Cone Beam CT use in the pre-prosthetic evaluation of endodontically treated of the rear maxilla

Gargari, Marco and Ottria, Liliana and Nezzo, M. and Neroni, L. and Fanucci, Ezio (2012) Cone Beam CT use in the pre-prosthetic evaluation of endodontically treated of the rear maxilla. Oral & implantology, 5 (2/3). pp. 42-46. ISSN 2035-2468

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With our study we wanted to compare the diagnostic accuracy of conventional radiography (orthopanoramic and intraoral radiography) and Cone Beam CT (CBCT) for the diagnosis of periapical lesions on the posterior elements of the upper maxilla endodontically treated. The images were analyzed by a radiologist and an endodontist whose interpretation of radiological examinations is unique. Were examined 34 molars (23 first molars and 13 second molars) with a total of 102 roots. The CBCT detected a significantly higher number of lesions (43%, p <0.001) compared to conventional radiography. Our results demonstrate that the CBCT can be inserted into the diagnostic routine for the evaluation of all pre-prosthetic posterior elements of the upper jaw endodontically treated in addition to the diagnostic techniques 2D, especially when in the treatment plan is provided the realization of an abutment. The CBCT, which has reduction of cost and absorption of radiation with respect to the conventional CT, is also very useful even when there is a need to perform a surgical treatment-endodontic (apicectomy) of a lesion diagnosed with 2D techniques.

Item Type: Article
Uncontrolled Keywords: Periapical lesions, upper molars, periapical radiographs, cone beam CT
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.6 Odontoiatria
Depositing User: Nadia Del Gobbo
Date Deposited: 16 Apr 2013 10:31
Last Modified: 16 May 2013 10:38

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