

Cited by 3 publications

References 35 publications

Diagnosis and Endodontic Management of Fused Mandibular Second Molar and Paramolar with Concrescent Supernumerary Tooth Using Cone-beam CT and 3-D Printing Technology: A Case Report

Diagnosis and Endodontic Management of Fused Mandibular Second Molar and Paramolar with Concrescent Supernumerary Tooth Using Cone-beam CT and 3-D Printing Technology: A Case Report

June’s 2018 Full Issue PDF

Efficacy of Cone Beam Computed Tomography (CBCT) and Periapical (PA) Radiography in Endodontic Diagnosis and Treatment Planning

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