Cone beam computed tomography in Endodontics – a review (2024)

Related Papers

Endodontic applications of cone beam computed tomography: case series and literature review

2015 •

Kala Morales

Cone beam computed tomography (CBCT) is a relatively new method that produces three-dimensional (3D) information of the maxillofacial skeleton, including the teeth and their surrounding tissue, with a lower effective radiation dose than traditional CT scans. Specific endodontic applications for CBCT are being identified as the use of this technology becomes more common. CBCT has great potential to become a valuable tool for diagnosing and managing endodontic problems, as well as for assessing root fractures, apical periodontitis, resorptions, perforations, root canal anatomy and the nature of the alveolar bone topography around teeth. This article aims to review cone beam technology and its advantages over CT scans and conventional radiography, to illustrate current and future clinical applications in endodontic practice, and to highlight areas of further research of CBCT in endodontics. Specific case examples illustrate how treatment planning has changed with the images obtained wi...

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IP Innovative Publication Pvt. Ltd.

Cone Beam Computed Tomography: A new horizon in clinical endodontics

2016 •

IP Innovative Publication Pvt. Ltd.

Successful management of endodontic problems depend on diagnostic imaging techniques to provide the critical information about the teeth under examination, and their surrounding hard and soft tissues. The introduction of cone-beam computed tomography (CBCT) specifically dedicated for imaging the maxillofacial region heralds a true paradigm shift from 2D to 3D approach to data acquisition and image reconstruction. The system overcomes many of the limitations of conventional radiography by producing undistorted, three-dimensional images of the area under examination. It is capable of providing sub-millimetre resolution in images of high diagnostic quality, with short scanning times (10–70 seconds) and radiation dosages reportedly up to 15 times lower than those of conventional CT scans. These systems produce images with small field of view at low radiation doses with adequate spatial resolution that are suitable for many applications in endodontics from diagnosis to treatment and follow-up. This article provides an overview of specific application of various CBCT display modes to clinical endodontic practice.

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Quintessence international (Berlin, Germany : 1985)

Clinical applications of cone beam computed tomography in endodontics: A comprehensive review

2015 •

Hagay Shemesh

The use of cone beam computed tomography (CBCT) in endodontics has been extensively reported in the literature. Compared with the traditional spiral computed tomography, limited field of view (FOV) CBCT results in a fraction of the effective absorbed dose of radiation. The purpose of this manuscript is to review the application and advantages associated with advanced endodontic problems and complications, while reducing radiation exposure during complex endodontic procedures. The benefits of the added diagnostic information provided by intraoperative CBCT images in select cases justify the risk associated with the limited level of radiation exposure.

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International Endodontic Journal

The potential applications of cone beam computed tomography in the management of endodontic problems

2007 •

A. Dawood, Shanon Patel

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Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications

2021 •

Ademir Franco

This study revisited three oral radiology centers (ORC) and screened the main clinical indications that justified the request for cone-beam computed tomography (CBCT) examination in Endodontics. The databases of three ORCs were searched for requests of CBCT exams taken for Endodontic purposes over the last two years. The extracted data consisted of the total number of CBCT exams, the clinical indication in the endodontic field that justified the CBCT exam, the outcome of each exam (from the report of Oral Radiologists), and demographic data of the patients. From the total CBCT exams (n = 4,583), nearly 13% (n = 611) were taken for Endodontic purposes. Most of the clinical indications were related to root fractures (65%) and periapical lesions/disease (24.1%). Radiologists’ reports hypothesized more often toward periapical lesion/disease (70.5%), root fracture (51.4%) and accidents/complications (25.2%). Some clinical indications significantly varied based on age. In particular, post...

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Evidence-Based Endodontics

What do we (do not) know about the use of cone beam computed tomography in endodontics? A thematic series with a call for scientific evidence

Kıvanç Kamburoğlu

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Dental and Medical Problems

Cone Beam Computed Tomography Imaging in Clinical Endodontics – Literature Review

2013 •

Anna Surdacka

Cone beam computed tomography (CBCT) is widely used in dentistry due to low radiation, high-quality digital reconstruction of three-dimensional image, the elimination of the overlapping of structures which lie along the same axis, the possibility of obtaining real shaped images and enabling accurate measurements of the examined anatomical structures. Three-dimensional imaging of the structures of the stomatognathic system is most commonly implemented in endodontics, implantology and periodontics. The CBCT technique is used in endodontics primarily to detect anatomical abnormalities, visualise the root canal system, disclose additional canals, detect perforations and vertical root fractures, diagnose periapical lesions caused by inflammation of the pulp, identify and locate root resorption, clarify the reasons for the lack of healing of endodontically treated teeth. An important advantage of CBCT over conventional radiography is the fact that CBCT enables an exact visualisation of th...

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

Shraddha Gite

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Cone Beam Computed Tomography (CBCT): A New dimension of Imaging with Basics and Clinical applications in Dentistry

Akash Baranwal

For the clinical assessment of the dental patients, imaging is an important diagnostic adjunct. Cone-beam computed tomography (CBCT) systems have been designed for three dimensionally imaging of hard tissues of the maxillofacial region including the teeth and surrounding tissues. CBCT is a new application of computed tomography (CT) that generates image data at lower cost and absorbed doses than conventional CT used for medical radiology. Most of the attention regarding CBCT imaging has focused on applications for dental implant placement, oral surgery, endodontics, orthodontics and temporomandibular joint imaging. The purpose of this article is to provide an overview of this CBCT technology and an understanding of its basics and the clinical applications in dentistry.

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IOSRJDMS

Cone Beam Computed Tomography The 3D Imaging Modality In Endodontics: A Review

2017 •

Kausar Banu

Imaging plays an important role in diagnosis and treatment planning in Endodontics. Two-dimensional (2D) projection radiography has been in use for more than half a century for diagnosis in the maxillofacial region. In the last decades, the introduction of three dimensional imaging characterized by Cone beam Computed Tomography has created a revolution in maxillofacial imaging-facilitating the transition of dental imaging from 2D to 3D. Cone-beam computed tomography (CBCT) has gained considerable acclaim worldwide in recent years as a viable 3D imaging modality. It produces images with smaller field of view,low radiation exposure, improved spatial resolution and user friendly software programs which has tremendous impact on endodontics from diagnosis to treatment and follow up. This article reviews CBCT and its role in endodontics.

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Cone beam computed tomography in Endodontics – a review (2024)

FAQs

How accurate is cone beam computed tomography? ›

By using a voxel size of 0.38 mm at 2 mA, CBCT alveolar bone height can be measured to an accuracy of about 0.6 mm, and root fenestrations can be identified with greater accuracy than dehiscences.

Is a cone beam CT scan necessary for a root canal? ›

Most clinicians agree that it is advantageous and in some instances essential to take a CBCT scan before any endodontic surgery. Precise imaging becomes especially important in surgical cases that might involve vulnerable structures, including sinus cavities, nerve channels or blood vessels.

What is a disadvantage of cone beam computed tomography CBCT imaging? ›

He said with CBCT, most patients are sitting upright and the X-ray source is turning around the patient and scanning on flat panel. Disadvantages of CBCT include poor soft tissue resolution, limited scan range, motion artefacts, and the process is time consuming.

Is cone beam computed tomography safe? ›

Compared to traditional dental X-rays, low dose CBCT scan is safer for patients. The maximum radiation dose received by patients is less than 0.01 mSv, which is 100 times lower than that of traditional dental X-ray and no radioactive material will be injected into your body.

What is the cost of cone beam computed tomography? ›

CBCT Denta Scan Test
Test TypeCBCT Scan
PurposeTo evaluate the bone and gums before an implant; observe the proximity of nerve to a tooth root; look for root canals, etc.
Also Known AsCone Beam Computed Tomography, Cone Beam CT
Home TestingNo
Avg. PriceRs 4500 to Rs 5000
1 more row

For which conditions is cone beam computed tomography best suited? ›

What are some common uses of the procedure?
  • surgical planning for impacted teeth.
  • diagnosing temporomandibular joint disorder (TMJ).
  • accurate placement of dental implants.
  • evaluation of the jaw, sinuses, nerve canals and nasal cavity.
  • detecting, measuring and treating jaw tumors.

Why is Cone Beam CT not covered by insurance? ›

Does Insurance coverage for Cone-beam CT imaging exist? Most of the scans we obtain are for dental purposes, not medical; hence, medical insurance typically will NOT provide coverage for these scans.

Is a CBCT scan worth it? ›

The detailed information the CBCT provides can be invaluable in ensuring successful treatment outcomes, so it is well worth it. The FDA recommends using it when medically necessary, such as when figuring out which tooth is diseased and whether it can be saved with a root canal. A CBCT scan is also a quick procedure.

What is a limitation of CBCT in endodontics? ›

CBCT may, however, be of minimal benefit in assisting with the location of the canal as the resolution is significantly worse than that of a periapical radiograph. Therefore, if the radiograph did not reveal a canal, it would be unlikely be visible with CBCT.

How often can you do CBCT? ›

There are no current guidelines on how often a CBCT should be exposed on patients; professionals should exercise good judgment on deciding whether their patients' needs warrant it.

Does a cone beam scan show infection? ›

A CBCT (cone beam computed tomography) scan will show infections better than traditional X-rays because it can also detect if that infection has spread and how far it has spread, something traditional X-rays are typically poor at doing.

How long does a cone beam CT scan take? ›

Your cone beam CT scan takes about 15 minutes. You sit or stand in the scanner.

How accurate is cone beam computed tomography for periodontal defect measurements? ›

CBCT is highly accurate in measurement of periodontal defects and proves to be a very useful tool in periodontal diagnosis and treatment assessment.

How accurate is a computed tomography? ›

In this retrospective chart review study of 39 patients, we found CT to have a high sensitivity (76.9%), specificity (96.2%) and overall accuracy (89.7%).

Is CBCT better than CT scan? ›

However, the advantage is that a CBCT scan usually has a lower radiation dose than a CT scan while providing a higher resolution (Li 2013). The lower radiation dose, of course, also depends on other scanning parameters, such as the degree of rotation (partial scan versus full scan), kV and mA.

Does CBCT have less radiation than CT? ›

When comparing doses between CBCT and conventional CT scanners using the DLP/Scan Length as the score, findings suggest that the radiation dose to the patient undergoing an extremity CT scan is significantly higher than that delivered to the patient undergoing CBCT.

References

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