TECHNOLOGY

We are excited to introduce Cone Beam Computed Technology (CBCT) to our office. We would like to share an introduction regarding why we brought this type of imaging into our practice. This technology allows us to take endodontic-specific 3D CT scans for our patients to make our evaluation and treatment more efficient and effective. Unlike a conventional CT scan, we utilize a small field of view exposure. This allows us to see 2-5 teeth with exceptional clarity and minimal radiation in the area of interest.

The American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology issued a joint position statement in 2015 with specific recommendations and supporting evidence of when the CBCT should be considered as the standard of care. The recommendations for when a CBCT should be done for endodontic patients are summarized below:

• Prior to every endodontic retreatment and endodontic surgery.
• In a patient presenting with non-specific or contradictory clinical signs.
• Pre-operatively when the clinician is suspicious of complex anatomy such as multiple canals, calcified canals, resorptive lesions, potential fractures, and/or sinus issues.

We do recognize that there are many clinical situations where traditional intraoral 2D films are sufficient to diagnose and treat our patients. In those situations we do not recommend CBCT technology.

We are proud to continue serving you. We strive to stay up to date on the latest guidelines to make sure our patients are given the best standard of care possible.

Difference in Technology

Periapical radiograph of a symptomatic maxillary molar.

Axial slice of the same region showing a definite oblique fracture extending from the midmesial to the distopalatal aspect of tooth #2 where extraction is indicated. Definitive diagnosis saves the patient time and costly exploratory procedures.