Abstract
Cone beam computed tomography (CBCT) is a diagnostic imaging modality that provides a high-quality, dimensionally accurate three-dimensional (3D) representation of the osseous elements of the maxillofacial skeleton. CBCT has the potential to transform the practice of endodontic microsurgery, much in the same way that other new technologies introduced over the past two decades – such as microscopes, ultrasonic devices, and new root-end filling materials – have led to enhanced safety and treatment outcomes. The different applications of CBCT in diagnosis, treatment planning, and long-term outcome evaluation of periapical surgery will be reviewed. In this chapter cases will be presented to demonstrate the value of CBCT information in presurgical assessment, case selection, and treatment planning in endodontic microsurgery. The use of CBCT to identify and manage cases involving close proximity to important anatomical structures (e.g., maxillary sinus, the inferior alveolar, mental, and nasopalatine neurovascular bundles) and to evaluate the outcome of periapical microsurgery will be presented and discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cheung GS, Wei WL, McGrath C. Agreement between periapical radiographs and cone-beam computed tomography for assessment of periapical status of root filled molar teeth. Int Endod J. 2013;46:889–95.
Esposito S, Huybrechts B, Slagmolen P, Cotti E, Coucke W, Pauwels R, Lambrechts P, Jacobs R. A novel method to estimate the volume of bone defects using Cone-Beam Computed Tomography: An In Vitro Study. J Endod. 2013;39(9):1111–5.
Bornstein MM, Lauber R, Sendi P, von Arx T. Comparison of periapical radiography and limited cone-beam computed tomography in mandibular molars for analysis of anatomical landmarks before apical surgery. J Endod. 2011;37(2):151–7.
Low MTL, Dula KD, B€urgin W, von Arx T. Comparison of periapical radiography and limited cone-beam tomography in posterior maxillary teeth referred for apical surgery. J Endod. 2008;34:557–62.
Tsai P, Torabinejad M, Rice D, Azevedo B. Accuracy of cone-beam computed tomography and periapical radiography in detecting small periapical lesions. J Endod. 2012;38:965–70.
Tyndall DA, Rathore S. Cone-beam diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dental Clin North Am. 2008;52:825–41.
Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endodont. 2007;33:1121–32.
Velvart P, Hecker H, Tillinger G. Detection of the apical lesion and the mandibular canal in conventional radiography and computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(6):682–8.
Rigolone M, Pasqualini D, Bianchi L, Berutti E, Bianchi SD. Vestibular surgical access to the palatine root of the superior first molar: “low-dose cone-beam” CT analysis of the pathway and its anatomic variations. J Endod. 2003;29:773–5.
Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011;37(6):753–7.
Bornstein MM, Wasmer J, Sendi P, Janner SF, Buser D, von Arx T. Characteristics and dimensions of the Schneiderian membrane and apical bone in maxillary molars referred for apical surgery: a comparative radiographic analysis using limited cone beam computed tomography. J Endod. 2012;38(1):51–7.
Kovisto T, Mansur Ahmad M, Bowles W. Proximity of the mandibular canal to the tooth apex. J Endod. 2011;37(3):311–5.
Bürklein S, Carolin Grund C, Schäfer E. Relationship between root apices and the mandibular canal: a cone-beam computed tomographic analysis in a German population. J Endod. 2015;41(10):1696–700.
Lofthag-Hansen S, Huumonen S, Grondahl K, Grondahl H-G. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:114–9.
Simon JH, Enciso R, Malfaz J-M, Roges R, Bailey-Perry M, Patel A. Differential diagnosis of large periapical lesions using cone-beam computed tomography measurements and biopsy. J Endod. 2006;32(9):833–7.
Bornstein MM, Bingisser AC, Reichart PA, Sendi P, Bosshardt DD, von Arx T. Comparison between radiographic (2-dimensional and 3-dimensional) and histologic findings of periapical lesions treated with apical surgery. J Endod. 2015;41(6):804–11.
De Paula-Silva FW, Junior MS, Leonardo MR, Consolaro A, daSilva LA. Cone-beam computerized tomographic, radiographic, and histologic evaluation of periapical repair in dogs’ post-endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;5:796–805.
Kourkouta S, Bailey G. Periradicular regenerative surgery in a maxillary central incisor: 7-year results including cone-beam computed tomography. J Endod. 2014;40(7):1013–9.
Christiansen R, Kirkevang LL, Gotfredsen E, Wenzel A. Periapical radiography and cone beam computed tomography for assessment of the periapical bone defect 1 week and 12 months after root-end resection. Dentomaxillofac Radiol. 2009;38(8):531–6.
Von Arx T, Janner SF, Hänni S, Bornstein MM. Agreement between 2D and 3D radiographic outcome assessment one year after periapical surgery. Int Endod J. 2015:1–11.
Tanomaru-Filho M, Jorge EG, Guerreiro-Tanomaru JM, Reis JM, Spin-Neto R, Goncalves M. Two- and tridimensional analysis of periapical repair after endodontic surgery. Clin Oral Investig. 2015;19:17–25.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Fayad, M.I., Johnson, B.R. (2016). Surgical Treatment Utilizing Cone Beam Computed Tomography. In: Fayad, M., Johnson, B. (eds) 3D Imaging in Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-319-31466-2_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-31466-2_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-31464-8
Online ISBN: 978-3-319-31466-2
eBook Packages: MedicineMedicine (R0)