Applications of CBCT in Surgical Endodontics- A Case Series

The success of surgical endodontics depends on accurate diagnosis and treatment planning. Radiographic examination continues to be an essential part of diagnosis and management. Conventional periapical radiography creates superimposition and distortion. Low magnification provides inadequate diagnostic information and leads to compromised treatment. Cone Beam Computed Tomography (CBCT) overcomes the limitations by generating a 3-D image. In addition, CBCT provides a small field of view at low doses with sufficient spatial resolution and gives fine details of the surgical site. The present paper describes successful management of specific cases and how diagnosis and treatment planning has improved with the use of CBCT technology when compared to conventional radiography. In case 1 palatogingival groove was viewed through the axial and sagittal section of CBCT which was not seen in conventional radiograph. In case 2 non odontogenic cyst was evaluated through CBCT which showed that the pathology was not confined with the maxillary central incisor and in case 3 impacted root was detected in CBCT image.