By Mohamed Fayad, BRADFORD R. JOHNSON
This publication is designed to supply the reader with an entire realizing of the position of cone beam computed tomography (CBCT) in aiding to unravel a few of the such a lot hard difficulties in endodontics. it's going to shorten the educational curve in software of this intriguing imaging process in numerous contexts: tricky diagnostic circumstances, therapy making plans, overview of inner teeth anatomy ahead of root canal treatment, nonsurgical and surgical remedies, early detection and therapy of resorptive defects, and results overview.
The skill to acquire a correct 3D illustration of a enamel and the encircling constructions by way of noninvasive CBCT imaging is altering the method of medical determination making in endodontics. Clinicians lengthy conversant in operating in very small, 3-dimensional areas are not any longer limited by means of the constraints of two-dimensional imaging. The demanding situations of getting to know the hot know-how can, besides the fact that, be daunting. The distinctive tips contained during this ebook may also help endodontists to take complete benefit of the real advantages provided through CBCT.
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Additional info for 3D Imaging in Endodontics: A New Era in Diagnosis and Treatment
These guidelines are based on weighted averages and common observations. Averages are useful when studying characteristics of populations, but of limited predictive value for treatment of the individual patient. CBCT can capture information, which previously required multiple radiographs, in a more precise way than is possible with two-dimensional radiographs. CBCT imaging overcomes several limitations found with conventional radiographic methods. Dimensionally accurate image acquisition and viewing in all three spatial planes eliminates superimposition of multiple roots and/or surrounding anatomic structures and provides more sensitivity with regard to the detection of periradicular pathosis, root resorption, and root fractures .
Surgical exploration was performed to confirm the presence of a vertical root fracture. (b) Note the granulation tissue at mid-root level (arrow). (c) Surgical degranulation of the defect demonstrating the vertical root fracture in the mesial root (arrow) a d b c e Fig. 14 (a) Periapical radiograph of tooth number 14. The three lines correspond to the axial section views in (b), (c), and (d). Note mid-root radiolucency (c) in relation to the palatal root at the apical level of the post (blue arrow).
23. Tsesis I, Rosen E, Tamse A, Taschieri S, Kfir A. Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review. J Endod. 2010;36:1455–8. 24. Fayad MI, Ashkenaz PJ, Johnson BR. Different representations of vertical root fractures detected by cone-beam volumetric tomography: a case series report. J Endod. 2012;10: 1435–42. 25. Estrela C, Bueno MR, De Alencar AH, Mattar R, Valladares Neto J, Azevedo BC, De Araújo Estrela CR.
3D Imaging in Endodontics: A New Era in Diagnosis and Treatment by Mohamed Fayad, BRADFORD R. JOHNSON