European Society of Endodontology position statement: The use of CBCT in Endodontics

Abstract

European Society of Endodontology developed by:

Effects of voxel size and resolution on the accuracy of endodontic length measurement using cone beam computed tomography

“…In addition, voxel size increases, the correlation between AL and CBCT measurements was found to decrease. Therefore, when ALARA principle and limited FOV typically producing a higher spatial resolution were considered (Patel et al, 2014), CBCT scanners which provided the option to change the FOV size according to the clinical situation may be more favorable than fixed FOV CBCT scanners. In this in vitro study the mean absolute difference between AL and CBCT scan measurements was found to be 0.02 for 0.2 mm voxel size and HD resolution, 0.18 for 0.4 mm voxel size and HD resolution, 0.19 for 0.2 mm and LD resolution, and 0.26 for 0.8 mm and HD resolution.…”

Three Root Canals in the Mesiobuccal Root of Maxillary Molars: Case Reports and Literature Review

“…These techniques are highly sensitive and allow three-dimensional evaluation of the root canal anatomy (72). However, routine use of CBCT is contraindicated because of the high radiation dose that is incurred (73).…”

Validation of cone beam computed tomography as a clinical imaging method for dentin thickness measurement in the danger zone of mandibular molars

“…However, although widely used, these images have some drawbacks, such as distortions and/or amplifications, due to errors in the horizontal and/or vertical angles of X-ray, and overlapping of anatomic structures, which may influence imaging interpretation and diagnostic accuracy. In order to overcome these limitations, CBCT images are increasingly being used in endodontics 1 .…”

“…In clinical practice, CBCT has been shown to be useful in the differential diagnosis among endodontic pathologies, diagnosis of alveolar and root fractures, evaluation of root canal morphology, analysis of internal and external resorption, pre-surgical endodontic planning, and detection of bone lesions 1,17,24,25 . Additionally, CBCT provides good cost--benefit for both patients and professionals, mostly due to two factors.…”

“…Cone beam computed tomography (CBCT) is currently indicated to improve the diagnosis of complex root canal systems (RCS) 1,2 . However, to our knowledge, there is no specific mention regarding the evaluation of the danger zone at the furcation area, neither any study validating the use of CBCT for this purpose.…”