By Mohamed Fayad, BRADFORD R. JOHNSON
This e-book is designed to supply the reader with an entire knowing of the function of cone beam computed tomography (CBCT) in aiding to unravel some of the such a lot demanding difficulties in endodontics. it is going to shorten the educational curve in program of this fascinating imaging strategy in a number of contexts: tricky diagnostic instances, therapy making plans, overview of inner enamel anatomy sooner than root canal remedy, nonsurgical and surgical remedies, early detection and remedy of resorptive defects, and results evaluate.
The skill to procure a correct 3D illustration of a enamel and the encompassing constructions by way of noninvasive CBCT imaging is altering the method of medical choice making in endodontics. Clinicians lengthy acquainted with operating in very small, third-dimensional areas are not any longer limited via the constraints of two-dimensional imaging. The demanding situations of getting to know the recent expertise can, besides the fact that, be daunting. The targeted suggestions contained during this publication may also help endodontists to take complete benefit of the real merits provided by way of CBCT.
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Extra info for 3D Imaging in Endodontics: A New Era in Diagnosis and Treatment
This high level of misdiagnosis is potentially clinically relevant, especially in cases of invasive cervical root resorption and vertical root fracture where a lack of early detection could lead to unsuccessful treatment and tooth loss. 7 %). This high number indicates that CBCT had a significant influence on the examiners’ treatment plan. I. R. Johnson 36 Fig. 2 Comparison between diagnosis after viewing a periapical radiograph vs. diagnosis after viewing CBCT for examiners 1, 2, and 3 It can be concluded that a preoperative CBCT scan provides more diagnostic information than a preoperative periapical radiograph and that this information can directly influence a clinician’s treatment plan.
Melo SLS, Bortoluzzi EA, Abreu M, Correa LR, Correa M. Diagnostic ability of a cone-beam computed tomography scan to assess longitudinal root fractures in prosthetically treated teeth. J Endod. 2010;36:1879–82. 18. Corbella S, Del Fabbro M, Tamse A, Rosen E, Tsesis I, Taschieri S. Cone beam computed tomography for the diagnosis of vertical root fractures: a systematic review of the literature and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(5):593–602. 19. Rosen E, Taschieri S, Del Fabbro M, Beitlitum I, Tsesis I.
Thirty endodontic cases completed in a private endodontic practice were randomly selected to be included in this study. Each case was required to have a preoperative digital periapical radiograph and a CBCT scan. Three board-certified endodontists reviewed the 30 preoperative periapical radiographs. The evaluators were not involved in the initial diagnosis or treatment of these 30 cases. Two weeks later, the CBCT volumes were reviewed in random order by the same evaluators. The evaluators were asked to select a preliminary diagnosis and treatment plan based solely on interpretation of the periapical and CBCT images.