Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology

Lofthag-Hansen, Sara; Huumonen, Sisko; Gröndahl, Kerstin; Gröndahl, Hans‐Göran

doi:10.1016/j.tripleo.2006.01.001

Cited by 422 publications

(375 citation statements)

References 23 publications

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“…[56][57][58] In retrospective cohorts and case reports, CBCT has been suggested as superior to periapical radiographs in the characterization of periapical lucent lesions, reliably demonstrating lesion proximity to the maxillary sinus, sinus membrane involvement, and lesion location relative to the mandibular canal. [56][57][58] There may also eventually be a role for CBCT in early detection of periapical disease, which could lead to better endodontic treatment outcomes. 55 Promising results have been demonstrated in studies characterizing CBCT images for endodontic surgical planning purposes as well.…”

Section: Endodonticsmentioning

confidence: 99%

Conebeam CT of the Head and Neck, Part 2: Clinical Applications

Miracle¹,

Mukherji²

2009

AJNR Am J Neuroradiol

301

207

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SUMMARY: Conebeam x-ray CT (CBCT) is being increasingly used for point-of-service head and neck and dentomaxillofacial imaging. This technique provides relatively high isotropic spatial resolution of osseous structures with a reduced radiation dose compared with conventional CT scans. In this second installment in a 2-part review, the clinical applications in the dentomaxillofacial and head and neck regions will be explored, with particular emphasis on diagnostic imaging of the sinuses, temporal bone, and craniofacial structures. Several controversies surrounding the emergence of CBCT technology will also be addressed. C onebeam CT (CBCT) is an advancement in CT imagingthat has begun to emerge as a potentially low-dose crosssectional technique for visualizing bony structures in the head and neck. The physical principles, image quality parameters, and technical limitations relevant to CBCT imaging were discussed in Part 1 of this 2-part series. The second part presented here will highlight the evidence related to CBCT applications in head and neck as well as dentomaxillofacial imaging. Controversial aspects of this technology will also be addressed, including limitations in image quality and its often officebased operational model.CBCT was first adapted for potential clinical use in 1982 at the Mayo Clinic Biodynamics Research Laboratory. 1 Initial interest focused primarily on applications in angiography in which soft-tissue resolution could be sacrificed in favor of high temporal and spatial-resolving capabilities. Since that time, several CBCT systems have been developed for use both in the interventional suite and for general applications in CT angiography. 2,3 Exploration of CBCT technologies for use in radiation therapy guidance began in 1992, 4,5 followed by integration of the first CBCT imaging system into the gantry of a linear accelerator in 1999. 6 The first CBCT system became commercially available for dentomaxillofacial imaging in 2001 (NewTom QR DVT 9000; Quantitative Radiology, Verona, Italy). Comparatively low dosing requirements and a relatively compact design have also led to intense interest in surgical planning and intraoperative CBCT applications, particularly in the head and neck but also in spinal, thoracic, abdominal, and orthopedic procedures. [7][8][9][10][11] Diagnostic applications in CT mammography and head and neck imaging are also under evaluation. 12-14 The technical and clinical considerations pertaining to CBCT imaging in many of these applications have been the subjects of several recent reviews. [15][16][17][18][19] The recent review by Dörfler et al 16 of the neurointerventional applications of CBCT is of particular interest to the field of neuroradiology.The discussion below will focus on the diagnostic and treatment-planning applications of CBCT in dentomaxillofacial and head and neck imaging. Commercially available CBCT systems for dentomaxillofacial imaging include the CB MercuRay and CB Throne (Hitachi Medical, Kashiwi-shi, Chiba-ken, Japan), 3D Accuitomo products (J. Mor...

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Section: Endodonticsmentioning

confidence: 99%

Conebeam CT of the Head and Neck, Part 2: Clinical Applications

Miracle¹,

Mukherji²

2009

AJNR Am J Neuroradiol

301

207

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“…As the roots of these teeth are close to anatomical structures such as the mental foramen and the mandibular canal, there is always the possibility of damage to the nerves in the presence of large lesions. When AP is associated with the upper canines, premolars or molars, it could trigger an inflammatory response within the adjacent maxillary sinus, resulting in thickening of the sinus mucosa, periostitis and sinusitis 1,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Chronic inflammation of the periapical tissue usually develops without the patient reporting any symptoms, so the acquisition of images is fundamental to its detection 1 . According to several studies, the probability of apical periodontitis existing and not being identified by periapical or panoramic radiography, is considerable [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

“…According to several studies, the probability of apical periodontitis existing and not being identified by periapical or panoramic radiography, is considerable [2][3][4] . On the other hand, cone beam computed tomography (CBCT) images are high resolution 1,3,5 , permitting a more precise identification of the apical periodontitis (AP), providing more effective information about the size and location, since the superimposition of the neighboring anatomical structures [1][2][3][4][6][7][8][9][10][11][12][13][14][15] is eliminated.…”

Section: Introductionmentioning

confidence: 99%

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Descriptive study of apical periodontitis detected in Cone Beam Computed Tomography scans

Moreti

Panzarella

Oliveira

et al. 2016

RGO, Rev. Gaúch. Odontol.

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ObjectiveTo perform a descriptive study in order to evaluate apical periodontitis in endodontically treated teeth using cone beam computed tomography. Methods Eighty RESUMO ObjetivoRealizar um estudo descritivo para avaliar periodontites periapicais em dentes com tratamento endodôntico em tomografia computadorizada de feixe cônico. MétodosOitenta e seis exames que apresentaram pelo menos uma periodontite periapical foram selecionados e separados em dois grupos: 1 para a mandíbula, e 2 para a maxila. Todos os exames foram realizados na tomografia computadorizada de feixe cônico com os mesmos protocolos de aquisição, e o mesmo software de avaliação e de mensuração. As lesões foram classificadas de acordo com o índice periapical, mas sem considerar a expansão do osso cortical e/ou destruição. ResultadosCento e vinte sete dentes inferiores e 180 dentes superiores apresentaram periodontites periapicais com tamanho médio de 0,49 mm na mandíbula e de 0,75 mm na maxila. Observou-se que os pré-molares inferiores foram os dentes mais acometidos. Lesões identificadas entre os escores 0 e 1 corresponderam a 83,47% das lesões na mandíbula e 78,89% na maxila, sendo que 55,12% dos dentes tratados endodonticamente inferiores e 50% superiores não apresentaram lesões reincidentes ou em fase de reparação. ConclusãoHouve um predomínio de periodontites periapicais pequenas, sendo os pré-molares os dentes mais acometidos por estas lesões.Termos de indexação: Periodontite periapical. Tomografia computadorizada de feixe cônico. Diagnóstico por imagem. Tecido periapical.

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“…A CBCT é um método tomográfico computadorizado que tem sido usado para vários propósitos: avaliação pré-cirúrgica para Implantodontia (HATCHER; DIAL; MAYORGA, 2003), auxiliar no diagnóstico de afecções periapicais (LOFTHAG-HANSEN et al, 2007), em Cirurgia Maxilo-Facial (ZIEGLER et al, 2002, contudo, não existe uma revisão extensa, disponível na avaliação de seu desempenho para a detecção de cáries incipientes. Este não é um método amplamente usado para se avaliar perda mineral, devido à pouca resolução, todavia, novos avanços tem sido desenvolvidos, proporcionando o melhoramento das imagens e possibilitando desta forma, pesquisas na detecção precoce de lesões de cárie.…”

Section: Tomografia Computadorizada Cone Beam (Cbct)unclassified

Avaliação de cáries proximais por meio da microtomografia, tomografia Cone Beam e radiografias digitais

Oliveira¹

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Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology

Cited by 422 publications

References 23 publications

Conebeam CT of the Head and Neck, Part 2: Clinical Applications

Conebeam CT of the Head and Neck, Part 2: Clinical Applications

Descriptive study of apical periodontitis detected in Cone Beam Computed Tomography scans

Avaliação de cáries proximais por meio da microtomografia, tomografia Cone Beam e radiografias digitais

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