International Journal of Prosthodontics and Restorative Dentistry

Register      Login

VOLUME 5 , ISSUE 4 ( October-December, 2015 ) > List of Articles

REVIEW ARTICLE

Cone Beam Computed Tomography: A New Boon and a Ray of Hope to the Endodontist-A Series of Cases

Pradnya Vilas Bansode, Seema Dhananjay Pathak, Shraddha Pradeep Gite, Jaishri sanjay Pagare, Manthara Baburao Wavadhane, Shrish Bhimrao Khedgikar

Citation Information : Bansode PV, Pathak SD, Gite SP, Pagare JS, Wavadhane MB, Khedgikar SB. Cone Beam Computed Tomography: A New Boon and a Ray of Hope to the Endodontist-A Series of Cases. Int J Prosthodont Restor Dent 2015; 5 (4):101-109.

DOI: 10.5005/jp-journals-10019-1139

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Aim

This article aims to provide comprehensive information related to the cone beam computed tomography (CBCT) as a diagnostic aid and its potential applications in dentistry.

Background

A study was done on 10 different patients with different findings, such as Radix entomolaris, calcifications, vertical root fracture, internal resorption, cystic lesion, perforation, radicular cyst, preparation for endo surgery. These all findings could not be diagnosed by two-dimensional (2D) imaging which were diagnosed with the help of CBCT.

Review results

Cone beam computed tomography is a revolutionary and innovative procedure that has changed the paradigms in the management of various endodontic conditions. Cone beam computed tomography offers speed and versatility to the practitioner and patient alike. Within few minutes of acquiring the scan, the dentist may fully explore the patient's three-dimensional (3D) image. The image can then be rotated, color-contrasted, and slices can be isolated and further analyzed. With its accurate and high-quality 3D representations, this technology offers tremendous improvements in diagnostic capabilities, eliminating surprises and minimizing the need for exploratory surgery.

Conclusion

Cone beam computed tomography is an invaluable endodontic tool for use before, during, and after treatment CBCT scanning drives diagnostic accuracy, which positively impacts clinical decisions, increases speed of treatment, and improves productivity and patient outcomes. In short, it has provided the greatest advancement in digital imaging over the past decade.

Clinical significance

When used for preoperative assessment, CBCT imaging provides highly detailed information on the entire tooth structure, including the location and number of canals, pulp chamber size and degree of calcification, curvature of root morphology, tooth and root fractures, inflammatory lesions and defects.

How to cite this article

Pathak SD, Bansode PV, Gite SP, Pagare JS, Wavadhane MB, Khedgikar SB. Cone Beam Computed Tomography: A New Boon and a Ray of Hope to the Endodontist-A Series of Cases. Int J Prosthodont Restor Dent 2015;5(4):101-109.


PDF Share
  1. New dimensions in endodontic imaging: part 1-conventional and alternative radiographic systems. Int Endod J 2009;42(6):447-462.
  2. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endod J 2011;44(2):136-147.
  3. An in vivo comparison of digital information obtained from tuned-aperture computed tomography and conventional dental radiographic imaging modalities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(2):239-247.
  4. The influence of structured noise on the detection of radiologic abnormalities. Invest Radiol 1974;9(6):479-486.
  5. Lesion conspicuity, structured noise, and film reader error. Am J Roentgenol 1976;126(6):1233-1238.
  6. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999;25(7):506-508.
  7. Radiographic features of vertically fractured endodontically treated mesial roots of mandibular molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101(6):797-802.
  8. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod 2009;35(5):719-722.
  9. Section 7. Case 7.2. Lateral luxation. In: Pitt Ford's problem based learning in endodontology. Patel S, Duncan HF, editors. 1st ed. Chichester: Wiley Blackwell; 2007. p. 256-263.
  10. Effectiveness of limited cone-beam computed tomography in the detection of horizontal root fracture. Dent Traumatol 2009 Jun;25(3):256-261.
  11. Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. J Endod 2002;28(6): 477-479.
  12. Canal configuration of the mesiobuccal root of the maxillary first molar of a Japanese sub-population. Int Endod J 1999;32(2):79-87.
  13. Canal configuration in the mesiobuccal root of the maxillary first molar: a clinical study. J Endod 1994;20(3):135-137.
  14. Clinical investigation (in vivo) of endodontically treated maxillary first molars. J Endod 1987;13(10):506-512.
  15. Root and canal morphology of Burmese mandibular molars. Int Endod J 2001;34(5):359-370.
  16. A comparison between clearing and radiographic techniques in the study of the root-canal anatomy of maxillary ?rst and second molars. Int Endod J 2004;37(5):291-296.
  17. Experimental dental traumatology: development of a model for external root resorption. Endod Dent Traumatol 1987;3(6):269-287.
  18. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endod J 2011;44(2):136-147.
  19. Internal root resorption: a review. J Endod 2010;36(7):1107-1121.
  20. Method to evaluate inflammatory root resorption by using cone beam computed tomography. J Endod 2009;35(11):1491-1497.
  21. The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography: an in vivo investigation. Int Endod J 2009;42(9):831-838.
  22. Observer ability to detect ex vivo simulated internal or external cervical root resorption. J Endod 2011;37(2):168-175.
  23. Prevalence of three-rooted mandibular ?rst molars among Taiwanese individuals. J Endod 2007;33(10):1163-1166.
  24. Radiographic investigation of frequency and degree of canal curvatures in Chinese mandibular permanent incisors. J Endod 2009;35(2):175-178.
  25. A 5 years clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. J Endod 2005;31(4):262-264.
  26. Use of cone beam computed tomography to identify root canal systems in vitro. J Endod 2008;34(1):87-89.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.