Cone beam computed tomography in Endodontics - a review

Area of Science:

• Dentistry
• Radiology
• Oral and Maxillofacial Surgery

Background:

• Cone beam computed tomography (CBCT) provides undistorted 3D imaging of the maxillofacial skeleton.
• CBCT offers a lower effective radiation dose compared to conventional computed tomography.
• It visualizes teeth and surrounding tissues with high diagnostic accuracy.

Purpose of the Study:

• To review the current literature on CBCT applications and limitations in Endodontics.
• To establish recommendations for the clinical use of CBCT in Endodontic procedures.
• To identify and highlight areas for future research concerning CBCT in Endodontics.

Main Methods:

• Systematic literature review of studies on CBCT in Endodontics.
• Analysis of reported applications, diagnostic capabilities, and limitations.
• Synthesis of findings to formulate evidence-based recommendations.

Main Results:

• CBCT demonstrates significant utility in diagnosing complex endodontic cases, including apical periodontitis and root fractures.
• Limitations include artifact generation and challenges in soft tissue differentiation.
• Current literature supports CBCT for enhanced endodontic diagnosis and treatment planning.

Conclusions:

• CBCT is a valuable tool in Endodontics, offering superior diagnostic information over conventional radiography.
• Further research is needed to optimize imaging protocols and address limitations.
• Standardized guidelines for CBCT use in Endodontics are recommended to maximize benefits and minimize risks.