Abstract
Development of an appropriate treatment plan follows diagnosis and could be considered the foundation of a successful outcome. Until the recent introduction of cone beam computed tomography (CBCT) for dental uses, two-dimensional radiographic imaging has been the standard for dental treatment planning. In endodontics, subjective history, clinical findings, and diagnostic imaging are all essential components of the preoperative diagnosis and treatment plan (Reit C, Petersson K, Textbook of Endodontology. Wiley-Blackwell, UK, 2010). Conventional two-dimensional radiographs provide a cost-effective, high-resolution image, which continues to be the most popular method of imaging today. However, the diagnostic potential of periapical radiographs is limited. Information may be difficult to interpret, especially when the anatomy and background pattern is complex (Kundel HL, Revesz G, Am J Roentgenol 126:1233–8, 1976). Recently, CBCT has been demonstrated to be a useful tool in a number of endodontic applications. The aim of this chapter is to compare the relative value of preoperative periapical radiographs and CBCT in the decision-making process in nonsurgical and surgical endodontic treatment planning.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Reit C, Petersson K. Diagnosis of pulpal and periradicular disease. In: Bergenholtz G, Horsted-Bindslev P, Reit C, editors. Textbook of endodontology. 2nd ed. UK: Wiley-Blackwell; 2010. p. 235–53.
Kundel HL, Revesz G. Lesion conspicuity, structured noise, and film reader error. Am J Roentgenol. 1976;126:1233–8.
Maini A, Durning P, Drage N. Resorption: within or without? The benefit of cone-beam computed tomography when diagnosing a case of an internal/external resorption defect. Br Dent J. 2008;9:135–7.
Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. J Endod. 2010;36:1107–21.
Estrela C, Bueno M, De Alencar AH, et al. Method to evaluate inflammatory root resorption by using cone beam computed tomography. J Endod. 2009;35:1491–7.
Hassan B, Metska ME, Ozok AR, et al. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod. 2009;35:719–22.
Bernardes RA, de Moraes IG, Húngaro Duarte MA, et al. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:270–7.
Edlund M, Nair MK, Nair UP. Detection of vertical root fractures by using cone-beam computed tomography: a clinical study. J Endod. 2011;37:768–72.
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;38:1435–42.
Michetti J, Maret D, Mallet JP, Diemer F. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod. 2010;36:1187–90.
Liang YH, Li G, Wesselink PR, Wu MK. Endodontic outcome predictors identified with periapical radiographs and cone-beam computed tomography scans. J Endod. 2011;37:326–31.
de Paula-Silva FW, Wu MK, Leonardo MR, et al. Accuracy of periapical radiography and cone-beam computed tomography scans in diagnosing apical periodontitis using histopathological findings as a gold standard. J Endod. 2009;35:1009–12.
Velvart P, Hecker H, Tillinger G. Detection of the apical lesion and the mandibular canal in conventional radiography and computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92:682–8.
Stavropoulos A, Wenzel A. Accuracy of cone beam dental CT, intraoral digital and conventional film radiography for the detection of periapical lesions: an ex vivo study in pig jaws. Clin Oral Investig. 2007;11:101–6.
Nakata K, Naitoh M, Izumi M, et al. Effectiveness of dental computed tomography in diagnostic imaging of periradicular lesion of each root of a multirooted tooth: a case report. J Endod. 2006;32:583–7.
Lofthag-Hansen S, Huumonen S, Grondahl K, Grondahl HG. Limited cone-bean CT and intraoral radiography for the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:114–9.
Cotton TP, Geisler TM, Holden DT, et al. Endodontic applications of cone-beam volumetric tomography. J Endod. 2007;33:1121–32.
Patel S, Dawood A, Whaites E, Pitt FT. New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems. Int Endod J. 2009;42:447–62.
Patel S. New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J. 2009;42:463–75.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72:75–80.
Nair MK, Nair UP. Digital and advanced imaging in endodontics: a review. J Endod. 2007;33:1–6.
Ee J, Fayad MI, Johnson BR. Comparison of endodontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography. J Endod. 2014;40:910–6.
Rodriguez G, Abella F, Duran-Sindreu F, Patel S, Roig M. Influence of cone-beam computed tomography in clinical decision making among specialists. J Endod. 2017;43:194–9.
Bhatt M, Coil J, Chehroudi B, Esteves A, Aleksejuniene J, MacDonald D. Clinical decision-making and importance of the AAE/AAOMR position statement for CBCT examination in endodontic cases. Int Endod J. 2021;54:26–37.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Fayad, M.I., Johnson, B.R. (2023). The Impact of Cone Beam Computed Tomography in Nonsurgical and Surgical Treatment Planning. In: Fayad, M.I., Johnson, B.R. (eds) 3D Imaging in Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-031-32755-1_4
Download citation
DOI: https://doi.org/10.1007/978-3-031-32755-1_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-32754-4
Online ISBN: 978-3-031-32755-1
eBook Packages: MedicineMedicine (R0)