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When to consider the use of CBCT in endodontic treatment planning in adults Nisha Dowling Andrew Gemmell David Edwards Dental Update 2024 48:11, 707-709.
With the recent publication of European Society of Endodontology (ESE) position statements, newly proposed three-dimensional (3D) classification for external cervical resorption and new techniques such as guided access using 3D printed splints, cone beam computed tomography (CBCT) has never been more important in endodontics. Furthermore, CBCT machines are becoming more affordable, resulting in imaging being more accessible in primary and secondary care. This, aligned with higher resolution images at lower effective doses, means CBCT must now be considered when planning and delivering a range of endodontic procedures.
CPD/Clinical Relevance: To review the use of CBCT in endodontics and raise awareness of its indications in primary and secondary care.
Article
Imaging is essential before commencing any surgical or non-surgical endodontic treatment to understand root morphology and adequately carry out the mechanical aspects of treatment, giving valuable information for treatment planning and execution.1 Currently, two-dimensional (2D) imaging is most commonly employed for assessment, but has several limitations including superimposition, distortion, magnification and background noise, making interpretation subjective.2 The introduction of CBCT has transformed dental imaging, improving diagnosis, offering more informed treatment planning, and even opportunities for novel treatment approaches. CBCT may be essential for comprehensive treatment planning and the safe execution of treatment in some cases, whereas it may be a useful adjunct in others. This is recognized both in the newly proposed three-dimensional (3D) classifications for external cervical resorption,3 and in the recently published European Society of Endodontology (ESE) position statements.4,5 The advantages and limitations of CBCT in endodontics are presented, with some clinical examples discussed.
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