ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS | ||||
| Alexandria Dental Journal | ||||
| Article 10, Volume 48, Issue 3, December 2023, Page 70-76 PDF (411.16 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2023.169349.1322 | ||||
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| Authors | ||||
Shereen Fouad Elsaid  1; Hassan Mohamed Abouelkheir2; Rania Abdelaziz Fahmy 3; Salma Mohmed Genena4
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| 1Department of periodontology,oral medicine,diagnosis and oral radiology,Alexandria university | ||||
| 2Professor of Oral and Maxillofacial Radiology division of Oral Medicine,Oral Diagnosis and Periodontology Department. Faculty of Dentistry Alexandria University | ||||
| 3Assistant Professor, Oral Medicine and Periodontology, Faculty of Dentistry, Alexandria University, Alexandria City, Egypt | ||||
| 4Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Egypt | ||||
| Abstract | ||||
| Background: Radiographs taken intra-orally are essential for planning a diagnosis; however the resulting two-dimensional images require thorough interpretation. Cone beam computed Tomographic (CBCT) imaging offers a more precise, three-dimensional image that could aid in proper diagnosis and treatment planning in endodontic and endo-perio cases. Objectives: Assessment of CBCT referral reasons to private radiology centers, and its impact on modifying treatment plan in endodontic and endo-periodontal related cases. Materials and Methods: This cross-sectional study comprised a total of 131 patients, who visited private radiology centers in Alexandria, seeking for CBCT scans, from July 2021to June 2022: All scans were inspected for assessing referral's reasons; referring dentists were asked about their reason for CBCT acquisition, and its effect on their diagnosis and treatment plan. Assessed cases were categorized into either a group of teeth with solitary endodontic-related problem or teeth with an endo-perio related problem. Results: The number of teeth found with endo-perio radiographic problems in the CBCT scans was lower significantly than solitary endodontic cases (n=14, 8.4%,n=152, 91.5% respectively), Also, a significant difference was detected between those referred cases with endo-Perio lesions that were not previously root canal treated and those endodontic related cases that received earlier endodontic treatment (p=0.004*) , CBCT had a positive effect on changing endodontists’ diagnosis and treatment plan, especially in endo-perio cases (p < 0.01٭). Conclusion: CBCT is considered crucial for detection and proper diagnosis of endo-perio lesions. For all endodontic cases with missed canals, calcified canals and inflammatory resorptive defects, CBCT is deemed necessary. | ||||
| Keywords | ||||
| Cone beam computed tomography; Endodontic-periodontal lesion; Referral reasons; endodontic lesion; Treatment planning | ||||
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