विवरण
The use of CBCT in endodontics and this diagnostic technique is increasingly required in order to have a more accurate prognosis of the teeth to be treated.CBCT has great potential to become a valuable tool for diagnosing and managing endodontic problems, as well as for assessing root fractures, apical periodontitis, resorptions, perforations, root canal anatomy and the nature of the alveolar bone topography around teeth
Join us in this exclusive session with Dr Shaurya , Specialist Endodontist from King’s College London who will be discussing and demonstrating the diverse range of clinical applications for CBCT using clinical case studies.
सारांश
- CVCTs provide a three-dimensional view, crucial for inconclusive diagnoses, complex anatomy, retreatment cases, and assessing perforations or fractures. While 2D radiographs offer limited information, CVCTs enable better evaluation of root canal failures and anatomical variations, improving treatment predictability.
- The radiation exposure from a small FOV CVCT is comparable to several periapical radiographs or even daily outdoor activities, making it a justifiable diagnostic tool in endodontics. Routine use of CVCTs can prevent surprises and lead to more informed treatment decisions.
- A common misconception is the ability to diagnose cysts radiographically. Histological terminology should not be used in radiographic reports as it can create bias and potentially lead to overtreatment. It is essential to rely on clinical findings and sensibility testing.
- CBCTs help reveal lesions and anatomical details not visible on 2D radiographs, guiding treatment strategies and informing patients about adjacent issues. However, patient history remains critical for accurate diagnosis and interpretation of CBCT findings.
- Accurate CBCT interpretation requires proper training, including understanding slice thickness and navigating the scan effectively. Misinterpretation can lead to unnecessary interventions. Patient pain might not always correlate with lesion size.
- Vertical root fractures cannot be diagnosed solely based on CVCTs. Clinical assessment and radiographic correlation are essential for accurate diagnosis. J-shaped lesions are not always indicative of vertical root fractures.
- Complex anatomy, such as multiple canals or bifurcations, is better visualized using CVCTs, aiding in treatment planning and preventing complications. Even intra-operative CBCTs are sometimes useful for navigating calcified canals and avoiding perforations.
- A common myth is that radiographic apex always indicates the true apex. Apex locators and apical gauging are more reliable for determining working length. Overfilling is generally less desirable than underfilling.
नमूना प्रमाण पत्र
वक्ताओं के बारे में
Dr. Shaurya Srivastava M.
Endo RCSEd Specialist Endodontist King's College London Royal College of Surgeons, Edinburgh
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