By Mohamed Fayad, BRADFORD R. JOHNSON
This ebook is designed to supply the reader with an entire figuring out of the position of cone beam computed tomography (CBCT) in aiding to resolve some of the such a lot difficult difficulties in endodontics. it is going to shorten the training curve in software of this intriguing imaging strategy in a number of contexts: tough diagnostic circumstances, remedy making plans, assessment of inner enamel anatomy ahead of root canal treatment, nonsurgical and surgical remedies, early detection and remedy of resorptive defects, and results evaluate.
The skill to procure a correct 3D illustration of a the teeth and the encircling constructions via noninvasive CBCT imaging is altering the method of scientific choice making in endodontics. Clinicians lengthy acquainted with operating in very small, third-dimensional areas aren't any longer restricted via the constraints of two-dimensional imaging. The demanding situations of gaining knowledge of the recent expertise can, notwithstanding, be daunting. The unique tips contained during this e-book can assist endodontists to take complete benefit of the real advantages provided by means of CBCT.
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Additional info for 3D Imaging in Endodontics: A New Era in Diagnosis and Treatment
2014;40(3): 360–5. 10. Nixdorf D, Moana-Filho E. Persistent dento-alveolar pain disorder (PDAP): working towards a better understanding. Rev Pain. 2011;5(4):18–27. 11. Nixdorf DR, et al. Differential diagnosis for persistent pain after root canal treatment: a study in the National Dental Practice-based Research Network. J Endod. 2015;41:457–63. 12. Pigg M, List T, Petersson K, Lindh C, Petersson A. Diagnostic yield of conventional radiographic and cone-beam computed tomographic images in patients with atypical odontalgia.
Radiation dose should be kept as low as reasonably achievable (ALARA) [22, 23]. The value of CBCT for endodontic diagnosis and treatment planning should be determined on an individual basis to assure that the benefit/risk assessment supports the use of CBCT. Ee et al. (2014) compared differences in endodontic treatment planning decisions using either CBCT or periapical radiographs . Thirty endodontic cases completed in a private endodontic practice were randomly selected to be included in this study.
His primary concern was the looseness of tooth number 25. A CBCT scan was taken to evaluate the extent of the fracture. The original treatment plan (extraction) was modified after viewing the CBCT, since the buccal bone was very thin and likely to be lost during a surgical extraction. The treatment plan was changed to include root canal therapy, root submergence, and eventual slow extrusion of the tooth to maintain bone for a future implant compared to CBCT has been reported . Limited FOV CBCT imaging seems to be generally advantageous in the diagnosis, assessment of prognosis, treatment planning, and treatment follow-up of HRF cases.