A Clinical Evaluation Of Cone Beam Computed Tomography
NAVAL GRADUATE DENTAL SCHOOL BETHESDA MD BETHESDA United States
Pagination or Media Count:
Introduction Cone beam computed tomography CBCT has become a valuable diagnostic tool for endodontics. Although the literature generally supports the accuracy of this imaging modality, some studies report that CBCT images may have limitations in representing the true clinical presentation. Purpose This study compared pre-surgical limited field of view LFOV CBCT images with the actual clinical presentation. Method Patients were asked to enroll in the study if they required endodontic surgery and had a limited FOV CBCT. A total of 45 subjects were enrolled. A standardized set of questions assessing presence and dimensions of bony defects, and presence of root fractures was prepared. During surgery, clinical data were collected and documented with photographs. At the conclusion of enrollment, the CBCT images were evaluated by three calibrated board certified endodontists. The clinical presentation data were compared to data from CBCT interpretations. Conclusion Though useful in endodontic surgical treatment planning, the LFOV CBCT image should not be considered an identical representation of the clinical presentation at surgery.
- Medicine and Medical Research
- Anatomy and Physiology