Protocols for radiological diagnosis of various clinical forms of pathological tooth resorption using cone-beam computed tomography

Abstract

Resorption of hard tissues in a permanent tooth is manifested by the loss of cement or dentin of the tooth. At the initial stages of development, the disease is asymptomatic, which significantly complicates early diagnosis and reduces the likelihood of a successful outcome of treatment. The pathogenesis of the disease has been studied, while the main etiological factor is not known. The researchers point only to the main factors predisposing to the development of tooth resorption. The prevalence of this condition continues to be studied using the new capabilities of cone-beam computed tomography (CBCT), which allows for the earliest and most reliable diagnosis. The three-dimensional X-ray image of the tooth structures makes it more possible to visualize dentin defects at all root levels, and when they are localized on different surfaces. It is this aspect in the diagnosis of pathological tooth resorption that is crucial, since it determines the treatment tactics in general, and the creation of access in conservative surgical treatment. This method of radiation diagnostics has become the standard for examining a dental patient in the clinics of the Department of Dentistry of the MED Clinic System. The algorithm of reading and interpreting the data of computer tomograms, developed in SPBINST, is also used. Examination of dental patients involves the use of CBCT for the preparation of a comprehensive treatment plan, during all types of endodontic treatment, and for monitoring during follow-up in dynamics.