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Endodontic Applications of Cone Beam Computed Tomography

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Presentation on theme: "Endodontic Applications of Cone Beam Computed Tomography"— Presentation transcript:

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

2 Fig. 1 Preoperative PA. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

3 Fig. 2 Periapical LEOs were evident in all three planes of section.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

4 Fig. 3 MB II was not addressed with the initial root canal treatment.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

5 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  , DOI: ( /j.cden ) Copyright © Terms and Conditions

6 Fig. 5 Postoperative CBCT.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

7 Fig. 6 Postoperative 2D PA. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

8 Fig. 7 Preoperative 2D PA. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

9 Fig. 8 Preoperative view. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

10 Fig. 9 Frontal CBCT slice illustrating coronal fracture.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

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

12 Fig. 11 Immediate screw-retained provisional implant placement.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

13 Fig. 12 2D postoperative PA. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

14 Fig. 13 Position of implant verified with postoperative sagittal and frontal CBCT slices. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

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

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

17 Fig. 16 (A) Preoperative 2D PA. (B) Labial view.
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18 Fig. 17 Peculiar cingulum morphology.
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19 Fig. 18 Draining sinus tract.
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20 Fig. 19 Sagittal CBCT slice with arrow pointing to palatal “Leo”.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

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

22 Fig. 21 2D postoperative PA. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

23 Fig. 22 Postoperative complete healing of sinus tract.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

24 Fig. 23 Sagittal CBCT slice illustrating the complete obturation of the dens (arrow). Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

25 Fig. 24 Axial CBCT slice illustrating the obturation of the dens (arrow) while leaving the dente undisturbed. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

26 Fig. 25 Pretreatment panorama.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

27 Fig. 26 Curved multi-planar reconstruction pretreatment implant assessment. Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

28 Fig. 27 Postoperative panorama with implants and final restorations.
Dental Clinics  , DOI: ( /j.cden ) Copyright © Terms and Conditions

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


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