Evaluation of endodontic lesion on CBCT and digital periapical radiography – a case report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Purpose: The present study aims to evaluate the extensiveness of a periapical lesion present in an endodontically treated molar using 2D-classical and 3D-modern radiological methods.Material and method: The assessment of this clinical case required the use of digital periapical radiography. Identification of endodontic treatment in upper right first molar and the periapical lesion, without being able to determine its extent, the bone defect and the possible associated maxillary sinus pathology led to the decision of performing advanced radiological investigations: CBCT (Cone Beam Computed Tomography). Results: Small field of view CBCT images provided information about the presence of two periapical lesions on mesiobuccal, distobuccal roots and interradicular bone loss. Alveolar cortical bone loss was identified in the proximity of buccal roots apex and the actual dimensions of the periapical lesions were measured. The 3D imaging of the right maxillary sinus helped identify the pathology of the lower wall sinus mucosa.Conclusions: The CBCT evaluation provides real information on the extent of periapical lesions and associated pathology. Limited information provided by periapical radiography in complex clinical cases is not sufficient to establish the appropriate diagnosis and treatment plan.
Authors and Affiliations
Mihaela J. Țuculina, Cojocaru V. Larisa, Diana S. Duțu, Ghilaciu I. Raluca, Mircea Gheorghita, Lelia Gheorghita, Constantin Daguci
Keywords
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- EP ID EP369166
- DOI 10.9790/0853-1703055156.
- Views 49
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