The impact of cone beam computed tomography in diagnosis and endodontic treatment planning decisions - case reports

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.12726

Keywords:

Cone beam computed tomography; Diagnosis; Root canal treatment.

Abstract

Conventional radiographic techniques have limitations, showing a two-dimensional image of a three-dimensional object, making it difficult to recognize the internal root anatomy in endo-dontic therapy. Cone-beam computed tomography (CBCT) is a diagnostic method that allows the visualization of all structures three-dimensionally, showing promising results compared to periapical radiographs. The objective of this study was to report two clinical cases where CBCT was fundamental to the diagnosis and a better treatment planning of the steps that were taken during the endodontic intervention. The CBCT were performed prior to the treat-ments, the volume of the exams were dynamically analyzed in specific software. The data were interpreted and together with the radiographic image and clinical examination data, the diagnosis and treatment planning were carried out. Given the report and discussion of the two clinical cases, it can be concluded that CBCT proved to be an impacting resource to support diagnosis and decision-making in the treatment of complex endodontic cases. CBCT ensured greater reliability in the diagnosis and treatment plan adopted, increasing the predictability of the endodontic therapy.

References

Alexandre, N. F., Herbst, D., Postma, T. C., & Bunn, B. K. (2019). The prevalence of second canals in the mesiobuccal root of maxillary molars: A cone beam computed tomography study. Aust Endod J, 45: 46-50.

American Association of Endodontists, American Academy of Oral and Maxillofacial Radi-ology. AAE/AAOMR Joint Position Statement – Use of Cone Beam Computed Tomography in Endodotics. 2015/2016 Update.

Bueno, M. R., Estrela, C., Azevedo, B. C., & Diogenes, A. (2018). Development of a new cone-beam computed tomography software for endodontic diagnosis. Braz Dent J, 29:517-29.

Bueno, M. R., Estrela, C. R. A., Granjeiro, J. M., Sousa-Neto, M. D., & Estrela, C. (2019). Method to Determine the Root Canal Anatomi c Dimension by using a New Cone-Beam Computed Tomography Software. Braz Dent J, 30:3-11.

Byakova, S. F., Novozhilova, N. E., Makeeva, I. M., Grachev, V. I., & Kasatkina, I. V. (2019). The accuracy of CBCT for the detection and diagnosis of vertical root fractures in vivo. Int Endod J, 52:1255-63.

Estrela, C., Bueno, M. R., Leles, C. R., Azevedo, B., & Azevedo, J. B. (2008). Accuracy of Cone Beam Computed Tomography and Panoramic and Periapical Radiography for Detection of Apical Periodontitis. J Endod, 34: 273-79.

Estrela, C., Bueno, M. R., Leles, C. R., Azevedo, B., & Azevedo, J. B. (2008). Accuracy of Cone Beam Computed Tomography and Panoramic and Periapical Radiography for Detection of Apical Periodontitis. J Endod, 34: 273-79.

Estrela, C., Couto, G. S., Bueno, M.R., Bueno, K. G., Estrela, L. R. A., Porto, O. C. L. et al. (2018). Apical foramen position in relation to proximal root surfaces of human permanent teeth determined by using a new cone-beam computed tomographic software. J Endod, 44:1741-48.

Fahey, T., O’Connor, N., Walker, T., & Chin-Shong, D. (2011). Surgical endodontics: a review of current best practice. Oral Surg, 4:97-104.

Karabucak, B., Bunes, A., Chehoudm C., Kohli, M. R., & Setzer, F. (2018). Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study. J Endod, 42:538-41.

Molander, A., Reit, C., Dahlen, G., & Kvist, T. (1998). Microbiological status of root filled teeth with apical periodontitis. Int Endod J, 31:1-7.

Nair, P. N. R. (2004). Patoghenesis of Apical Periodontitis and the Causes of Endodontic Failures. Crit Rev Oral Biol Med, 15: 348-81.

Nakata, K., Naitoh, M., Izumi, M., Inamoto, K., Ariji, E., & Nakamura, H. (2006). Effectiveness of dental computed tomography in diagnostic imaging of periradicular lesion of each root of a multirooted tooth: a case report. J Endod, 32:583–7.

Patel, S., Dawood, A., Pitt Ford, T., & Whaites, E. (2007). The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J, 40:818-30.

Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endo-dontology position statement: Use of cone beam computed tomography in Endodontics. Int Endod J, 52:1675-78.

Pinheiro, E. T., Gomes, B. P. F. A., Ferraz, C. C. R., Sousa, E. L. R., Teixeira, F. B., & Souza-Filho, F. J. (2003). Microrganisms from canals of root-filled teeth with periapical lesions. Int Endod J, 36:1-11.

Sundqvist, G., Figdor, D., Persson, S., & Sjogren, U. (1998). Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85:86–93.

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Published

22/02/2021

How to Cite

PEREIRA , K. F. S. .; TURATTO, T. H. . .; JUNQUEIRA-VERARDO , L. B. .; LIMOEIRO , A. G. da S. .; GAETTI-JARDIM, E. C. The impact of cone beam computed tomography in diagnosis and endodontic treatment planning decisions - case reports. Research, Society and Development, [S. l.], v. 10, n. 2, p. e44910212726, 2021. DOI: 10.33448/rsd-v10i2.12726. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12726. Acesso em: 25 apr. 2024.

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Section

Health Sciences