Endodontic applications of cone beam computed tomography: A series of case reports

Abstract

This paper describes the importance of accurate diagnosis in the management of complex endodontic cases and highlights the usefulness of cone beam computed tomography (CBCT) in the effective management of challenging cases. This paper discusses seven patients managed for different Endodontic related conditions. The conditions include large radicular cyst, coronoradicular groove, open apex, impacted tooth in an inverted position, mandibular lateral incisor with unusual anatomy (two canals and root concavity), extensive external cervical resorption, and root fractures. In all these cases, CBCT revealed the three-dimensional nature of anatomic and pathologic structures and aided us in following appropriate treatment strategies. CBCT appears to be more reliable than radiographs in the diagnosis and management of complex cases. Since structures can be visualized in different planes, three-dimensional nature of any given object can be studied without any superimposition and distortion. Appropriate utilization of this technology could help in effective patient management. Clinical Relevance To Interdisciplinary Dentistry This article discusses several cases with conditions like large radicular cyst, extensive root resorption, open apex, corono-radicular groove, root fractures were managed using cone beam computed tomography with an interdisciplinary approach. The usefulness of CBCT in various dental specialties like endodontics, oral surgery, periodontics were discussed.