Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications




Endodontics; Imaging; Radiology; Cone beam computed tomography.


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.


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.

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.

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.

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.

Goga, R., Chandler, N. P., & Oginni, A. O. (2008). Pulp stones: a review. Int Endod J, 41, 457-468.

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.

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.

Lo Giudice, R., Nicita, F., Puleio, F., et al. (2018). Accuracy of periapical radiography and CBCT in endodontic evaluation. Int J Dent, 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.

Patel, S., Kanagasingam, S., & Mannocci, F. (2010). Cone beam computed tomography (CBCT) in endodontics. Dent Update, 37, 373-379.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.




How to Cite

OLIVEIRA, P. de A. C. .; FRANCO, A.; OLIVEIRA, L. B. .; SOUZA LIMA, C. A. .; JUNQUEIRA, J. L. C. .; CAVALETTE, M. R. M. L. .; OENNING, A. C. C. . Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications. Research, Society and Development, [S. l.], v. 10, n. 1, p. e42910111842, 2021. DOI: 10.33448/rsd-v10i1.11842. Disponível em: Acesso em: 1 mar. 2021.



Health Sciences