Application Of Cone Beam Computed Tomography In Endodontic Treatment
Nearly a century later, based on the initial effects of Computed Tomography (CT) and CT, since 1981 Cone Beam Computed Tomography (CBCT) has been used in dentistry; in 1996 it was introduced and applied in the endodontic field.
BENEFITS OF CBCT IN ENDODONTICS
Summary of CBCT Advantages
- 3D images in provided.
- Accurate picture.
- Increased sensitivity and specificity to cavities, periodontal and periostatic lesions.
- Patient’s comfort – no more film or sensor in the mouth.
- Visible soft tissue.
APPLICATION OF CBCT IN ENDODONTIC TREATMENT
C-shaped canal tube in the second large molars
CBCT improves sensitivity and specificity in the diagnosis of primate lesions compared to traditional films. Analysis of diagnostic methods shows that periapical inflammation is found more frequently in CBCT films than in conical films.
Figure 3a. Film around the tip does not show any infection around the tip of the tooth 24
Figure 3b. CBCT films show lenses around the tip of the tooth 24
This patient comes from a groin abscess outside the small left mesentery. Teeth 24 with a seal is still good, pain when typing. This tooth looks fine on the film around the apex, no cracked root is found in this area or in the opposite jaw. Consideration should be given to whether we should remove the old seal is important because the possibility that the root canal is affected is very high.
CBCT films show lesions around the apex. Proceed to antibiotics for 5 days and then treat marrow. The pulp is determined to be necrotic after pulp opening. After the treatment, the initial symptom was over.
Some other applications
CBCT films outperform classic X-ray films in the diagnosis of root fracture, and are proven valid for predicting the true time of injury in the diagnosis and treatment of facial traumatic injuries.
The low resolution of the CBCT is not suitable for detecting vertical fracture except in severe cases.
Figure 4: CBCT film helps detect the vertical root fractures near R17 and R27.
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