Use of CBCT For Detecting Vertical Root Fractures

• Author(s): Peter Johansson
• Paper ID: 1710588
• Page: 309-314
• Published Date: 31-03-2019
• Published In: Iconic Research And Engineering Journals
• Publisher: IRE Journals
• e-ISSN: 2456-8880
• Volume/Issue: Volume 2 Issue 9 March-2019

Abstract

Vertical root fractures (VRFs) represent a diagnostic challenge in endodontics because of the complex clinical presentation of the problem and inability to see sufficiently through conventional radiographic means. Timely and accurate diagnosis is paramount to plan effective treatment and to save the tooth from being extracted prematurely. Three-dimensional imaging with high resolution and ability to counter the superimposition of anatomical structures is needed for the assessment of VRFs- and this is where CBCT stands out as a preferred imaging modality. The paper discusses the role of cone-beam computed tomography in diagnosing vertical root fractures vis-à-vis traditional periapical radiography. It also covers the diagnostic accuracy, sensitivity, and specificity of CBCT, bringing an awareness of clinical concerns and limitations of CBCT such as radiation exposure and artifacts. Evidence to date favors the view that CBCT significantly improves diagnostic accuracy, yet careful case selection and strict adherence to the ALARA principle always remain necessary.

Keywords

Vertical root fracture (VRF); Cone-beam computed tomography (CBCT); Endodontic diagnosis; Dental imaging; Periapical radiography; Diagnostic accuracy

Citations

IRE Journals:
Peter Johansson "Use of CBCT For Detecting Vertical Root Fractures" Iconic Research And Engineering Journals Volume 2 Issue 9 2019 Page 309-314

IEEE:
Peter Johansson "Use of CBCT For Detecting Vertical Root Fractures" Iconic Research And Engineering Journals, 2(9)