When and how do endodontic specialists use cone‐beam computed tomography?

Krug, Ralf; Connert, Thomas; Beinicke, Andrea; Soliman, S; Schubert, Alexander; Kiefner, Peter; Sonntag, David; Weiger, Roland; Krastl, Gabriel

doi:10.1111/aej.12337

Cited by 21 publications

(31 citation statements)

References 30 publications

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“…7 The utilization of CBCT for diagnosing complex endodontic anatomy varies geographically and with the level of qualification of dentists. 8 A survey reported that when missed canals were suspected, dental practitioners ordered CBCT in only 25% of cases. 8 Some studies report that the treatment plan formulated was quite different if preoperative assessment was done with CBCT as compared to when it was done without it, while other studies report insignificant influence.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Middle Mesial Canals and Isthmi in Mandibular Molars Using Cone Beam Computed Tomography

Rehman¹,

Medical²,

Siddique³

et al. 2020

J Pak Dent Assoc

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The purpose of this study was to investigate the prevalence and configuration of Middle Mesial Canals (MMC) and isthmi in mandibular molars in Pakistani population using Cone Beam Computed Tomography (CBCT). METHODOLOGY: Sixty CBCTs of patients were selected randomly from database of University College of Dentistry, Lahore. First and second permanent mandibular molars without evidence of previous endodontic treatment, full coverage restoration or root resorption were evaluated for the number of roots, canals and the presence and configuration of MMC and isthmi. The age and gender of patients were also recorded. SPSS was used for statistical analysis using chi-square test. Significance level was set at 5% (P < 0.05). RESULTS: Out of 189 mandibular molars, MMCs were found in 9 and isthmi in 62 teeth. No statistical association was found between the presence of MMC and age, gender, side or tooth type. Significantly more isthmi were found in second molars, females and younger patients, P < 0.05. CONCLUSION: MMC and isthmi in mesial roots of mandibular molars are not unusual findings in our population and CBCT can be a valuable tool for their detection.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Middle Mesial Canals and Isthmi in Mandibular Molars Using Cone Beam Computed Tomography

Rehman¹,

Medical²,

Siddique³

et al. 2020

J Pak Dent Assoc

View full text Add to dashboard Cite

show abstract

“…It is also mentioned that the frequency of CBCT exams depends on the access to tomographic equipment more than any other variables, such as the type of certification of the specialist or the years of experience in the specialty. 14,15 The present study did not cover cases that could be considered of "low complexity" because they do not agree with current consensus and, in general, the evidence does not support the request of a CBCT exam in patients who probably do not require it after analyzing the conventional radiography. 16 However, considering the high contribution of CBCT in this study, it is interesting to wonder what would the effect of CBCT be in those cases where the exam is not usually indicated.…”

Section: Discussionmentioning

confidence: 58%

Clinical utility of Cone Beam Computed Tomography to define treatment in cases of medium and high endodontic complexity.

et al. 2020

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The aim of this study was to evaluate the clinical utility of Cone Beam Computed Tomography (CBCT) in cases of medium and high endodontic complexity. The relevance of CBCT to define treatment was evaluated through the Wittenberg questionnaire and the variation in treatment plans after CBCT exam analysis. The sample (n=40) was chosen for convenience over a period of 4 months. It considered the current recommendations to request CBCT exams before performing root canal treatments. Data collection was carried out through a survey applied to the treating clinicians, after examining the information obtained by the CBCT system. Data were analyzed with the Stata version 13 software, and the Chi-square test was used for inferential analysis. A 95% confidence interval was considered. The most frequent dental groups corresponded to upper posterior and upper anterior teeth (47.5% and 30.0%); the cases were equally distributed according to complexity (50% and 50%). The main reason for requesting CBCT exams corresponded to complex anatomy and/or atypical canal system (37.5%). The use of CBCT increased confidence in the initial treatment chosen by clinicians in 50% of cases according to the Wittenberg questionnaire, and a 45% variation in treatment plans was observed. There was no statistical relationship between complexity and the variables studied. CBCT contributed greatly to the therapeutic management of cases regardless of their complexity.

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“…This might not be the reality in other countries, most of them lacking Oral and Maxillofacial Radiologists, where self-referring of CBCT examinations by nonradiologist practitioners who own a machine might be much more prevalent. Self-referral is known to increase the number of radiographic examinations performed, and new data on CBCT in endodontics corroborate this (Levin & Rao 2004, Krug et al 2019. Owing a machine might facilitate its use for economic reasons or simply because it is available, but it is highly uncertain whether this benefits the patient.…”

Section: Discussion Of Resultsmentioning

confidence: 99%

‘Seeing is believing’: a qualitative approach to studying the use of cone beam computed tomography in endodontics in Sweden

Almeida¹,

Flygare

Knutsson

et al. 2019

Int Endodontic J

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Aim To gain insight into the decision processes of dentists when requesting a cone beam computed tomography (CBCT) examination in endodontic settings. Methodology Fourteen dentists (eight female) 33–58 years of age (mean = 44) practising in Sweden were interviewed. Ten of the dentists were specialists in Endodontics. The absolute inclusion criterion was experience of referring patients for CBCT for endodontic reasons. The included dentists comprised a strategically selected diverse sample in terms of gender, age, work experience, educational background, location of practice, service affiliation and accessibility to CBCT. Data were obtained through semistructured interviews exposing the context of their last three self‐reported referrals. Dentists were encouraged to describe their experiences of the circumstances in their own words, aided by the interviewer's open‐ended questions. The interviews were audio‐recorded and transcribed verbatim. The text was analysed by qualitative content analysis. Results The manifest content was organized into three categories that were defined as visualization as a desire, facilitating tough decisions and allocating responsibility. Conclusion An overall theme (covering the latent content) was identified: A balance between clinical common sense and a ‘better safe than sorry’ attitude guides the use of CBCT in endodontic settings. Informants had high clinical standards, knowledge concerning radiation risks and good sense, which could compensate for their lack of knowledge of guidelines. The national radiation regulatory system was perceived to work as a slightly porous gatekeeper for over‐usage.

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When and how do endodontic specialists use cone‐beam computed tomography?

Cited by 21 publications

References 30 publications

Prevalence of Middle Mesial Canals and Isthmi in Mandibular Molars Using Cone Beam Computed Tomography

Prevalence of Middle Mesial Canals and Isthmi in Mandibular Molars Using Cone Beam Computed Tomography

Clinical utility of Cone Beam Computed Tomography to define treatment in cases of medium and high endodontic complexity.

‘Seeing is believing’: a qualitative approach to studying the use of cone beam computed tomography in endodontics in Sweden

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