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Volume 58, Issue 3, Pages (July 2014)

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Presentation on theme: "Volume 58, Issue 3, Pages (July 2014)"— Presentation transcript:

1 Volume 58, Issue 3, Pages 523-543 (July 2014)
Cone Beam Computed Tomography Updated Technology for Endodontic Diagnosis  Randolph Todd, DMD  Dental Clinics  Volume 58, Issue 3, Pages (July 2014) DOI: /j.cden Copyright © 2014 Elsevier Inc. Terms and Conditions

2 Fig. 1 Preoperative 2D periapical x-ray, arrow pointing to hidden radicular anatomy “Anatomic Noise”. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

3 Fig. 2 3D CBCT sagittal view shows 2 buccal roots (arrow).
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

4 Fig. 3 3D CBCT coronal view shows buccal and palatal roots (arrow).
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

5 Fig. 4 Preoperative 2D view periapical x-ray.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

6 Fig. 5 3D CBCT axial view 3 mesial canals (arrows).
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

7 Fig. 6 Axial view 3 mesial canals.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

8 Fig. 7 Postoperative 2D periapical x-ray 3 mesial canals.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

9 Fig. 8 Preoperative 2D periapical x-ray, arrow points to calcified root canal. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

10 Fig. 9 3D CBCT sagittal view, arrow pointing to visible canal.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

11 Fig. 10 Preoperative 3D CBCT axial view, arrow pointing to visible canal. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

12 Fig. 11 Postoperative 2D periapical x-ray minimally invasive treatment. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

13 Fig. 12 Preoperative 2D periapical x-ray.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

14 Fig. 13 Preoperative 3D CBCT coronal view, arrow pointing to lateral canal exiting into lateral radicular defect. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

15 Fig. 14 3D CBCT sagittal view provides accurate measurement from apex to lateral canal (distance between arrows). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

16 Fig. 15 Postoperative 2D periapical x-ray, guttapercha cone in lateral canal. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

17 Fig. 16 3D CBCT preoperative sagittal view—isolating buccal plate demonstrating fenestration (arrow pointing to fenestration of Buccal Bone). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

18 Fig. 17 3D CBCT preoperative reconstructed view buccal plate demonstrating fenestration (arrow pointing to fenestration of buccal bone). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

19 Fig. 18 Apical operative view, demonstrating fenestration observed after flap reflection (arrow pointing to fenestration of buccal bone). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

20 Fig. 19 Preoperative 2D periapical x-ray #13.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

21 Fig. 20 3D CBCT axial view (arrow pointing to buccal bone defect over vertical fracture). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

22 Fig. 21 3D CBCT sagittal view (arrows pointing to buccal bone dehiscence). The fracture may not be visible on CBCT; look for the adjacent bone loss (arrows). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

23 Fig. 22 Surgical exposure of fracture and dehiscence (arrows). The fracture may not be visible on CBCT; look for the adjacent bone loss (arrows). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

24 Fig. 23 3D CBCT coronal view of apical periodontitis #5 with cystic lumen (arrow pointing to black cystic lumen within gray apical defect). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

25 Fig. 24 3D CBCT sagittal view of apical periodontitis #5 with cystic lumen (arrow pointing to black cystic lumen within gray apical defect). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

26 Fig. 25 Three views of an incisive canal cyst.
(Data from Faitaroni LA, Bueno MR, Carvalhosa AA, et al. Differential diagnosis of apical periodontitis and nasopalatine duct cyst. J Endod 2011;37(3):403–10.) Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

27 Fig. 26 Preoperative 2D image of apical periodontitis #5.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

28 Fig. 27 Pre-operative 2D periapical x-ray.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

29 Fig. 28 Pre-operative 3D. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

30 Fig. 29 1 year recall 2D periapical x-ray.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

31 Fig. 30 1 year recall 3D. Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

32 Fig. 31 Preoperative 2D periapical x-ray, 7/27/09.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

33 Fig. 32 Postoperative 2D periapical x-ray, 8/27/09.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

34 Fig. 33 1 year recall 2D periapical x-ray apicoectomy.
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

35 Fig. 34 3D CBCT coronal view; note healed buccal plate and medullary bone (arrows). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

36 Fig. 35 3D CBCT coronal view—fracture of anterior maxilla observed superior to canine and lateral incisor (arrows). Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

37 Fig. 36 3D CBCT sagittal view of horizontal root fracture (arrows).
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions

38 Fig. 37 3D CBCT rendering of horizontal root fracture (arrow).
Dental Clinics  , DOI: ( /j.cden ) Copyright © 2014 Elsevier Inc. Terms and Conditions


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