Elsaid, S., Abouelkheir, H., Fahmy, R., Genena, S. (2023). ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS. Alexandria Dental Journal, 48(3), 70-76. doi: 10.21608/adjalexu.2023.169349.1322
Shereen Fouad Elsaid; Hassan Mohamed Abouelkheir; Rania Abdelaziz Fahmy; Salma Mohmed Genena. "ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS". Alexandria Dental Journal, 48, 3, 2023, 70-76. doi: 10.21608/adjalexu.2023.169349.1322
Elsaid, S., Abouelkheir, H., Fahmy, R., Genena, S. (2023). 'ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS', Alexandria Dental Journal, 48(3), pp. 70-76. doi: 10.21608/adjalexu.2023.169349.1322
Elsaid, S., Abouelkheir, H., Fahmy, R., Genena, S. ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS. Alexandria Dental Journal, 2023; 48(3): 70-76. doi: 10.21608/adjalexu.2023.169349.1322
ASSESSMENT OF CONE BEAM COMPUTED TOMOGRAPHY SCANS REFERRAL REASONS AND ITS IMPACT ON MODIFYING TREATMENT PLAN IN ENDODONTICS
1Department of periodontology,oral medicine,diagnosis and oral radiology,Alexandria university
2Professor of Oral and Maxillofacial Radiology division of Oral Medicine,Oral Diagnosis and Periodontology Department. Faculty of Dentistry Alexandria University
3Assistant Professor, Oral Medicine and Periodontology, Faculty of Dentistry, Alexandria University, Alexandria City, Egypt
4Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Egypt
Abstract
Background: Radiographs taken intra-orally are essential for planning a diagnosis; however the resulting two-dimensional images require thorough interpretation. Cone beam computed Tomographic (CBCT) imaging offers a more precise, three-dimensional image that could aid in proper diagnosis and treatment planning in endodontic and endo-perio cases. Objectives: Assessment of CBCT referral reasons to private radiology centers, and its impact on modifying treatment plan in endodontic and endo-periodontal related cases. Materials and Methods: This cross-sectional study comprised a total of 131 patients, who visited private radiology centers in Alexandria, seeking for CBCT scans, from July 2021to June 2022: All scans were inspected for assessing referral's reasons; referring dentists were asked about their reason for CBCT acquisition, and its effect on their diagnosis and treatment plan. Assessed cases were categorized into either a group of teeth with solitary endodontic-related problem or teeth with an endo-perio related problem. Results: The number of teeth found with endo-perio radiographic problems in the CBCT scans was lower significantly than solitary endodontic cases (n=14, 8.4%,n=152, 91.5% respectively), Also, a significant difference was detected between those referred cases with endo-Perio lesions that were not previously root canal treated and those endodontic related cases that received earlier endodontic treatment (p=0.004*) , CBCT had a positive effect on changing endodontists’ diagnosis and treatment plan, especially in endo-perio cases (p < 0.01٭). Conclusion: CBCT is considered crucial for detection and proper diagnosis of endo-perio lesions. For all endodontic cases with missed canals, calcified canals and inflammatory resorptive defects, CBCT is deemed necessary.
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