There are many articles published in recent years on the use of CBCT in endodontics and this diagnostic technique is increasingly required in order to have a more accurate prognosis of the teeth to be treated. The purpose of this chapter is to discuss the use of Conical Beam Computed Tomography (CBCT) in the field of endodontics. This issue is controversial at the moment because of the increase in the radiation to which patients are being subjected; however, we know that sometimes the X-rays taken with different angles in relation to some teeth depending on the different cases are incompatible in form and density, which does not allow us to make an exact diagnosis. The use of CBCT would have provided an image of greater diagnostic value in those cases. In addition, the use guidelines published by the American Endodontics Association and the American Radiology Association jointly mark the way forward and the use we can give the CBCT for the diagnosis of complex cases.
Part of the book: Oral Diseases
Dental traumatology is highlighted as an unexpected emergency event which can occur at any moment, age, sex, and gender. Crown fractures account for most traumatic injuries occurring in the permanent dentition. A complete radiographic examination is considered essential in order to assess the state of the pulp, the degree of root development, and the existence of any pathologies affecting the supporting tissues. These examinations also provide a useful tool for subsequent comparisons with those conducted after treatment, ensuring adequate clinical follow-up. Additionally, avulsion of permanent teeth has been highlighted as one of the most relevant dental injuries; therefore, the prognosis of this traumatic event has been directly related to the treatment decision-making process and the time passed since the accident. In addition, dental trauma is also one of the most frequent emergency situations seen in Pediatric Dentistry; moreover, the dental injury of the temporary teeth could also affect to the permanent teeth; hence, it is necessary to perform an exhaustive clinical and radio diagnostic exam to allow a correct diagnosis and a predictable treatment plan. Therefore, the creation of action protocols makes it possible to simplify and facilitate decision-making under stressful situations for patients and clinicians.
Part of the book: Dental Trauma and Adverse Oral Conditions