ENDODONTİDE KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİNİN KULLANIMI

Endodontik tedavideki gelişmeler yalnızca tedavi enstruman ve araçlarında değil, teşhis ve görüntüleme yöntemlerinde de devam etmektedir. Geleneksel görüntüleme yöntemlerinin yaygınlığına rağmen, görüntüleme teknolojisindeki ilerlemeler endodonti pratiğine büyük katkı sunmaktadır. Geleneksel görüntüleme yöntemleriyle elde edilen görüntülerin iki boyutlu olmasından kaynaklanan geometrik distorsiyon ve anatomik maskeleme gibi dezavantajların Konik Işınlı Bilgisayarlı Tomografinin (KIBT) gibi üç boyutlu görüntü sunan cihazlarla elimine edilebilmesi mümkün olmuştur. KIBT endodontide, kanal morfolojisinin değerlendirmesi, kök rezorbsiyonlarının belirlenmesi, travmatik dental yaralanmaların teşhisi ve tedavi planlanması, periapikal lezyonların incelenmesi, cerrahi öncesi değerlendirmeler ve diş anomalilerinin tedavi planlamasında kullanılabilmekte ve yapılan çalışmalar KIBT’nin geleneksel görüntüleme yöntemlerine göre belirgin üstünlüğünü işaret etmektedir. Endikasyon dahilinde KIBT’nin kullanımının modern endodonti pratiğinde daha sık yer alması teşhis, tedavi ve tedavi sonrası değerlendirme aşamalarına katkı sunabilir.

Anahtar Kelimeler:

Endodonti, konik ışınlı bilgisayarlı tomografi, radyografi

Use of Cone Beam Computed Tomography in Endodontics

Advances in endodontic treatment have not only been continuing in the treatment instruments and tools, but also in diagnosis and imaging methods. Although the prevalence of the conventional imaging methods, advances in imaging technology are contributing much to practice of endodontics. It has been possible to eliminate the disadvantages, such as geometric and anatomic masking, caused by two-dimensional images which are obtained from conventional imaging methods, with devices that producing three-dimensional images as Cone Beam Computed Tomography (CBCT). CBCT can be used in evaluation of the root morphology, identification of the root resorptions, diagnosis and treatment planning of the traumatic dental injuries, examination of the periapical lesions, presurgical assessments and treatment planning of dental anomalies in endodontics and the studies have pointed out the precedence of CBCT by comparison with conventional imaging methods.Taking place of usage of CBCT within indication in modern endodontic practice might contribute to diagnosis, treatment and post treatment protocols.

Keywords:

Endodontics, cone beam computed tomography, radiography,

PDF

___

Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. International Endodontic Journal. 2007; 40(10): 818-30.
Patel S. New dimensions in endodontic imaging: Part 2. Cone beam computed tomography. International Endodontic Journal. 2009; 42(6): 463-75.
Marmulla R, Wortche R, Muhling J, Hassfeld S. Geometric accuracy of the NewTom 9000 Cone Beam CT. Dento Maxillo Facial Radiology. 2005; 34(1): 28-31.
Danforth RA. Cone beam volume tomography: A new digital imaging option for dentistry. Journal California Dental Association. 2003; 31(11): 814-5.
Ball RL, Barbizam JV, Cohenca N. Intraoperative endodontic applications of cone-beam computed tomography. Journal of Endodontics. 2013; 39(4): 548-57.
Patel S, Durack C, Abella F, et al. European Society of Endodontology position statement: The use of KIBT in Endodontics. International Endodontic Journal. 2014; 47(6): 502-4.
Brown J, Jacobs R, Levring Jaghagen E, et al. Basic training requirements for the use of dental KIBT by dentists: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology. Dento Maxillo Facial Radiology. 2014; 43(1): 20130291.
Protection R. Cone beam CT for dental and maxillofacial radiology. Evidence based guidelines. A report prepared by the SEDENTEXCT Project; 2011.
Pauwels R, Beinsberger J, Collaert B, et al. Effective dose range for dental cone beam computed tomography scanners. European Journal of Radiology. 2012; 81(2): 267-71.
Halazonetis DJ. From 2-dimensional cephalograms to 3-dimensional computed tomography scans. Am J Orthod Dentofacial Orthop. 2005; 127(5): 627-37.
Whaites E. Essentials of dental radiography and radiology. 3rd ed. Edinburgh: Churchill Livingstone, 2002.
Sarment D. Cone beam computed tomography: oral and maxillofacial diagnosis and applications. John Wiley & Sons, 2013.
Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. Journal of Endodontics. 2007; 33(9): 1121-32.
Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine, and Oral Pathology. 1984; 58(5): 589-99.
Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. Journal of Endodontics. 2008; 34(1): 87-9.
Yang H, Tian C, Li G, Yang L, Han X, Wang Y. A cone-beam computed tomography study of the root canal morphology of mandibular first premolars and the location of root canal orifices and apical foramina in a Chinese subpopulation. Journal of Endodontics. 2013; 39(4): 435-8.
La SH, Jung DH, Kim EC, Min KS. Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging. Journal of Endodontics. 2010; 36(3): 542-5.
Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. Journal of Endodontics. 2011; 37(5): 715-9.
Cohenca N, Simon JH, Mathur A, Malfaz JM. Clinical indications for digital imaging in dento-alveolar trauma. Part 2: root resorption. Dental Traumatology. 2007; 23(2): 105-13.
Abella F, Mercade M, Duran-Sindreu F, Roig M. Managing severe curvature of radix entomolaris: three-dimensional analysis with cone beam computed tomography. International Endodontic Journal. 2011; 44(9): 876-85.
El Ayouti A, Dima E, Ohmer J, Sperl K, von Ohle C, Lost C. Consistency of apex locator function: a clinical study. Journal of Endodontics. 2009; 35(2): 179-81.
Shabahang S, Goon WW, Gluskin AH. An in vivo evaluation of Root ZX electronic apex locator. Journal of Endodontics. 1996; 22(11): 616-8.
Liang YH, Jiang L, Chen C, et al. The validity of cone-beam computed tomography in measuring root canal length using a gold standard. Journal of Endodontics. 2013; 39(12): 1607-10.
Reis AG, Grazziotin-Soares R, Barletta FB, Fontanella VR, Mahl CR. Second canal in mesiobuccal root of maxillary molars is correlated with root third and patient age: a cone-beam computed tomographic study. Journal of Endodontics. 2013; 39(5): 588-92.
Silberman A, Cohenca N, Simon JH. Anatomical redesign for the treatment of dens invaginatus Type III with open apexes: a literature review and case presentation. Journal of the American Dental Association. 2006; 137(2): 180-5.
Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. International Endodontic Journal. 2008; 41(12): 1123-36.
Neves FS, Luana CB, Solange MD, et al. Dens invaginatus: A cone beam computed tomography case report. Journal of Health Science Institute. 2010;28(3):249-50.
Neves FS, Luana CB, Solange MD, et al. Dens invaginatus: A cone beam computed tomography case report. Journal of Health Science Institute. 2010.
Teixido M, Abella F, Duran-Sindreu F, Moscoso S, Roig M. The use of cone-beam computed tomography in the preservation of pulp vitality in a maxillary canine with type 3 dens invaginatus and an associated periradicular lesion. Journal of Endodontics. 2014; 40(9): 1501-4.
Patel S. The use of cone beam computed tomography in the conservative management of dens invaginatus: A case report. International Endodontic Journal. 2010; 43(8): 707-13.
Durack C, Patel S. The use of cone beam computed tomography in the management of dens invaginatus affecting a strategic tooth in a patient affected by hypodontia: a case report. International Endodontic Journal. 2011; 44(5): 474-83.
Song CK, Chang HS, Min KS. Endodontic management of supernumerary tooth fused with maxillary first molar by using cone-beam computed tomography. Journal of Endodontics. 2010; 36(11): 1901-4.
Wang P, Yan XB, Lui DG, Zhang WL, Zhang Y, Ma XC. Detection of dental root fractures by using cone-beam computed tomography. Dento Maxillo Facial Radiology. 2011; 40(5): 290-8.
Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink PR. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. Journal of Endodontics. 2009; 35(5): 719-22.
Orhan K, Aksoy U, Kalender A. Cone-beam computed tomographic evaluation of spontaneously healed root fracture. Journal of Endodontics. 2010; 36(9): 1584-7.
Ozer SY, Unlu G, Deger Y. Diagnosis and treatment of endodontically treated teeth with vertical root fracture: three case reports with two-year follow-up. Journal of Endodontics. 2011; 37(1): 97-102.
Ozer SY. Detection of vertical root fractures of different thicknesses in endodontically enlarged teeth by cone beam computed tomography versus digital radiography. Journal of Endodontics. 2010; 36(7): 1245-9.
Ozer SY. Detection of vertical root fractures by using cone beam computed tomography with variable voxel sizes in an in vitro model. Journal of Endodontics. 2011; 37(1): 75-9.
Estrela C, Bueno MR, De Alencar AH, et al. Method to evaluate inflammatory root resorption by using cone beam computed tomography. Journal of Endodontics. 2009; 35(11): 1491-7.
Patel S, Dawood A. The use of cone beam computed tomography in the management of external cervical resorption lesions. International Endodontic Journal. 2007; 40(9): 730-7.
Hargreaves KM, Goodis HE, Tay FR. Seltzer and Bender's dental pulp: Quintessence Pub., 2012.
Lyroudia KM, Dourou VI, Pantelidou OC, Labrianidis T, Pitas IK. Internal root resorption studied by radiography, stereomicroscope, scanning electron microscope and computerized 3D reconstructive method. Dental Traumatology. 2002; 18(3): 148-52.
Patel S, Ford TP. Is the resorption external or internal? Dental Update. 2007; 34(4): 218-20.
Hargreaves KM, Cohen S, Berman LH. Cohen's pathways of the pulp. 10th ed. St. Louis: Mosby, elsevier, 2011.
Liedke GS, da Silveira HE, da Silveira HL, Dutra V, de Figueiredo JA. Influence of voxel size in the diagnostic ability of cone beam tomography to evaluate simulated external root resorption. Journal of Endodontics. 2009; 35(2): 233-5.
Estevez R, Aranguren J, Escorial A, et al. Invasive cervical resorption Class III in a maxillary central incisor: diagnosis and follow-up by means of cone-beam computed tomography. Journal of Endodontics. 2010; 36(12): 2012-4.
Bhuva B, Barnes JJ, Patel S. The use of limited cone beam computed tomography in the diagnosis and management of a case of perforating internal root resorption. International Endodontic Journal. 2011; 44(8): 777-86.
Wesson CM, Gale TM. Molar apicectomy with amalgam root-end filling: results of a prospective study in two district general hospitals. British Dental Journal. 2003; 195(12): 707-14; discussion 698.
Bornstein MM, Lauber R, Sendi P, von Arx T. Comparison of periapical radiography and limited cone-beam computed tomography in mandibular molars for analysis of anatomical landmarks before apical surgery. Journal of Endodontics. 2011; 37(2): 151-7.
Velvart P, Hecker H, Tillinger G. Detection of the apical lesion and the mandibular canal in conventional radiography and computed tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics. 2001; 92(6): 682-8.
Vieira AR, Siqueira JF Jr, Ricucci D, Lopes WS. Dentinal tubule infection as the cause of recurrent disease and late endodontic treatment failure: a case report. Journal of Endodontics. 2012; 38(2): 250-4.
Estrela C, Bueno MR, Sousa-Neto MD, Pecora JD. Method for determination of root curvature radius using cone-beam computed tomography images. Brazilian Dental Journal. 2008; 19(2): 114-8.
Friedman S. Success and failure of initial endodontic therapy. Ontario Dentist. 2001; 74(1): 35-8.
Nakata K, Naitoh M, Izumi M, Inamoto K, Ariji E, Nakamura H. Effectiveness of dental computed tomography in diagnostic imaging of periradicular lesion of each root of a multirooted tooth: a case report. Journal of Endodontics. 2006; 32(6) :583-7.
Sogur E, Grondahl HG, Baksi BG, Mert A. Does a combination of two radiographs increase accuracy in detecting acid-induced periapical lesions and does it approach the accuracy of cone-beam computed tomography scanning? Journal of Endodontics. 2012; 38(2): 131-6.
Liang YH, Jiang L, Gao XJ, Shemesh H, Wesselink PR, Wu MK. Detection and measurement of artificial periapical lesions by cone-beam computed tomography. International Endodontic Journal. 2014; 47(4): 332-8.
Patel S, Dawood A, Mannocci F, Wilson R, Pitt Ford T. Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography. International Endodontic Journal. 2009; 42(6): 507-15.
Pope O, Sathorn C, Parashos P. A comparative investigation of cone-beam computed tomography and periapical radiography in the diagnosis of a healthy periapex. Journal of Endodontics. 2014; 40(3): 360-5.
Rosenberg PA, Frisbie J, Lee J, et al. Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas. Journal of Endodontics. 2010; 36(3): 423-8.
Lennon S, Patel S, Foschi F, Wilson R, Davies J, Mannocci F. Diagnostic accuracy of limited-volume cone-beam computed tomography in the detection of periapical bone loss: 360 degrees scans versus 180 degrees scans. International Endodontic Journal. 2011; 44(12): 1118-27.