ENDODONTIC DIAGNOSIS USING CONICAL BEAM COMPUTERIZED TOMOGRAPHY

Abstract

INTRODUCTION: EVEN WITH ADVANCES IN THE FIELD OF ENDODONTICS, THERE ARE CASES THAT CAN RESULT IN FAILURE. ENDODONTIC RETREATMENT IS THE ALTERNATIVE OF CHOICE AS LONG AS ITS ADVANTAGES AND INDICATIONS ARE RESPECTED. IT IS CONCEPTUALIZED AS A REINTERVENTION TECHNIQUE THAT AIMS TO REMOVE THE OBTURATION OF THE ROOT CANAL, COMMONLY UNSATISFACTORY, FOLLOWED BY THE EXECUTION OF A NEW THERAPY. ESTABLISHING THE ETIOLOGY OF FAILURE IS ESSENTIAL FOR PERFORMING RETREATMENT. OBJECTIVES: THE PRESENT STUDY AIMS TO REPORT A CLINICAL CASE HIGHLIGHTING THE IMPORTANCE OF A PROPER DIAGNOSIS USING CONE BEAM COMPUTED TOMOGRAPHY (CBCT). METHODOLOGY: PATIENT, FEMALE, 28 YEARS OLD, SOUGHT DENTAL CARE COMPLAINING OF SPONTANEOUS, CONTINUOUS PAIN AND SWELLING IN THE REGION OF ELEMENT 47. IN THE ANAMNESIS, SHE REPORTED THAT ENDODONTIC TREATMENT HAD ALREADY BEEN PERFORMED. AS IT WAS NOT POSSIBLE TO VISUALIZE ALL THE DATA TO ESTABLISH THE ETIOLOGY IN THE PERIAPICAL RADIOGRAPHIC IMAGE, CBCT WAS REQUESTED WITH SUSPECTED CRACK/FRACTURE. RESULTS AND DISCUSSION: ENDODONTICS IS THE SPECIALTY OF DENTISTRY THAT MOST USES DIAGNOSTIC IMAGING TECHNIQUES TO OBTAIN MORE INFORMATION AND DETAIL THE TEETH EVALUATED, SINCE AN INTERNAL ANATOMY OF EXTREME COMPLEXITY IS BEING EVALUATED. FINAL CONSIDERATIONS: IN THE PRESENT REPORT, COMPUTED TOMOGRAPHY PROVED TO BE EFFECTIVE IN SHOWING THE QUALITY OF ENDODONTIC TREATMENT, FACILITATING THE VISUALIZATION OF ROOT CANALS, ANATOMICAL STRUCTURES, PERIAPICAL LESIONS AND ABSENCE OF FRACTURES AND ROOT CRACKS.