This Powerpoint presentation provides a literature review and pictorial demonstration of CBCT as an imaging adjunct for endodontics.

1. Use of Cone Beam Computed TomographyUse of Cone Beam Computed Tomography
in Endodonticsin Endodontics
Ranya Frg Elemam
BDS, MSc, PhD
Department of Restorative Dentistry and
Periodontology, Faculty of Dentistry,
Libyan International Medical University (LIMU)
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2. Outlines
 Give an overview about Cone Beam Computed Tomography.
 Highlight its potential applications in endodontic practice.
 Provide some recommendations for its use.
11/06/17Dr. Ranya Elemam

3. Introduction
Radiography is an essential component of diagnosis
in dentistry, including Endodontics. (Patel et al. 2009)
Conventional radiographic techniques, have
limitations.
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4.  Two-dimensional nature of the images. (Brynolf 1967, Velvart et al.
2001)
 Anatomical superimposition masking the area of interest to
varying degrees. (Bender & Seltzer 1961,Paurazas et al. 2000)
 Geometric distortion. (Vande V. & Bjorndahl 1969, Forsberg & Halse 1994)
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5. Shenoyen ,J Interdiscip Dentistry 2014
Cone Beam Computed Tomography (CBCT)
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https://www.slideshare.net/techyadav/clinical-applications-of-cbct

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(Scarfe 2009)

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Khambete , International Journal of Stemmatological Research(2015)

9. 
How It WorksHow It Works
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(Scarfe 2009)

11. How CBCT System WorksHow CBCT System Works
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Kowsky etal. J Interdiscip Dentistry 2016;6:80-6

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Kowsky etal. J Interdiscip Dentistry 2016;6:80-6

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Kowsky etal. J Interdiscip Dentistry 2016;6:80-6

14. (Small) Or (Limited) is preferred for the following
reasons:
1. Increased spatial resolution to improve the accuracy
of endodontic-specific tasks such as the visualization of
small features .
2. Decreased radiation exposure to the patient.
3. Time savings due to smaller volume to be interpreted.
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15. Academy of Oral and Maxillofacial RadiologyAcademy of Oral and Maxillofacial Radiology
(AAOMR)(AAOMR) +American Association of+American Association of (AAE)(AAE)
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16. European Society of EndodontologyEuropean Society of Endodontology
position statementposition statement
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17. Endodontics ApplicationsEndodontics Applications
 Endodontic Diagnosis
 Pre Operative Assessment :
o Complex Anatomy
o Failed Root Canal Treatments
 Assessment of Endodontics Treatment Complications.
 Dento- Alveolar Trauma
 Tooth Resorption
 Pre Surgical Planning
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18. Pre Operative Assessment
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19. Kowsky etal. J Interdiscip Dentistry 2016;6:80-6
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Kowsky etal. J Interdiscip Dentistry 2016;6:80-6

21. 11/06/17Dr. Ranya Elemam
Kowsky etal. J Interdiscip Dentistry 2016;6:80-6

22.  CBCT detected at least one root canal in 40% of teeth
were examined by Intra Oral periapical Radiographs.
(Filho 2015)
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23. Failed Endodontic Treatment
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Abella etal ,Societa`Italiana Di Endodonzia. 2015

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26. Dental Traumatology
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31. Root Resorption
William scarf 2009 , International Journal of Dentistry
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32. William scarf 2009 , International Journal of Dentistry 11/06/1732

33. Intra-and postoperative assessment of
endodontics treatment complications.
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34. Perforation
Venskutonis et al.2014 11/06/1734

35. RulesRules
&&
RecommendationsRecommendations
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36. RulesRules
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37.  Comprehensive Clinical examination.
 Appropriate conventional radiographs taken and assessed.
 The benefits of the CBCT scan must outweigh the risks.
 The ALARA principle “As low As Reasonable
Achievable”.
A CBCT scan may only be considered after :
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38. EES RecommendEES Recommend
 Incorporating CBCT images into the curriculum of dental
undergraduate and endodontic postgraduate programs.
 Integrating CBCT in continuing education program.
(Brown et al, 2014)
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39.  Research on the treatment outcomes related to CBCT
applications in endodontic practice is needed.
 CBCT should not be considered a replacement for standard
digital radiographic applications.
Rather,
 CBCT is a complementary modality for specific applications.
LimitationsLimitations
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40. SUMMARYSUMMARY
 CBCT is an invaluable tool in detection and diagnosis in
endodontic conditions
 Appropriate utilization of this technology result in more
efficient patient management
 All radiograph must be justified On an individual needs basis
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42. Thank YouThank You
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