Endodontic Applications of Cone Beam Computed Tomography

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Presentation transcript:

Endodontic Applications of Cone Beam Computed Tomography Thomas V. McClammy, DMD, MS Dental Clinics Volume 58, Issue 3, Pages 545-559 (July 2014) DOI: 10.1016/j.cden.2014.03.004 Copyright © 2014 Terms and Conditions

Fig. 1 Preoperative PA. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 2 Periapical LEOs were evident in all three planes of section. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 3 MB II was not addressed with the initial root canal treatment. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 4 Reshaping and disinfection of the root canal system uncovered all four canals in this number 14 tooth. A hood of porcelain is covering the palatal canal. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 5 Postoperative CBCT. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 6 Postoperative 2D PA. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 7 Preoperative 2D PA. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 8 Preoperative view. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 9 Frontal CBCT slice illustrating coronal fracture. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 10 Preoperative implant planning using i-Dixel software (J. Morita, Irvine, CA, USA) using a frontal-coronal CBCT slice. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 11 Immediate screw-retained provisional implant placement. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 12 2D postoperative PA. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 13 Position of implant verified with postoperative sagittal and frontal CBCT slices. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 14 Bone grafting buccal to the implant at the time of implant placement surgery and verified with a frontal CBCT slice. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 15 (A–C) Coronal-radicular fracture on extracted tooth number 12 cleaned and stained with methylene blue. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 16 (A) Preoperative 2D PA. (B) Labial view. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 17 Peculiar cingulum morphology. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 18 Draining sinus tract. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 19 Sagittal CBCT slice with arrow pointing to palatal “Leo”. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 20 Axial slice with arrow illustrating palatal resorption of bone caused by lesion of endodontic origin. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 21 2D postoperative PA. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 22 Postoperative complete healing of sinus tract. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 23 Sagittal CBCT slice illustrating the complete obturation of the dens (arrow). Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 24 Axial CBCT slice illustrating the obturation of the dens (arrow) while leaving the dente undisturbed. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 25 Pretreatment panorama. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 26 Curved multi-planar reconstruction pretreatment implant assessment. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 27 Postoperative panorama with implants and final restorations. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions

Fig. 28 Implant supported all porcelain screw-retained final restorations in teeth numbers 5, 7, 8, 9, 10, and 11. Dental Clinics 2014 58, 545-559DOI: (10.1016/j.cden.2014.03.004) Copyright © 2014 Terms and Conditions