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© 2017 Care Endodontics Chicago/Julianne Carrara DMD MS LTD

 

CBCT or 3 Dimensional Imaging

Microscopes and 3D imaging has elevated endodontic treatment.  Utilizing both technologies, endodontic therapy is more accurate.  We can visualize root variations and treatable canals.  We save 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. This saves 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 prior to treatment.  It is beneficial prior to treatment.

Radiographic imaging is essential in diagnosis, treatment planning and follow up in endodontics. Traditional periapical radiographs are 2 dimensional. These views may be compromised from superimposed anatomical structures and limits diagnostic information. A CBCT allows a 3 dimensional view of the tooth and surrounding periodontal tissues. This is a valuable image in endodontic therapy and treatment direction.

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.

A CBCT is not advised 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 or 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- 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 interests.