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When and how do endodontic specialists use cone-beam computed tomography?

Ralf Krug1, Thomas Connert1,2, Andrea Beinicke3

  • 1Department of Operative Dentistry and Periodontology and Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany.

Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc
|February 10, 2019
PubMed
Summary

Cone-beam computed tomography (CBCT) is valuable for endodontists, especially in complex cases. Access to CBCT significantly influences its use, with German specialists employing it more frequently in challenging endodontic treatments.

Keywords:
cone-beam computed tomographydiagnosisendodonticsspecialist

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Area of Science:

  • Dentistry
  • Radiology
  • Endodontics

Background:

  • Cone-beam computed tomography (CBCT) is an advanced imaging technique increasingly utilized in dentistry.
  • Its specific application and frequency among endodontic specialists in different European countries remain areas for investigation.

Purpose of the Study:

  • To investigate the utilization patterns of CBCT by endodontic specialists and dentists with advanced endodontic training in Germany and Switzerland.
  • To analyze the influence of endodontic qualification and case difficulty on the timing and frequency of CBCT use.

Main Methods:

  • A questionnaire-based survey was distributed to German endodontic specialists (G-ES), Swiss endodontic specialists (CH-ES), and dentists with a German Master of Science in endodontics (MSc).
  • Data collected included diagnostic assessment timing, endodontic case difficulty, and indications for CBCT.
  • Frequencies of periapical radiography and CBCT use (pre-, intra-, and postoperative) were analyzed in relation to case difficulty levels.

Main Results:

  • Access to a CBCT device was significantly associated with increased pre- and intraoperative CBCT use in high difficulty endodontic cases.
  • The type of endodontic qualification significantly impacted the rate of preoperative CBCT use in complex cases.
  • German endodontic specialists reported higher rates of preoperative CBCT use compared to Swiss endodontic specialists and MSc holders.

Conclusions:

  • CBCT is a valuable diagnostic and treatment imaging tool for endodontists, particularly in managing high difficulty cases.
  • The availability of CBCT technology and specialized endodontic training influence its adoption and application in clinical practice.