Impact of Cone Beam Computed Tomography on Treatment Planning in Endodontics

الموضوعات

طب

الملخص

use of Cone Beam Computed Tomography (CBCT) is rapidly increasing in all areas of dentistry, as it provides valuable 3D information of the area under investigation in a matter of minutes. However, the radiation dosage is higher than that of conventional radiographic images. It is advisable that CBCT should be used only in cases where clinically indicated.AimThe aim of our study was to evaluate the impact of limited volume CBCT upon treatment planning as part of endodontic management of posterior teeth.Materials and MethodsThirty five patients were selected from primary care referrals to a specialist endodontic unit in a leading UK dental hospital. For each patient, a dental and medical history, an intraoral image, parallax periapical radiographs and CBCT data set were taken . Four observers, General Dental Practitioners (GDPs) were selected to examine the data. Additionally, the author of this work also independently examined all the cases in her capacity as a third year Endodontic resident.A questionnaire was designed for the observers. The information for all the 35 patients was examined by the observers on two separate dates about 3 months apart. On one date, all the information was given to them but, on the other the CBCT images were withheld. This study dealt with only three questions relating to treatment planning.ResultsThe availability of CBCT images changed the final treatment plan for extraction, endodontic treatment, and endodontic re-treatment in a minority of cases (15% to 35%). Three out of the fours GDPs found the availability of CBCT more helpful in reaching a final treatment plan. This was, however, statistically significant with only one of the GDPs (p<0.05).The fifth observer (the third year Endodontic resident) also found CBCT helpful in reaching a final treatment plan which was statistically significant (p<0.05).ConclusionThe main conclusion that follows from this work is that CBCT images are vital for certain complex endodontic treatments and should not be used routinely for all endodontic cases. The study also highlighted the need for training on the interpretation of CBCT images by dentists who use such images in their workplace.

روابط وملفات

التعريف والنوع

رقم الوثيقة

fbaefa56-6070-418f-bcc0-d8dfb9841877

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

2431953_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"بدرية محمد اكبر محمد","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"سميرة الصالحي","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

English

المصدر والدورية

اسم المصدر

Impact of Cone Beam Computed Tomography on Treatment Planning in Endodontics

المحتوى والصفحات

عدد الصفحات

0

كلمات الباحثين

Endodontics

إشراف وإعداد

الإشراف

سميرة الصالحي

الإعداد

بدرية محمد اكبر محمد

الاقتباسات الببليوغرافية