Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2013, vol. 50, nr 1, January-March, p. 78–84

Publication type: review article

Language: English

Cone Beam Computed Tomography Imaging in Clinical Endodontics – Literature Review

Obrazowanie metodą tomografii stożkowej w endodoncji klinicznej – przegląd piśmiennictwa

Agata Eliasz-Kaczmarek1,A,B,D-,F, Anna Surdacka2,D,E

1 Orto-Aidi Dental Clinic, Poznań, Poland

2 Department of Conservative Dentistry and Periodontology, Karol Marcinkowski University of Medical Sciences, Poznań, Poland

Abstract

Cone beam computed tomography (CBCT) is widely used in dentistry due to low radiation, high-quality digital reconstruction of three-dimensional image, the elimination of the overlapping of structures which lie along the same axis, the possibility of obtaining real shaped images and enabling accurate measurements of the examined anatomical structures. Three-dimensional imaging of the structures of the stomatognathic system is most commonly implemented in endodontics, implantology and periodontics. The CBCT technique is used in endodontics primarily to detect anatomical abnormalities, visualise the root canal system, disclose additional canals, detect perforations and vertical root fractures, diagnose periapical lesions caused by inflammation of the pulp, identify and locate root resorption, clarify the reasons for the lack of healing of endodontically treated teeth. An important advantage of CBCT over conventional radiography is the fact that CBCT enables an exact visualisation of the structures which make the treatment more effective and predictable.

Streszczenie

Stożkowa tomografia komputerowa (CBCT) ma szerokie zastosowanie w stomatologii ze względu na: niską emisję promieniowania jonizującego, cyfrową rekonstrukcję wysokiej jakości trójwymiarowego obrazu, wyeliminowanie nakładania się na siebie struktur leżących wzdłuż jednej osi, wierne odwzorowanie rzeczywistego kształtu i możliwość wykonania precyzyjnych pomiarów badanych struktur anatomicznych. Trójwymiarowe obrazowanie struktur układu stomatognatycznego jest najczęściej wykorzystywane w endodoncji, implantologii i periodontologii. Technika CBCT w endodoncji jest stosowana do: wykrywania anomalii anatomicznych, wizualizacji systemu kanałów korzeniowych, ujawnienia kanałów dodatkowych, wykrywania perforacji i pionowych pęknięć korzeni, rozpoznania zmian okołowierzchołkowych spowodowanych zapaleniem miazgi, identyfikacji i umiejscowienia resorpcji korzeni, wyjaśnienia przyczyn braku powodzenia pierwotnego leczenia endodontycznego. Zaletą CBCT jest dokładność obrazowania pozwalająca na skuteczniejsze i bardziej przewidywalne przeprowadzenie leczenia.

Key words

cone beam computed tomography, endodontics

Słowa kluczowe

stożkowa tomografia komputerowa, endodoncja

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