The impact of cone beam computed tomography on the choice of endodontic diagnosis.

Int Endod J

Department of Radiation Sciences, Diagnostic Radiology, Umeå University, Umeå, Sweden.

Published: June 2015

Aim: To determine whether the outcome of cone beam computed tomography (CBCT) examinations performed in accordance with the European Commission guidelines in a clinical setting has an impact on choosing diagnoses in endodontics.

Methodology: A prospective observational study was conducted. Fifty-three consecutive patients (81 teeth) from two different endodontic specialist clinics in Sweden were followed. After performing a thorough clinical examination (based on the history, clinical findings, and diagnostic tests such as intra-oral radiography), the examiner wrote down a preliminary diagnosis before CBCT examination. After the CBCT examination, a new diagnosis was made by the same examiner. Both the pre- and the post-CBCT examination diagnoses were plotted according to patients and teeth. The CBCT examinations were performed using similar equipment and protocols that were standardized amongst the clinics.

Results: The diagnoses were changed for at least one tooth in 22 patients (41%); overall, the diagnoses were changed for 28 teeth (35%).

Conclusion: CBCT has a substantial impact on diagnostic thinking in endodontics when used in accordance with the European Commission guidelines.

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http://dx.doi.org/10.1111/iej.12350DOI Listing

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