Cone-beam computed tomographic images may precisely evaluate periapical lesions

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-10-20T20:00:45+05:30 | Updated On 20 Oct 2022 8:01 PM IST

Cone-beam computed tomographic images provided more precise evaluation of periapical lesions according to a recent study published in the International Dental Journal

Endodontic microsurgery (EMS) is a surgical endodontic retreatment approach characterised by modern microsurgical techniques that integrate the use of an operating microscope or endoscope, root-end cavity preparation with ultrasonic tips, and more biocompatible root-end filling materials such as immediate restorative material, super ethoxybenzoic acid, or mineral trioxide aggregate.

The overall pooled success rate of EMS is more than 90%. Its success is usually assessed through radiographic and clinical examinations during follow-up. In endodontics, conventional periapical radiographs (CPRs) are commonly used to visualise osseous healing outcomes after EMS.

This study aimed to compare the healing outcomes of endodontic microsurgery (EMS) using 2-dimensional (2D) and 3-dimensional (3D) radiographic evaluation in a Chinese population. The prognostic factors of EMS were identified according to the 2D and 3D healing classifications.

The teeth (n = 82) were studied using 2D and 3D radiographic examinations. The 2D and 3D healing criteria were used to evaluate the healing outcome. Prognostic factors were investigated based on healing outcomes. Data were analysed using SPSS, and P < .05 was considered significant.

Results

There were significant differences between 2D and 3D healing outcomes (P = .004). For the 3D images, age older than 45 years was found to be a significant negative predictor (P = .005).

Thus, Cone-beam computed tomographic images provided more precise evaluation of periapical lesions and healing outcomes of EMS than conventional periapical radiographs. Age (>45 years) of the patients exhibited a significant influence on the healing outcome of EMS as determined using 3D images.

Reference:

Chaonan Su, Rui Zhang, Rong Wang, Chengcan Yang, Zan Wang, Liuyan Meng,

Prognostic Predictors of Endodontic Microsurgery: Radiographic Assessment, International Dental Journal, Volume 72, Issue 5, 2022, Pages 628-633, ISSN 0020-6539, https://doi.org/10.1016/j.identj.2022.02.007.

Keywords:

Cone-beam, computed tomographic, images, precise, evaluation, periapical lesions, Endodontic microsurgery, Prognostic factors, Cone-beam computerised tomography, International Dental Journal

Endodontic microsurgeryPrognostic factorsCone-beam computerised tomography

Source : International Dental Journal

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751