Use of three-dimensional computed tomography images in dental care of children and adolescents in Korea

Shim, Youn-Soo; Kim, Ah-hyeon; Choi, Jaeyoung; An, So-Youn

doi:10.3233/thc-140788

Cited by 6 publications

(2 citation statements)

References 17 publications

(18 reference statements)

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“…The use of CBCT in pediatric dentistry has been mentioned in the dental literature. A research from Korea demonstrated the most prevalent usage of CBCT among children and adolescents were for diagnosis and monitoring of the growth of cysts and other tumors, following by localization of impacted teeth, and supernumerary teeth [87].…”

Section: Emerging Trends In Oral Health Sciences and Dentistrymentioning

confidence: 99%

Advances in Radiographic Techniques Used in Dentistry

Akarslan¹,

Peker²

2015

Emerging Trends in Oral Health Sciences and Dentistry

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Section: Emerging Trends In Oral Health Sciences and Dentistrymentioning

confidence: 99%

Advances in Radiographic Techniques Used in Dentistry

Akarslan¹,

Peker²

2015

Emerging Trends in Oral Health Sciences and Dentistry

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“…However, such images provide a limited 2-dimensional view of the true 3-dimensional (3D) anatomy. With the advent of cone-beam computed tomography (CBCT), accurate 3D images of teeth and their surrounding dentoalveolar structures can be readily obtained[ 8 ], and the technology can accurately provide a minimally invasive approach to acquire detailed diagnostic information[ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Endodontic management of a fused left maxillary second molar and two paramolars using cone beam computed tomography: A case report

Mei¹,

Liu²,

Wang³

et al. 2022

WJCC

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BACKGROUND Fused teeth usually involve several complications, such as the development of caries in the groove between fused crowns, tooth impaction, diastemas, aesthetic and periodontal problems, and pulpal pathosis, due to the complex anatomical structure of fused teeth. A thorough diagnosis is paramount to forming an accurate treatment plan and obtaining a favourable prognosis. With the advent of cone-beam computed tomography (CBCT), accurate 3-dimensional images of teeth and their surrounding dentoalveolar structures can now be readily obtained, and the technology can accurately provide a minimally invasive approach to acquire detailed diagnostic information. Therefore, we utilize CBCT data herein to generate a digital model for the infected region in a patient, and this model enables us to better plan the management of his case. CASE SUMMARY This report details the diagnosis and endodontic treatment of a rare case involving a fused maxillary second molar and two paramolars with apical periodontitis. The patient experienced pain upon biting and cold sensitivity in the area of the maxillary left molar. No caries or other defects were identified in these teeth, and a normal response to a pulp electric viability test was observed. With the aid of CBCT and digital model technology, we initially suspected that the infection originated from the isthmus between the maxillary second molar and two paramolars. Therefore, we only treated the isthmus by an endodontic approach and did not destroy the original tooth structure; furthermore, the vital pulp was retained, and good treatment outcomes were observed at the 24-month follow-up. CONCLUSION This finding may provide new insights and perspectives on the diagnosis and treatment of fused teeth.

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