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CBCT in Evaluation of Complex Retreatment Cases

Alessandro Rossi Hans Schneider

Subject area: Biological & Medical Sciences  ·  Area of research: Endodontics

DOI: https://doi.org/10.64388/IREV4I3-1710592-4523

Abstract

Diagnosis and treatment of complex endodontic retreatment cases require precision to remedy what was done previously. A conventional periapical X-ray has an apparent disadvantage: it creates only two-dimensional images, which in turn hide the complexities of root canal morphology, potential mishaps such as missed canals, perforations, and vertical root fractures. Owing to its ability to provide three-dimensional views of root canal systems and periapical structures, it has now found widespread use as an adjunctive diagnostic tool. Reports published up to February 2020 give a strong indication that CBCT enabled the better detection of untreated anatomy, periapical lesions, and iatrogenic complications, which they also suggest improves retreatment outcome. Even though it comes with some risks such as radiation exposure and metal artefacts, CBCT is now acknowledged as a must-have tool in modern cases of retreatment especially when conventional imaging fails to provide a clear picture.

Keywords

Cone-Beam Computed Tomography; Endodontic Retreatment; Periapical Pathology; Root Canal Morphology; Diagnostic Imaging.

References

[1] Sarma, B. R., & Jayasree, R. (2019). Morphological variations in root canal systems of mandibular first molars. Part II: Based on cone-beam computed tomography. Journal of Endodontics, 45(1), 46-55.

[2] Singh, S. (2018). The efficacy of 3D imaging and cone beam computed tomography (CBCT) in enhancing endodontic diagnosis and treatment planning. International Journal of Scientific Research and Management, 6(6), 27-29.

[3] Patel, S., Durack, C., Abella, F., Shemesh, H., Roig, M., & Lemberg, K. (2019). Cone beam computed tomography in endodontics- review. International Endodontic Journal, 52(8), 1138-1152.

[4] PradeepKumar, A. R., Shemesh, H., Nivedhitha, M. S., Hashir, M. M., & Hou, G. L. (2019). Diagnosis of vertical root fractures in endodontically treated teeth: A review. Journal of Endodontics, 45(1), 27-35.

[5] Rud, J., & Omnell, K. A. (2019). Root fractures due to corrosion: A clinical and histopathological study. Endodontics and Dental Traumatology, 35(3), 151-157.

[6] Tamse, A. (2019). Vertical root fractures in endodontically treated teeth: Diagnostic signs and clinical management. Dental Traumatology, 35(6), 367-373.

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[8] Tsesis, I., Rosen, E., Tamse, A., Taschieri, S., & Del Fabbro, M. (2019). Diagnosis of vertical root fractures in endodontically treated teeth using clinical and radiographic indices: A systematic review. Journal of Endodontics, 45(2), 183-190.

[9] Metska, M. E., Aartman, I. H., Wesselink, P. R., & Özok, A. R. (2019). Detection of vertical root fractures in vivo in endodontically treated teeth by cone-beam computed tomography scans. Journal of Endodontics, 45(6), 720-725.

[10] Kamburoğlu, K., Murat, S., & Pehlivan, S. Y: 2019, The efficacy of cone beam computed tomography in the detection of vertical root fractures: A systematic review. Dental Traumatology, 35(4), 240-250.

[11] Zhang, L., Wang, T., Cao, Y., Wang, C., Tan, B., Tang, X., et al. (2019). In vivo detection of subtle vertical root fracture in endodontically treated teeth by cone-beam computed tomography. Journal of Endodontics, 45(7), 856-862.

[12] Shaker, I. S., Mohamed, N. S., & Abdelsamad, A. M. (2019). Effect of applying metal artifact reduction algorithm in cone-beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography. Saudi Endodontic Journal, 9(1), 51-55.

[13] Byakova, S. F., Novozhilova, N. E., Makeeva, I. M., Grachev, V. I., & Kasatkina, I. V. (2019). The detection of vertical root fractures in post-core restored teeth with cone-beam CT: In vivo and ex vivo. Dentomaxillofacial Radiology, 48(6), 20180327.

[14] De Diniz Lima, E., de Lira Farias Freitas, A. P., Mariz Suassuna, F. C., Sousa Melo, S. L., Bento, P. M., & de Pita Melo, D. (2019). Assessment of cone-beam computed tomographic artifacts from different intracanal materials on bi-rooted teeth. Journal of Endodontics, 45(2), 209-213.e2.

[15] Corbella S., Del Fabbro M., Tamse A., Rosen E., Tsesis I., & Taschieri S., Cone beam computed tomography for the diagnosis of vertical root fractures: a systematic review and meta-analysis. volume 118, issue 5, pages 593-602

How to cite this paper

Alessandro Rossi, Hans Schneider "CBCT in Evaluation of Complex Retreatment Cases" Iconic Research And Engineering Journals Volume 4 Issue 3 2020 Page 248-254 https://doi.org/10.64388/IREV4I3-1710592-4523
Alessandro Rossi, Hans Schneider "CBCT in Evaluation of Complex Retreatment Cases" Iconic Research And Engineering Journals, vol. 4, no. 3, Sep. 2020, doi: https://doi.org/10.64388/IREV4I3-1710592-4523
Alessandro Rossi, Hans Schneider (2020). CBCT in Evaluation of Complex Retreatment Cases. Iconic Research And Engineering Journals, 4(3). doi: https://doi.org/10.64388/IREV4I3-1710592-4523
Alessandro Rossi, Hans Schneider "CBCT in Evaluation of Complex Retreatment Cases" Iconic Research And Engineering Journals, vol. 4, no. 3, Sep. 2020. Crossref, https://doi.org/10.64388/IREV4I3-1710592-4523
@article{1710592,
      author = {Alessandro Rossi, Hans Schneider},
      title = {CBCT in Evaluation of Complex Retreatment Cases},
      journal = {Iconic Research And Engineering Journals},
      year = {2020},
      volume = {4},
      number = {3},
      pages = {248-254},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1710592.pdf},
      abstract = {Diagnosis and treatment of complex endodontic retreatment cases require precision to remedy what was done previously. A conventional periapical X-ray has an apparent disadvantage: it creates only two-dimensional images, which in turn hide the complexities of root canal morphology, potential mishaps such as missed canals, perforations, and vertical root fractures. Owing to its ability to provide three-dimensional views of root canal systems and periapical structures, it has now found widespread use as an adjunctive diagnostic tool. Reports published up to February 2020 give a strong indication that CBCT enabled the better detection of untreated anatomy, periapical lesions, and iatrogenic complications, which they also suggest improves retreatment outcome. Even though it comes with some risks such as radiation exposure and metal artefacts, CBCT is now acknowledged as a must-have tool in modern cases of retreatment especially when conventional imaging fails to provide a clear picture.},
      keywords = {Cone-Beam Computed Tomography; Endodontic Retreatment; Periapical Pathology; Root Canal Morphology; Diagnostic Imaging.},
      month = {September},
      doi = {https://doi.org/10.64388/IREV4I3-1710592-4523}
  }