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논문KCI 등재

근관치료 영역에서 Cone Beam CT의 활용

Cone Beam Computed Tomography in Endodontics

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초록

The most important part of everyday root canal treatment is diagnosis about the morphology of tooth, root and root canal. Usually this procedure is performed by visual examination and radiographic (panoramic/periapical) examination. However, 2-dimentional radiography has several limitations such as imposition of anatomic structures including buccal/lingual root canals and distortion of images. Recently, owing to the increased interest in dental implant and affordable cost of CBCT equipment, CBCT has been introduced widely in local dental clinics. CBCT is characterized by their lower radiation dose and shorter exposure time than conventional CT scan, and ability of 3-dimentional reconstruction of the dento-alveolar structure. Also in endodontic field, the data from CBCT could be very helpful in diagnosing complex root canal anatomy, apical periodontitis, cause of failure and in determining treatment plan. However, there are some limitations such as radiation dose and artifact. Therefore, clinicians should know about indication, advantages and limitations of CBCT, and properly use it for successful root canal treatment to save the natural teeth.

Abstract

The most important part of everyday root canal treatment is diagnosis about the morphology of tooth, root and root canal. Usually this procedure is performed by visual examination and radiographic (panoramic/periapical) examination. However, 2-dimentional radiography has several limitations such as imposition of anatomic structures including buccal/lingual root canals and distortion of images. Recently, owing to the increased interest in dental implant and affordable cost of CBCT equipment, CBCT has been introduced widely in local dental clinics. CBCT is characterized by their lower radiation dose and shorter exposure time than conventional CT scan, and ability of 3-dimentional reconstruction of the dento-alveolar structure. Also in endodontic field, the data from CBCT could be very helpful in diagnosing complex root canal anatomy, apical periodontitis, cause of failure and in determining treatment plan. However, there are some limitations such as radiation dose and artifact. Therefore, clinicians should know about indication, advantages and limitations of CBCT, and properly use it for successful root canal treatment to save the natural teeth.

참고문헌 (8)

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  2. Song M, "Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery", J Endod, 37, pp.1516~1519 (2011)
  3. Karabucak B, "Prevalence of Apical periodontitis in endodontically treated premolars and molars with untreated canal : A cone-beam computed tompography study", J Endod, 42, pp.538~541 (2016)
  4. Bender IB, "Roentgenographic and direct observation of experimental lesion in bone : 1", J Am Dent Assoc, 62, pp.152~160 (1961)
  5. Low KM, "Comparison of periapical radiography and limited cone-beam tomography in posterior maxillary teeth referred for apical surgery", J Endod, 35, pp.557~562 (2008)
  6. Edlund M, "Detection of vertical root fractures by using con-beam computed tomography : A clinical study", J Endod, 37, pp.768~772 (2011)
  7. Chavda R, "Comparing the in vivo diagnostic accuraty of digital periapical radiography with cone-beam computed tomography for the detection of vertical root fracture", J Endod, 40, pp.1524~1529 (2014)
  8. Tamse A, "An evaluation of endodontically treated vertically fratured teeth", J Endod, 25, pp.506~508 (1999)

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