The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics

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The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics

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Publication Article, peer reviewed scientific
Title The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics
Author(s) Mota de Almeida, Fernando José ; Knutsson, Kerstin ; Flygare, Lennart
Date 2014
English abstract
OBJECTIVES: The aim was to assess to what extent cone beam CT (CBCT) used in accordance with current European Commission guidelines in a normal clinical setting has an impact on therapeutic decisions in a population referred for endodontic problems. METHODS: The study includes data of consecutively examined patients collected from October 2011 to December 2012. From 2 different endodontic specialist clinics, 57 patients were referred for a CBCT examination using criteria in accordance with current European guidelines. The CBCT examinations were performed using similar equipment and standardized among clinics. After a thorough clinical examination, but before CBCT, the examiner made a preliminary therapy plan which was recorded. After the CBCT examination, the same examiner made a new therapy plan. Therapy plans both before and after the CBCT examination were plotted for 53 patients and 81 teeth. As four patients had incomplete protocols, they were not included in the final analysis. RESULTS: 4% of the patients referred to endodontic clinics during the study period were examined with CBCT. The most frequent reason for referral to CBCT examination was to differentiate pathology from normal anatomy, this was the case in 24 patients (45% of the cases). The primary outcome was therapy plan changes that could be attributed to CBCT examination. There were changes in 28 patients (53%). CONCLUSIONS: CBCT has a significant impact on therapeutic decision efficacy in endodontics when used in concordance with the current European Commission guidelines.
DOI http://dx.doi.org/10.1259/dmfr.20130137 (link to publisher's fulltext)
Publisher British Institute of Radiology
Host/Issue Dentomaxillofacial Radiology;4
Volume 43
ISSN 0250-832X
Pages 20130137
Language eng (iso)
Subject(s) cone beam computed tomography
decision-making
endodontics
therapeutics
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/18868 (link to this page)

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