Method for determination of root curvature radius using cone-beam computed tomography images.
This article describes and discusses a method to determine root curvature radius by using cone-beam computed tomography (CBCT). The severity of root canal curvature is essential to select instrument and instrumentation technique. The diagnosis and planning of root canal treatment have traditionally been made based on periapical radiography. However, the higher accuracy of CBCT images to identify anatomic and pathologic alterations compared to panoramic and periapical radiographs has been shown to reduce the incidence of false-negative results. In high-resolution images, the measurement of root curvature radius can be obtained by circumcenter. Based on 3 mathematical points determined with the working tools of Planimp software, it is possible to calculate root curvature radius in both apical and coronal directions. The CBCT-aided method for determination of root curvature radius presented in this article is easy to perform, reproducible and allows a more reliable and predictable endodontic planning, which reflects directly on a more efficacious preparation of curved root canals.
Estrela
Carlos
C
Dental School, Federal University of Goiás, Goiânia, GO, Brazil. estrela3@terra.com.br
Bueno
Mike Reis
MR
Sousa-Neto
Manoel Damião
MD
Pécora
Jesus Djalma
JD
D054893:Cone-Beam Computed Tomography / Q000379:methods*; D005188:False Negative Reactions; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D009811:Odontometry / Q000379:methods; D010347:Patient Care Planning; D011856:Radiographic Image Enhancement / Q000379:methods; D016300:Radiography, Bitewing; D011862:Radiography, Panoramic; D015203:Reproducibility of Results; D012390:Root Canal Therapy; D012984:Software; D019227:Tooth Apex / Q000000981:diagnostic imaging; D014092:Tooth Root / Q000000981:diagnostic imaging*