The Applications of Cone-Beam Computed Tomography in Endodontics: A Review of Literature

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Abstract

By producing undistorted three-dimensional images of the area under examination, cone-beam computed tomography (CBCT) systems have met many of the limitations of conventional radiography. These systems produce images with small field of view at low radiation doses with adequate spatial resolution that are suitable for many applications in endodontics from diagnosis to treatment and follow-up. This review article comprehensively assembles all the data from literature regarding the potential applications of CBCT in endodontics.

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Most cited references 94

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Clinical applications of cone-beam computed tomography in dental practice.

William Scarfe, Allan G. Farman, Predag Sukovic (2006)

Cone-beam computed tomography (CBCT) systems have been designed for imaging hard tissues of the maxillofacial region. CBCT is capable of providing sub-millimetre resolution in images of high diagnostic quality, with short scanning times (10-70 seconds) and radiation dosages reportedly up to 15 times lower than those of conventional CT scans. Increasing availability of this technology provides the dental clinician with an imaging modality capable of providing a 3-dimensional representation of the maxillofacial skeleton with minimal distortion. This article provides an overview of currently available maxillofacial CBCT systems and reviews the specific application of various CBCT display modes to clinical dental practice.

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What is cone-beam CT and how does it work?

William C Scarfe, Allan G Farman (2008)

This article on x-ray cone-beam CT (CBCT) acquisition provides an overview of the fundamental principles of operation of this technology and the influence of geometric and software parameters on image quality and patient radiation dose. Advantages of the CBCT system and a summary of the uses and limitations of the images produced are discussed. All current generations of CBCT systems provide useful diagnostic images. Future enhancements most likely will be directed toward reducing scan time; providing multimodal imaging; improving image fidelity, including soft tissue contrast; and incorporating task-specific protocols to minimize patient dose.

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Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis.

Carlos Estrela, Liane Azevedo, Mirela Azevedo … (2008)

The aim of this study was to evaluate the accuracy of imaging methods for detection of apical periodontitis (AP). Imaging records from a consecutive sample of 888 imaging exams of patients with endodontic infection (1508 teeth), including cone beam computed tomography (CBCT) and panoramic and periapical radiographs, were selected. Sensitivity, specificity, predictive values, and accuracy of periapical and panoramic radiographs were calculated. Receiver operating characteristic (ROC) analysis was performed to assess the diagnostic accuracy of the panoramic and periapical images. Prevalence of AP was significantly higher with CBCT. Overall sensitivity was 0.55 and 0.28 for periapical and panoramic radiographs, respectively. ROC curves and area under curve (AUC) with periapical radiography showed a high accuracy for the cutoff value of 5 for both periapical (AUC, 0.90) and panoramic (AUC, 0.84) radiographs. AP was correctly identified with conventional methods when showed advanced status. CBCT was proved to be accurate to identify AP.

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Author and article information

Journal

Journal ID (nlm-ta): Iran Endod J

Journal ID (iso-abbrev): Iran Endod J

Journal ID (publisher-id): IEJ

Title: Iranian Endodontic Journal

Publisher: Iranian Center for Endodontic Research (Tehran, Iran )

ISSN (Print): 1735-7497

ISSN (Electronic): 2008-2746

Publication date (Print): Winter 2015

Publication date (Electronic): 24 December 2014

Volume: 10

Issue: 1

Pages: 16-25

Affiliations

[a ] Oral and Maxillofacial Radiology Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

[b ] Iranian Center for Endodontic Research , Research Institute of Dental sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Author notes

[* ]Corresponding author: Mahta Fazlyab, Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel:+98-2122413897 ,E-mail: dr.mfazlyab@gmail.com

Article

Publisher ID: iej-10-016

DOI: 10.22037/iej.v10i1.6383

PMC ID: 4293575

PubMed ID: 25598804

SO-VID: 2f52b464-551f-41ae-9d27-6cd2ce8d24be

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date received : 9 June 2014

Date revision received : 2 November 2014

Date accepted : 19 November 2014

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The Applications of Cone-Beam Computed Tomography in Endodontics: A Review of Literature

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Abstract

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International Journal of Medicine and Medical Research

Most cited references 94

Clinical applications of cone-beam computed tomography in dental practice.

What is cone-beam CT and how does it work?

Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis.

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