Value of Performing Routine Vascular Mapping Synchronous with Radiographic Assessment of Endodontic Lesions: Case
Vandana Kumar1, Jeffery B Price1, John K Brooks1
1Department of Oncology and Diagnostic Sciences, University of Maryland, School of Dentistry, Baltimore, Maryland.
Abstract:
With the adoption of limited-volume cone beam computed tomographic (CBCT) imaging in dentistry, high resolution of the maxillomandibular complex has led to the recognition of numerous accessory neurovascular canals. The preoperative identification of these structures is essential to facilitate the safe performance of an assortment of invasive dental procedures; however, there is limited information in the endodontic literature regarding mapping of these neurovascular canals and their anatomic variants. To emphasize the utility of accessory neurovascular channel mapping in conjunction with endodontic therapy, we have presented the clinical findings of 4 diverse cases. Comprehensive evaluation of the CBCT scans showed relevant underlying etiopathologies, prompting clinical modifications that led to enhanced patient outcomes.
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