Influence of cone beam computed tomography on endodontic treatment planning: A systematic review

CBCT in contemporary endodontics

“…The changes in treatment plans may have been due to a better understanding of the aetiology of disease 123 and were not always altered towards more invasive treatment. 32 The change was reported to be most pronounced in cases assessed as being high-difficulty. 99 The only study in the systematic review that found no treatment plan changes was also the only study that used CBCT without specific indications.…”

“…At present there is no literature available at Levels 5 and 6. 32 LEVELS 2 AND 3: DIAGNOSTIC ACCURACY/ THINKING EFFICACY…”

“…This paper will briefly outline the evidence available at Level 1 (see Table 3), and focus on Levels 2–4 of the Fryback and Thornbury (F&T) model. At present there is no literature available at Levels 5 and 6 32 …”

“…A systematic review found CBCT influenced the treatment plan in high‐difficulty cases, diagnosis of symptomatic root‐filled teeth, evaluation of periapical healing, pre‐surgical treatment planning, and management of traumatised immature teeth and EICR 32 . Of note, 15 of the included 16 papers reported a change in treatment plan following additional information from CBCT scans, 32 and all 15 studies adhered to the indications for requesting scans outlined by the AAE/AAOMR, European Commission, or ESE. The changes in treatment plans may have been due to a better understanding of the aetiology of disease 123 and were not always altered towards more invasive treatment 32 .…”

“…Of note, 15 of the included 16 papers reported a change in treatment plan following additional information from CBCT scans, 32 and all 15 studies adhered to the indications for requesting scans outlined by the AAE/AAOMR, European Commission, or ESE. The changes in treatment plans may have been due to a better understanding of the aetiology of disease 123 and were not always altered towards more invasive treatment 32 . The change was reported to be most pronounced in cases assessed as being high‐difficulty 99 …”