Tadas Venskutonis1, Gianluca Plotino2, Gintaras Juodzbalys3, Lina Mickevičienė1. 1. Department of Dental and Oral Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania. 2. Department of Endodontics, 'Sapienza' University of Rome, Rome, Italy. Electronic address: endo@gianlucaplotino.com. 3. Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Abstract
INTRODUCTION: To obtain essential information in clinical endodontics, cone-beam computed tomographic (CBCT) imaging can be used in all phases of treatment including diagnosis, treatment planning, during the treatment phase, and through post-treatment assessment and follow-up. The purpose of this article was to review the use of CBCT imaging in the diagnosis, treatment planning, and assessing the outcome of endodontic complications. METHODS: Literature was selected through a search of PubMed electronic databases for the following keywords: tooth root injuries, tooth root radiography, tooth root perforation, tomography, cone-beam computed tomography, endodontic complications, tooth root internal/external resorption, root fractures, and broken instruments. The research was restricted to articles published in English. One hundred twelve articles met the inclusion criteria and were included in this review. RESULTS: Currently, intraoral radiography is the imaging technique of choice for the management of endodontic disease, but CBCT imaging appears to have a superior validity and reliability in the management of endodontic diagnosis and complications. CONCLUSIONS: Endodontic cases should be judged individually, and CBCT imaging should be considered in situations in which information from conventional imaging systems may not yield an adequate amount of information to allow the appropriate management of endodontic problems. CBCT imaging has the potential to become the first choice for endodontic treatment planning and outcome assessment, especially when new scanners with lower radiation doses will be available.
INTRODUCTION: To obtain essential information in clinical endodontics, cone-beam computed tomographic (CBCT) imaging can be used in all phases of treatment including diagnosis, treatment planning, during the treatment phase, and through post-treatment assessment and follow-up. The purpose of this article was to review the use of CBCT imaging in the diagnosis, treatment planning, and assessing the outcome of endodontic complications. METHODS: Literature was selected through a search of PubMed electronic databases for the following keywords: tooth root injuries, tooth root radiography, tooth root perforation, tomography, cone-beam computed tomography, endodontic complications, tooth root internal/external resorption, root fractures, and broken instruments. The research was restricted to articles published in English. One hundred twelve articles met the inclusion criteria and were included in this review. RESULTS: Currently, intraoral radiography is the imaging technique of choice for the management of endodontic disease, but CBCT imaging appears to have a superior validity and reliability in the management of endodontic diagnosis and complications. CONCLUSIONS: Endodontic cases should be judged individually, and CBCT imaging should be considered in situations in which information from conventional imaging systems may not yield an adequate amount of information to allow the appropriate management of endodontic problems. CBCT imaging has the potential to become the first choice for endodontic treatment planning and outcome assessment, especially when new scanners with lower radiation doses will be available.
Authors: Mousa Zidan; Franz S Schwindling; Alexander Juerchott; Johannes Mente; Holger Gehrig; Mathias Nittka; Zahra Hosseini; Johann M E Jende; Sabine Heiland; Martin Bendszus; Tim Hilgenfeld Journal: Clin Oral Investig Date: 2022-07-21 Impact factor: 3.606
Authors: Martina Gerlane de Oliveira Pinto; Saulo L Sousa Melo; Fernanda Clotilde Mariz Suassuna; Luiz Eduardo Marinho; José Bruno da Silva Leite; Andre Ulisses Dantas Batista; Patrícia Meira Bento; Daniela Pita Melo Journal: Dentomaxillofac Radiol Date: 2021-02-10 Impact factor: 3.525