Applications of CBCT in Diagnosis and Treatment Planning for Endodontics

Abstract

Cone-Beam Computed Tomography (CBCT) is both a revolutionary imaging modality that has taken place in endodontics
and offers three-dimensional imaging that surpasses the inherent constraints of traditional two-dimensional radiography.
Its uses in the diagnostic and treatment planning have greatly contributed to the precision, predictability and success of
the endodontics. CBCT provides accurate identification of periapical pathology, identification nonfibrosis of complex root
canal morphology, and localisation of resorptive defects and vertical root fractures. It can also be used in treatment planning
to assess the relationship of the anatomy, determine how to perform surgery or evaluate the process of healing. CBCT is
most useful in the retreatment cases, traumatic dental injuries, and developmental anomalies as opposed to conventional
imaging which can be inconsistent. In spite of these benefits, other factors like exposure to radiation and difficulty of
interpretation and cost require their use in a wise manner with regard to the laid down guidelines. In the future, it is likely
to broaden its clinical use by incorporating artificial intelligence, digital workflows, and dose-reduction technologies. This
review underlines the emerging and current applications of CBCT to endodontics with the focus on its use to enhance the
accuracy of diagnosis and the quality of treatment and promote evidence-based use.