Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications
DOI:
https://doi.org/10.33448/rsd-v10i1.11842Keywords:
Endodontics; Imaging; Radiology; Cone beam computed tomography.Abstract
This study revisited three oral radiology centers (ORC) and screened the main clinical indications that justified the request for cone-beam computed tomography (CBCT) examination in Endodontics. The databases of three ORCs were searched for requests of CBCT exams taken for Endodontic purposes over the last two years. The extracted data consisted of the total number of CBCT exams, the clinical indication in the endodontic field that justified the CBCT exam, the outcome of each exam (from the report of Oral Radiologists), and demographic data of the patients. From the total CBCT exams (n = 4,583), nearly 13% (n = 611) were taken for Endodontic purposes. Most of the clinical indications were related to root fractures (65%) and periapical lesions/disease (24.1%). Radiologists’ reports hypothesized more often toward periapical lesion/disease (70.5%), root fracture (51.4%) and accidents/complications (25.2%). Some clinical indications significantly varied based on age. In particular, post-traumatic imaging and the investigation of root resorption were more common in young patients, while the prevalence of exams for the investigation of pulpal calcifications and root fractures increased with age. More interestingly, there was a significant disagreement between the clinical indication that justified the CBCT examinations and the outcomes retrieved from radiologists’ reports (p < 0.005). This study illustrates the broad spectrum of CBCT applications for the diagnosis, treatment planning and follow-up in Endodontics. Attention is necessary to the disagreements between clinical indications and imaging outcomes, especially because certain conditions in the routine Endodontics are only visible with the aid of advanced tools.
References
Brady, E., Mannocci, F., Brown, J., Wilson, R., & Patel, S. A. (2014). Comparison of cone beam computed tomography and periapical radiography for the detection of vertical root fractures in nonendodontically treated teeth. Int Endod J, 47, 735-746. http://doi.org/10.1111/iej.12209
Ee, J., Fayad, M. I., & Johnson, B. R. (2014). Comparison of endodontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography. J Endod, 40, 910-916. http://doi.org/10.1016/j.joen.2014.03.002
Fayad, M. I., Nair, M., Levin, M. D., et al. (2015). AAE and AAOMR Joint Position Statement Use of Cone Beam Computed Tomography in Endodontics 2015 Update. Oral Surg Oral Med Oral Pathol Oral Radiol, 120, 508-12. http://doi.org/10.1016/j.oooo.2015.07.033
Gallichan, N., Albadri, S., Dixon, C., & Jorgenson, K. (2020). Trends in CBCT current practice within three UK paediatric dental departments. Eur Arch Paediatr Dent, 21, 537-542. http://doi.org/10.1007/s40368-020-00526-w
Goga, R., Chandler, N. P., & Oginni, A. O. (2008). Pulp stones: a review. Int Endod J, 41, 457-468. http://doi.org/10.1111/j.1365-2591.2008.01374.x
Krug, R., Connert, T., Beinicke, A., et al. (2019). When and how do endodontic specialists use cone-beam computed tomography? Aust Endod J, 45, 365-372. http://doi.org/10.1111/aej.12337
Li, D., Tao, Y., Zhang W. C. M., Zhang, X., Hu, X. (2019). External root resorption in maxillary and mandibular second molars associated with impacted third molars: a cone-beam computed tomographic study. Clin Oral Investig, 23, 4195-4203. http://doi.org/10.1007/s00784-019-02859-3
Lo Giudice, R., Nicita, F., Puleio, F., et al. (2018). Accuracy of periapical radiography and CBCT in endodontic evaluation. Int J Dent, 2514243, http://doi.org/10.1155/2018/2514243
Oenning, A. C., Jacobs, R., Pauwels, R., Stratis, A., Hedesiu, M., & Salmon, B. (2018). Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol, 48, 308-316. http://doi.org/10.1007/s00247-017-4012-9
Patel, S., Kanagasingam, S., & Mannocci, F. (2010). Cone beam computed tomography (CBCT) in endodontics. Dent Update, 37, 373-379. https://doi.org/10.12968/denu.2010.37.6.373
Patel, S., Durack, C., Abella, F., Shemesh, H., Roig, M., & Lemberg, K. (2015). Cone beam computed tomography in Endodontics - a review. Int Endod J, 48, 3-15. http://doi.org/10.1111/iej.12270
Patel, S., Brown, J., Pimentel, T., Kelly, R. D., Abella, F., & Durack, C. (2019). Cone beam computed tomography in Endodontics – a review of the literature. Int Endod J, 52, 1138–52. http://doi.org/10.1111/iej.13115
Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. Int Endod J, 52, 1675-1678. http://doi.org/10.1111/iej.13187
Rodríguez, G., Abella, F., Durán-Sindreu, F., Patel, S., & Roig, M. (2017). Influence of cone-beam computed tomography in clinical decision making among specialists. J Endod, 43, 194-199. http://doi.org/10.1016/j.joen.2016.10.012
SEDENTEX CT Project, Sezgin, O. S., Kayipmaz, S., Yasar, D., Yilmaz, A., & Ozturk, M. H. (2011). Comparative dosimetry of dental cone beam computed tomography, panoramic radiography, and multislice computed tomography. Oral Radiology, 28, 32-37. http://doi.org/10.1007/s11282-011-0078-5
Van Acker, J. W. G., Martens, L. C., & Aps, J. K. M. (2016). Cone-beam computed tomography in pediatric dentistry, a retrospective observational study. Clin Oral Investig, 20, 1003-1010. http://doi.org/10.1007/s00784-015-1592-3
Venskutonis, T., Plotino, G., Juodzbalys, Gi., & Mickevičiene, L. (2014). The importance of cone-beam computed tomography in the management of endodontic problems: A review of the literature. J Endod, 40, 1895-18901. http://doi.org/10.1016/j.joen.2014.05.009
Verner, F. S., D’Addazio, P. S., Campos, C. N., Devito, K. L., Almeida, S. M., & Junqueira, R. B. (2017). Influence of Cone-Beam Computed Tomography filters on diagnosis of simulated endodontic complications. Int Endod J, 50, 1089-1096. http://doi.org/10.1111/iej.12732
Viana, W. A. M., Montagner, F., Vieira, H. T., Dias da Silveira, H. L., Arús, N. A., & Vizzotto, M. B. (2020). Can cone-beam computed tomography change endodontists’ level of confidence in diagnosis and treatment planning? A before and after study. J Endod, 46, 283-238. http://doi.org/10.1016/j.joen.2019.10.021
Von Elm, E., Altman, D. G., Egger, M., et al. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg, 12, 1495-1499. http://doi.org/10.1136/bmj.39335.541782.AD
Ozer, S. Y. (2010). Detection of vertical root fractures of different thicknesses in endodontically enlarged teeth by cone beam computed tomography versus digital radiography. J Endod, 36, 1245-1249. http://doi.org/10.1016/j.joen.2010.03.021
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Priscila de Andrade Cruz Oliveira; Ademir Franco; Luciana Butini Oliveira; Carlos Augusto Souza Lima; José Luiz Cintra Junqueira; Mariana Rosa Merendi Lopes Cavalette; Anne Caroline Costa Oenning
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
