CBCT in Endodontic Diagnosis and Treatment

This document is a clinical case study that discusses the application of cone beam computed tomography (CBCT) in endodontic diagnosis and treatment. It outlines the case of a 45-year-old patient referred for specialized care due to a history of repeated abscesses. The initial diagnosis of chronic apical periodontitis was made using conventional radiographs, but a localized CBCT scan provided a three-dimensional analysis that revealed additional details, including the presence of an untreated canal and a periradicular lesion not visible in the 2D images. The study highlights the advantages of CBCT over traditional radiography, particularly its higher sensitivity in detecting apical periodontitis. The treatment involved endodontic retreatment, and the document details the procedures performed, including canal instrumentation and obturation. Follow-up examinations with CBCT indicated ongoing healing of the lesion, demonstrating the importance of CBCT in guiding treatment decisions and improving patient outcomes in endodontics.