Importance of Cone-Beam CT in Endodontics

Authors

  • Kamran Gulsahi Department of Endodontics, Faculty of Dentistry, Baskent University, Ankara, Turkey

DOI:

https://doi.org/10.12974/2311-8695.2017.05.02.1

Keywords:

Cone-beam computed tomography, endodontic diagnosis, endodontic problems, periapical radiography.

Abstract

Endodontic diagnosis and accomplished root canal therapy significantly related to accurate radiographic examination. Currently, intraoral periapical radiography is the first imaging choice of the management of endodontic disease. However, with the development of cone beam computed tomography (CBCT), three-dimensional imaging of the maxillofacial area can be obtained. CBCT allows the more definite diagnosis of periapical pathologies, root fractures, external and internal of root resorptions than 2-dimensional radiographs. However, CBCT imaging is not recommended in every clinical cases due to higher radiation dose than 2-dimensional radiographs. In this review article the aim was to emphasize the clinical implementations of CBCT in endodontics. 

References

Venskutonis T, Plotino G, Juodzbalys G, Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. J Endod 2014; 40(12): 1895-901. https://doi.org/10.1016/j.joen.2014.05.009

Uraba S, Ebihara A, Komatsu K, Ohbayashi N and Okiji T. Ability of cone-beam computed tomography to detect periapical lesions that were not detected by periapical radiography: A retrospective assessment according to tooth group. J Endod 2016; 42(8): 1186-90. https://doi.org/10.1016/j.joen.2016.04.026

Verner FS, D'Addazio PS, Campos CN, Devito KL, Almeida SM, et al. Influence of cone-beam computed tomography filters on diagnosis of simulated endodontic complications. Int Endod J 2017; 50(11): 1089-96. https://doi.org/10.1111/iej.12732

Patel S, Durack C, Abella F, Shemesh H, Roig M, et al. Cone beam computed tomography in Endodontics – a review. Int Endod J 2015; 48(1): 3-15. https://doi.org/10.1111/iej.12270

Yılmaz F, Kamburoglu K, Yeta NY and Öztan MD. Cone beam computed tomography aided diagnosis and treatment of endodontic cases: Critical analysis. World J Radiol 2016; 8(7): 716-25. https://doi.org/10.4329/wjr.v8.i7.716

Special Committee to Revise the Joint AAE/AAOMR Position Statement on use of CBCT in Endodontics. AAE and AAOMR Joint Position Statement: Use of Cone Beam Computed Tomography in Endodontics 2015 Update. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120(4): 508-12.

Scarfe WC, Levin MD, Gane D, Farman AG. Use of cone beam computed tomography in endodontics. Int J Dent 2009; 2009: 634567. https://doi.org/10.1155/2009/634567

Scarfe WC, Li Z, Aboelmaaty W, Scott SA, Farman AG. Maxillofacial cone beam computed tomography: essence, elements and steps to interpretation. Aust Dent J 2012; 57(Suppl 1): 46-60. https://doi.org/10.1111/j.1834-7819.2011.01657.x

Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, et al. Sedentexct Project Consortium. Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol 2012; 81(2): 267-71. https://doi.org/10.1016/j.ejrad.2010.11.028

Chugal N, Mallya SM, Kahler B and Lin LM. Endodontic Treatment Outcomes. Dent Clin North Am 2017; 61(1): 59-80. https://doi.org/10.1016/j.cden.2016.08.009

Schloss T, Sonntag D, Kohli MR and Setzer FC. A comparison of 2- and 3-dimensional healing assessment after endodontic surgery using cone-beam computed tomographic volumes or periapical radiographs. J Endod 2017; 43(7): 1072-79. https://doi.org/10.1016/j.joen.2017.02.007

Nair PN, Sjögren U, Figdor D and Sundqvist G. Persistent periapical radiolucencies of root-filled human teeth, failed endodontic treatments, and periapical scars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87(5): 617-27. https://doi.org/10.1016/S1079-2104(99)70145-9

Patel S, Wilson R, Dawood A and Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography – Part 1: pre-operative status. Int Endod J 2012; 45(8): 702-10. https://doi.org/10.1111/j.1365-2591.2011.01989.x

Lofthag-Hansen S, Huumonen S, Grondahl K and Gröndahl HG. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103(1): 114-19. https://doi.org/10.1016/j.tripleo.2006.01.001

Abella F, Patel S, Durán-Sindreu F, Mercadé M, Bueno R, et al. An evaluation of the periapical status of teeth with necrotic pulps using periapical radiography and cone-beam computed tomography. Int Endod J 2014; 47(4): 387-96. https://doi.org/10.1111/iej.12159

Nardi C, Calistri L, Pradella S, Desideri I, Lorini C, Colagrande S. Accuracy of orthopantomography for apical periodontitis without endodontic treatment. J Endod 2017; 43(10): 1640-46. https://doi.org/10.1016/j.joen.2017.06.020

de Paulo-Silva FW, Wu MK, Leonardo MR, da Silva LA, Wesselink PR. Accuracy of periapical radiography and cone beam computed tomography scan in diagnosing apical periodontitis using histological findings as a gold standard. J Endod 2009; 35(7): 1009-12. https://doi.org/10.1016/j.joen.2009.04.006

Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone beam volumetric tomography. J Endod 2007; 33(9): 1121-32. https://doi.org/10.1016/j.joen.2007.06.011

érez-Heredia M, Ferrer-Luque CM, Bravo M, Castelo-Baz P, Ruíz-Pi-ón M, Baca P. Cone-beam computed tomographic study of root anatomy and canal configuration of molars in a spanish population. J Endod 2017; 43(9): 1511-16. https://doi.org/10.1016/j.joen.2017.03.026

Blattner TC, Goerge N, Lee CC, Kumar V, Yelton CD. Efficacy of CBCT as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: a pilot study. J Endod 2010; 36(5): 867-70. https://doi.org/10.1016/j.joen.2009.12.023

Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod 2011; 37(6): 753-57. https://doi.org/10.1016/j.joen.2011.02.032

Kovisto T, Ahmad M, Bowles WR. Proximity of the mandibular canal to the tooth apex. J Endod 2011; 37(3): 311-15. https://doi.org/10.1016/j.joen.2010.11.030

Kamburoğlu K, Ilker Cebeci AR, Gröndahl HG. Effectiveness of limited cone-beam computed tomography in the detection of horizontal root fracture. Dent Traumatol 2009; 25(3): 256-61. https://doi.org/10.1111/j.1600-9657.2009.00770.x

Tsesis I, Kamburoğlu K, Katz A, Tamse A, Kaffe I, Kfir A. Comparison of digital with conventional radiography in detection of vertical root fractures in endodontically treated maxillary premolars: an ex vivo study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(1): 124-28. https://doi.org/10.1016/j.tripleo.2007.09.007

Gulsahi A, Gulsahi K, Ungor M. Invasive cervical resorption: Clinical and radiological diagnosis and treatment of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103(3): e65-72. https://doi.org/10.1016/j.tripleo.2006.10.005

Bernardes RA, de Paulo RS, Pereira LO, Duarte MA, Ordinola-Zapata R, de Azevedo JR. Comparative study of cone beam computed tomography and intraoral periapical radiographs in diagnosis of lingual-simulated external root resorptions. Dent Traumatol 2012; 28(4): 268-72. https://doi.org/10.1111/j.1600-9657.2011.01113.x

Kamburoglu K, Kursun S, Yuksel S, Oztas B. Observer ability to detect ex vivo simulated internal or external cervical root resorption. J Endod 2011; 37(2): 168-75. https://doi.org/10.1016/j.joen.2010.11.002

D'Addazio PS, Campos CN, Ozcan M, Teixeira HG, Passoni RM, Carvalho AC. A comparative study between cone-beam computed tomography and periapical radiographs in the diagnosis of simulated endodontic complications. Int Endod J 2011; 44(3): 218-24. https://doi.org/10.1111/j.1365-2591.2010.01802.x

May JJ, Cohenca N and Peters OA. Contemporary management of horizontal root fractures to the permanent dentition: diagnosis, radiologic assessment to include conebeam computed tomography. Pediatr Dent 2013; 35(2): 120-24. https://doi.org/10.1016/j.joen.2012.10.022

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Published

19-11-2017

How to Cite

Gulsahi, K. (2017). Importance of Cone-Beam CT in Endodontics. The Journal of Dentists, 5(2), 52–58. https://doi.org/10.12974/2311-8695.2017.05.02.1

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