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Utilization of Cone Beam Computed Tomography in Endodontic Diagnosis

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3D Imaging in Endodontics

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Abstract

Endodontic diagnosis is dependent upon evaluation of the patient’s chief complaint, medical and dental history, and clinical and radiographic examination. A clinical examination must be performed before considering any radiographic examination. Imaging is an essential part of endodontic practice, from diagnosis and treatment planning to outcome assessment. Intraoral radiographs have inherent limitations due to the compression of three-dimensional (3D) structures in a two-dimensional (2D) image. Superimposition of anatomic structures and image noise results in distortion of the area of interest. The use of cone beam computed tomography (CBCT) could overcome these issues by visualizing the dentition and the relationship of anatomic structures in three dimensions. CBCT units reconstruct the projection data to provide inter-relational images in three orthogonal planes (axial, sagittal, and coronal). For most endodontic applications, limited or focused field of view (FOV) CBCT is preferred over large volume CBCT. This chapter will review the utilization of CBCT in endodontic diagnosis and management of periapical pathosis, diagnosis of pain, cracked teeth and vertical root fractures, internal and external resorptive defects, and traumatic injuries. A new CBCT software package (e-Vol DX, CDT-Brazil) that has been developed to overcome CBCT software limitations and support diagnosis, treatment planning, and management of endodontic cases will be presented.

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Authors and Affiliations

  1. Department of Endodontics, University of Illinois Chicago, Chicago, IL, USA

    Mohamed I. Fayad & Bradford R. Johnson

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  1. Mohamed I. Fayad
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  2. Bradford R. Johnson
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Correspondence to Mohamed I. Fayad .

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Editors and Affiliations

  1. Department of Endodontics, University of Illinois Chicago, Chicago, IL, USA

    Mohamed I. Fayad

  2. Department of Endodontics, University of Illinois Chicago, Chicago, IL, USA

    Bradford R. Johnson

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Fayad, M.I., Johnson, B.R. (2023). Utilization of Cone Beam Computed Tomography in Endodontic Diagnosis. In: Fayad, M.I., Johnson, B.R. (eds) 3D Imaging in Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-031-32755-1_3

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  • DOI: https://doi.org/10.1007/978-3-031-32755-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32754-4

  • Online ISBN: 978-3-031-32755-1

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