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Cone-Beam Computed Tomography in Endodontics—State of the Art

  • Dental Restorative Materials (M Özcan and P Francisco, Section Editors)
  • Published:
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Abstract

Purpose of Review

Cone-beam computed tomography (CBCT) is an imaging modality with high-resolution diagnostic value that provides accurate and high-quality three-dimensional information on the elements of the maxillofacial complex. Therefore, this study aimed to present an up-to-date status of the main indications for the use of CBCT in endodontics, and to discuss its main limitations relative to diagnosis in endodontics.

Recent Findings

The data captured by CBCT devices and processed by a specific software programs create a reconstruction of the scanned volume. Thus, they allow dynamic and interactive analysis of the information, by means of simultaneously scanning the object in different anatomical planes of imaging: axial, coronal, or sagittal, and their subsequent reconstruction thereby revealing structures that are not visible in periapical radiographs. Although periapical radiographs continue to be the imaging method of choice for the evaluation of endodontic treatment, a significant leap has occurred in the growth of CBCT use Endodontics in recent years. However, the importance of recognizing the different types of artifacts generated during the image acquisition and reconstruction process is emphasized, especially in the presence of high-density endodontic materials that can compromise the quality of the diagnosis.

Summary

Considering the findings of this study, and based on international guidelines, it was concluded that the possibilities of using CBCT during endodontic treatment were mainly focused on diagnosis, assessment [of existent dental conditions], and preoperative treatment; establishing the morphology, diagnosis, and treatment planning of root canal systems; evaluation of root resorption; planning and evaluation of the treatment of traumatic dental injuries, perforations, fractures, and for the preparation of endodontic guides.

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Acknowledgements

We would also like to thank Dr. Rafael Verardino de Camargo and Dr. Jardel Francisco Mazzi-Chaves for kindly providing some CBCT images of the case reports used in this review.

Funding

Ruben Pauwels is supported by the European Union Horizon 2020 Research and Innovation Program under the Marie Skłodowska-Curie Grant agreement number 754513 and by Aarhus University Research Foundation (AIAS-COFUND). We received financial supported provided by the Coordination for the Improvement of Higher Education Personnel (CAPES-Brazil).

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Authors and Affiliations

  1. Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Rua Célia de Oliveira Meirelles 350, Ribeirão Preto, SP, 14024-070, Brazil

    Jardel Francisco Mazzi-Chaves, Rafael Verardino Camargo, Ricardo Gariba Silva & Manoel Damião Sousa-Neto

  2. School of Dentistry, University of Ribeirão Preto, Ribeirão Preto, Brazil

    Aline Ferreira Borges & Yara Teresinha Corrêa Silva-Sousa

  3. Aarhus Institute of Advanced Studies (AIAS), Aarhus University, Aarhus, Denmark

    Ruben Pauwels

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  1. Jardel Francisco Mazzi-Chaves
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  2. Rafael Verardino Camargo
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  3. Aline Ferreira Borges
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Correspondence to Manoel Damião Sousa-Neto.

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Mazzi-Chaves, J.F., Camargo, R.V., Borges, A.F. et al. Cone-Beam Computed Tomography in Endodontics—State of the Art. Curr Oral Health Rep 8, 9–22 (2021). https://doi.org/10.1007/s40496-021-00292-8

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