Cone beam computed tomography (CBCT) has proven to be an essential tool for successful diagnosis, treatment planning, and postoperative monitoring for endodontic applications. With its accurate and high-quality 3-D representations of maxillofacial structures, CBCT technology offers tremendous improvements in diagnostic capabilities, eliminating surprises and minimizing the need for exploratory surgery. The result: more effective treatment and improved patient outcomes.

We are proud to incorporate the highest quality CBCT technology into our practice. As of July 2016, we installed the state-of-the-art, J Morita F80, which arguably offers the highest quality of imaging in endodontics.

We have attached some recent articles that show some of the benefits of CBCT technology.

Comparison of Endodontic Diagnosis and Treatment Planning Decisions Using Cone-beam Volumetric Tomography Versus Periapical Radiography
EE et. al 2014

The purpose of this study was to compare the relative value of preoperative periapical radiographs and CBVT scanning in the decision-making process in endodontic treatment planning. Thirty endodontic cases completed in a private endodontic practice were randomly selected to be included in this study. Each case was required to have a preoperative digital periapical radiograph and a CBVT scan. Three board-certified endodontists reviewed the 30 preoperative periapical radiographs. Two weeks later, the CBVT volumes were reviewed in random order by the same evaluators. The evaluators were asked to select a preliminary diagnosis and treatment plan based solely on their interpretation of the periapical and CBVT images.

Conclusions: Under the conditions of this study, preoperative CBVT imaging provides additional information when compared with preoperative periapical radiographs, which may lead to treatment plan modifications in approximately 62% of the cases.

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Influence of Cone-beam Computed Tomography in Clinical Decision Making among Specialists

Rodriguez et. al 2016

The aim of this study was to determine the influence of cone-beam computed tomographic (CBCT) imaging on clinical decision-making choices among different specialists (prosthodontists, endodontists, oral surgeons, and periodontists) in endodontic treatment planning. A secondary objective was to assess the self-reported level of difficulty in making a treatment choice before and after viewing a preoperative CBCT scan.

30 Endodontic cases with varying degrees of complexity were selected. Each case included clinical photographs, digital periapical radiographs, and a small-volume CBCT scan. In the first evaluation, examiners were given all the information of each case, except the CBCT scan. Examiners were asked to select one of the proposed treatment alternatives and assess the difficulty of making a decision. One month later, the examiners reviewed randomly the same 30 cases with the additional information from the CBCT data. The authors concluded that CBCT imaging has a substantial impact on endodontic decision making among specialists, particularly in high difficulty cases.

Intraoperative Endodontic Applications of Cone-Beam Computed Tomography
Ball et al. 2013

The purpose of this article is to discuss the application and advantages of intraoperative CBCT in endodontics, while reducing radiation exposure during complex endodontic procedures. In cases of increased difficulty or intraoperative complications such as complex anatomy, dystrophic calcifications, root resorptions, perforations, and root fractures, it is prudent to consider the use of CBCT with its inherent diagnostic value and limited radiation exposure. Conclusions: The benefits of the added diagnostic information provided by intraoperative CBCT images in select cases justify the risk associated with the limited level of radiation exposure.

Thank you for taking the time to review the literature above. As always, please contact us should you have any questions.

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