By Mohamed Fayad, BRADFORD R. JOHNSON

This publication is designed to supply the reader with an entire knowing of the position of cone beam computed tomography (CBCT) in assisting to resolve some of the such a lot hard difficulties in endodontics. it is going to shorten the training curve in program of this intriguing imaging strategy in a number of contexts: tough diagnostic instances, remedy making plans, review of inner enamel anatomy sooner than root canal remedy, nonsurgical and surgical remedies, early detection and therapy of resorptive defects, and results evaluation.

The skill to acquire a correct 3D illustration of a the teeth and the encircling constructions through noninvasive CBCT imaging is altering the method of medical selection making in endodontics. Clinicians lengthy conversant in operating in very small, third-dimensional areas are not any longer limited via the restrictions of two-dimensional imaging. The demanding situations of getting to know the recent know-how can, although, be daunting. The designated suggestions contained during this publication might help endodontists to take complete good thing about the $64000 merits provided through CBCT. ​

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Extra info for 3D Imaging in Endodontics: A New Era in Diagnosis and Treatment

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Seven distinct features were observed on the pulpal floor that provide clues as to the location of the canal orifices. The authors of this study proposed nine “laws” to assist in the identification root canal anatomy during endodontic treatment [13]. Studies that attempt to categorize tooth anatomy and morphology can only provide clinical treatment recommendations and guidelines as they relate to general circumstances. These guidelines are based on weighted averages and common observations. Averages are useful when studying characteristics of populations, but of limited predictive value for treatment of the individual patient.

Aminers 1, 2 and 3 respectively. 24. Ee J, Fayad MI, Johnson BR. Comparison of endodontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography. J Endod. 2014;40:910–6. 4 Three-Dimensional Evaluation of Internal Tooth Anatomy William J. Nudera Abstract The study of human tooth anatomy is fundamental to clinical endodontics. Several histologic methods used to evaluate tooth anatomy have been described for the purpose of identification and categorization of various root and root canal types.

R. Johnson a c b d Fig. 9 Patient presented for evaluation and treatment of tooth number 19. The chief complaint was pain on biting and sensitivity to hot drinks. Clinical findings: no response to cold and positive response to bite stress testing. A diagnosis of a necrotic pulp and symptomatic apical periodontitis was established. The presumed etiology was extension of a distal marginal ridge crack. (a) Sagittal view of tooth number 19 showing a distal root periapical radiolucency. The lines on the sagittal view correspond to the axial section views (c) and (d).

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