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

Abstract:

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.

journal_name

Int Endod J

authors

Mota de Almeida FJ,Knutsson K,Flygare L

doi

10.1111/iej.12350

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

564-72

issue

6

eissn

0143-2885

issn

1365-2591

journal_volume

48

pub_type

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