Microscopes and 3D imaging have elevated endodontic treatment over the last decade. Endodontic therapy is more accurate with the use of both technologies.
We can visualize root variations and treatable canals, saving time, and tooth structure. The technology we have prevents unnecessary procedures and essential for treatment planning. We can determine if endodontic treatment is best or surgical removal, the best option, saving the patient time and money.
At Care Endodontics, we are conscious of the additional financial investment and do not routinely require a CBCT image. However, we welcome any patient that would like to have the image before treatment.
Radiographic imaging is essential for diagnosis, treatment planning, and follow-up appointments. Traditional periapical radiographs are two-dimensional, which can be compromised by superimposed anatomical structures and limited diagnostic information. A CBCT allows a 3-dimensional view of the tooth and surrounding periodontal tissues.
Our CBCT allows limited, focused views i.e., localized to the area of interest and decreases radiation exposure. This view maximizes resolution and provides information on canal location, accessory nerve branches, missed canals, and pathology. This information is not available with traditional radiographs. We do not recommend CBCT for all cases.
We process the information discussed during your examination, case history, and recommend this imaging when it is beneficial for your treatment.
- Identification of root canal anomalies and root curvatures
- Diagnosis of pathology in patients that present contradictory or nonspecific clinical signs/symptoms, poorly localized symptoms in cases with or without previous endodontic treatment, anatomic superimposition of roots or sinus cavities
- Diagnosis of non-endodontic pathosis -the location, size, and involvement with surrounding structures
- Intra- or post-operative assessment of endodontic treatment- complications, extension of materials, separated instruments, perforations and/or calcifications
- Diagnosis and management of trauma- fractures, luxation or displacement of teeth, internal or external resorption, and prognosis.
- Pre-surgical assessment
A CBCT is an additional and valuable diagnostic image. This image may prevent unnecessary dental treatment and provide treatment direction. This image may not confirm the presence of a vertical root fracture. The presence of post retained restorations may distort or blur areas of interest.