The impact of cone beam computed tomography in nonsurgical and surgical treatment planning

Abstract

Development of an appropriate treatment plan follows diagnosis and could be considered the foundation of a successful outcome. Until the recent introduction of cone beam computed tomography (CBCT) for dental uses, two-dimensional radiographic imaging has been the standard for dental treatment planning. In endodontics, subjective history, clinical findings, and diagnostic imaging are all essential components of the preoperative diagnosis and treatment plan (Reit C, Petersson K, Textbook of Endodontology. Wiley-Blackwell, UK, 2010). Conventional two-dimensional radiographs provide a cost-effective, high-resolution image, which continues to be the most popular method of imaging today. However, the diagnostic potential of periapical radiographs is limited. Information may be difficult to interpret, especially when the anatomy and background pattern is complex (Kundel HL, Revesz G, Am J Roentgenol 126:1233-8, 1976). Recently, CBCT has been demonstrated to be a useful tool in a number of endodontic applications. The aim of this chapter is to compare the relative value of preoperative periapical radiographs and CBCT in the decision-making process in nonsurgical and surgical endodontic treatment planning.