Advanced Imaging Techniques in Endodontology: A Review
Abstract
Variations in the external morphologic features of the crowns of the teeth accord with variations in the shape and size of the head. The length of the crown varies with the size and sex of the person and is generally shorter in females than in males. As the external morphology varies from person to person, so does the internal morphology of the crown and root. Anatomical variability of the teeth is often a complicating factoring root canal treatment and many different methods have been used to investigate the tooth morphology. Every root canal has its own individual form, therefore guidelines are required in both endodontic practice and for the purpose of research. The currently accepted concepts of root canal treatment require knowledge of root canal length. The success of endodontic treatment depends on the identification of teeth requiring treatment and then the recognition of the root canal system, so that it can be cleaned, shaped and obturated. False assumptions about the root canal anatomy of the teeth may lead to misdiagnosis, missed canals, improper debridement and breakage of instruments during root canal treatment. However, in order to achieve this, it is imperative that the operator should have detailed knowledge of the root canal anatomy of the tooth being treated. This review article emphasizes on the various techniques used in endodontics for studying the root canal morphology.
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References
Vertucci FJ. Root Canal Anatomy Of Human Permanent Teeth. Oral Surg Oral Med Oral
Pathol. 1984;58:589-599.
Waggnner DT. The Right Angle Technique Using the Extension Cone .Dent Clin North
America. 1968;783.
Walton RE. Endodontic Radiographic Techniques .DentRadiogrPhotogr. 1973;46:51- 59. 4.
Estrela C, Bueno MR, Sousa- Neto MD, Pecora JD. Method for determination of root
curvature radius using cone-beam computed tomography images. Brazilian Dental Journal.
;1(2):114-8.
Webber RL, Messura JK. An in vivo comparison of digital information obtained from
tuned-aperture computed tomography and conventional dental radiographic imaging
modalities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology.
;88:239-47
Tachibana H, Matsumoto K. Applicability of X-ray tomography in endodontics.
Endodontics and dental traumatology. 1990;6:16-20.
Pineda F, Kuttler Y. Mesiodistal and Buccolingual Roentgenographic Investigation of 7275
Root Canals. Oral Surg Oral Med Oral Pathol. 1972;33:101-110.
Zilch R, Dowson J. Root Canal Morphology of Mandibular First and Second Premolars.
Oral Surg Oral Med Oral Pathol. 1973;36:738-744.
Cunningham, Senia A. Three dimensional study of canal curvature in the mesial roots of
mandibular molars. J Endod. 1992;18:294-300.
Khedmat S, Assadian H, Saravani Aa. Root Canal Morphology of the Mandibular First
Premolars in an Iranian Population Using Cross Sections and Radiography. J Endod.
;36:214-217.
Bahcall JK, DiFiore PM, Poulakidas TK. An endoscopic technique for endodontic
surgery. J endod. 1999;25:132-135.
Goldman M, Pearson A, Darzenta N. Endodontic Success-Who’s Reading the
Radiographs? Oral Surg Oral Med Oral Pathol. 1992;33:432-437. Annual Research &
Review in Biology, 4(5): 790-804, 2014 802
Scarfe WC, Fana Cr, Farman Ag. Radiographic Detection of Accessory/Lateral Canal:
Use of Radioviography and Hypaque .JEndod. 1995;21:185-190.
Alacam T, Gorgul G, Omurulu H. Evaluation of Diagnostic Radiopaque Contrast
Materials Used With Calcium Hydroxide. J Endod. 1990;16:365-368.
Torabinejad M. Endodontic Periodontic Inter Relationship .In: Walton R E, Torabinejad
M(Eds).Principles And Practice of Endodontics. Philadelphia, PA: W B Saunders. 1989;435-
Neelkantan P, Subbarao C, Subbarao CV. Comparitive Evaluation Of Modified Canal
Staining And Clearing Technique,Cone Beam Computed Tomography, Peripheral
Quantitative Computed Tomography, Spiral Computed Tomography And Plain And Contrast Medium-Enhanced Digital Radiography In Studying Root Canal Morphology. J Endod.
;36:154-1551
Shearer AC, Wasti F, Wilson NHF. The Use of a Radiopaque Contrast Medium in
Endodontic Radiography. Int Endod J. 1996;29:95-98.
Fan W, Fan B, Gutman JL, Cheung GSP. Identification of C Shaped Canal in Mandibular
Second Molars. Part 1: Radiographic and Anatomical Features Revealed ByIntraradicular
Contrast Medium. J Endod. 2007;33:806-810.
Shearer AC, Horner K, Wilson NH. Radiovisuography for Length Estimation in Root
Canal Treatment: An In Vitro Comparison in Conventional Radiography. Int Endod J.
;24:233-239.
Carol Mason, Petrina Papadakou, Graham J Roberts.The Radiographic Localization Of
Impacted Maxillary Canines: A Comparison Of Methods. Euro J of Ortho. 2001;23:25-34.
Fava LR, Dummer PM. Periapical radiographic techniques during endodontic diagnosis
and treatment. Int Endod J. 1997;30(4):250-61.
Wu DM, Wu YN, Guo W, Sameer S. Accuracy Of Direct Digital Radiography In The
Study Of Root Canal Type. DentomaxillofacRadiol. 2006;35:263-265.
Otis LL, Everett MJ, Sathyam US, Colston BW, Jr. Optical Coherence Tomography: A
New Imaging Technology For Dentistry. J Am Dent Assoc. 2000;131:511-514.
Sushma Rathi, Jayaprakash Patil, Prashanth P Jaju. Detection of Mesiobuccal Canal In
Maxillary Molars And Distolingual Canal in Mandibular Molars By Dental Ct: A
Retrospective Study of 100 Cases. Int Journal of Dent; 2010.
Siemens Medical: Computed Tomography. Its history and technology.
Calhoun PS, Kuszyuk BS, David G. Health DG, et al. Three dimensional volume
rendering of spiral CT data: theory and method. Radiographics. 1999;19:745-764.
William c. Scarfe, Martin d. Levin, David Gane, and Allang. Farman. Use of cone beam
computed tomography in endodontics. international journal of surgery. 2009;1- 20.
Leung SF. Cone beam computed tomography in endodontics. 2010;15(3).
Ludlow JB, Ivanovic M. comparative dosimetry of dental CBCT devices and 64 slice CT
for oral and maxillofacial radiology. Oral surg oral pathol oral radiolendod. 2008;106:106-
Farman AG. Image guidance: the present future of dental care. Practical Procedures &
Aesthetic Dentistry. 2006;18(6):342–344.
Farman AG, Levato CM, Scarfe WC. A primer on cone beam computed tomography.
Inside Dentistry. 2007;(3):91-92.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed
tomography in dental practice.Journal of the Canadian Dental Association 2006;72(1):75–80.
Annual Research & Review in Biology, 4(5): 790-804, 2014 803
Hayakawa Y, Sano T, Sukovic P, Scarfe WC, Farman AG. Cone beam computed
tomography: a paradigm shift for clinical dentistry .Nippon Dental Review. 2007;65:125–13.
Stavropoulos A, Wenzel A. Accuracy of cone beam dental CT, intraoral digital and
conventional film radiography for the detection of periapical lesions. An ex vivo study in pig
jaws. Clinical Oral Investigation. 2007;11:101-106.
Paula-Silva FWG, Hassan B, Silva LAB, Leonardo MR, Wu M-K. Outcome of root
canal treatment in dogs determined by periapical radiography and cone-beam computed
tomography scans. Journal of Endodontics. 2009;35:723-726.
Patel S, Dawood A, Mannocci F, Wilson R, Pitt Ford T. Detection of periapical bone
defects in human jaws using cone beam computed tomography and intraoral radiography.
International Endodontic Journal. 2009;42:507-515.
Estrela C, Bueno M R, Leles C R, Azevedo B, Azevedo J R. Accuracy of cone beam
computed tomography and panoramic and periapical radiography for detection of apical
periodontitis. Journal of Endodontics. 2008;34:273-279.
SeonahKim.Endodontic Application of Cone-Beam Computed Tomography in South
Korea.
Jeffrey D. Domark, John F. Hatton, Roxanne P. Benison, Charles F. Hildebolt,. An Ex
Vivo Comparison of Digital Radiography and Cone-beam and Micro Computed Tomography
in the Detection of the Number of Canals in the Mesiobuccal Roots of Maxillary Molars.
Journal. 2013;39(1):901–905.
Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of thai
mandibular molars. International Endodontic Journal. 2002;35(1):5662.
Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part
Conventional and alternative radiographic systems. Int Endod J. 2009;42(6):447-62.
Nair MK, Nair UP. Digital and advanced imaging in endodontics: a review. Journal of
Endodontics. 2007;33:1-6.
Webber RL, Messura JK. An in vivo comparison of digital information obtained from
tuned-aperture computed tomography and conventional dental radiographic imaging
modalities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology.
;88:239-47
Abella F, Patel S, Durán-Sindreu F, Mercadé M, Bueno R, Roig M. An evaluation of the
periapical status of teeth with necrotic pulps using periapical radiography and cone-beam
computed tomography. IEJ July 2013;46(9).
Essam, et al. A study of dental pulp cavity of mandibular first permanent molars in the
Kuwaiti population. Journal of Endodontics. 1998;24(2):125-7.
Bauman M. The effect of cone beam computed tomography voxel resolution on the
detection of canals in the mesiobuccal roots of permanent maxillary first molars, M.S. thesis,
University of Louisville School of Dentistry, Louisville, Ky, USA; 2009.
Adriana Gurgel De Araujo Reboucas Reis, Renata Grazziotin-Soares, Fernando Branco
Barletta, Vania Regina Camargo Fontanella .Second Canal In Mesiobuccal Root Of Maxillary
Molars Is Correlated With Root Third And Patient Age: A Cone Beam Computed
Tomographic Study. JOE May. 2013;39(5):588-592.
Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Buabara AA. GM corer:
analysis of the internal anatomy of the maxillary first molars using different methods.,journal
of endodontics. 2009;35(3):337-342.
Jung M, Lommel D, Klimek J. The imaging of root canal obturation using micro-CT. Int
Endod J. 2005;38(9):617-26.
Bergmans L, et al. A methodology for quantitative evaluation of root canal
instrumentation using microcomputed tomography. Int. Endo. J. 2001;34:390-398. Annual
Research & Review in Biology, 4(5): 790-804, 2014 804
Damiano Pasqualini, Caterina Chiara Bianchi, Davide Salvatore Paolino, Lucia Mancini,
Phd, Andrea Cemenasco, Giuseppe Cantatore, Arnaldo Castellucci K And Elio Berutti
Computed Micro-Tomographic Evaluation Of Glide Path With NickelTitanium Rotary
Pathfile In Maxillary Firstmolars Curved Canals, JOE march. 2012;38(3).
Barton DJ, Clark SJ, Eleazer PD, Scheetz JP, Farman AG. Tuned Aperture Coherence
Tomography Versus Parallax Analog And Digital Radiographic Images In Detecting Second
Mesiobuccal Canals In Maxillary First Molars. Oral Surg Oral Med Oral Pathol Oral
RadiolEndod. 2003;96:223-228
Todea C, Negrutiu ML, Balabuc C, et al. Optical Coherence Tomography Applications In
Dentistry. Timisoara Med. 2010;60:5-17
Delpy DT, Cope M, Van Der Zee P, Arridge S, Wray S, Wyatt J. Estimation Of Optical
Path Length Through Tissue From Direct time of Flight Measurement . Phys Med Boil.
;33:1433-1442
Shemesh H, Van Soest G, Wu MK, Van Der Sluis LW, Weslink P. The Ability of Optical
Coherence Tomography to Characterize the Root Canal Walls. J Endod. 2007;33:1369-1373.
Tutton LM. P R Goddard MRI of the teeth. British Journal of Radiology. 2002;75:552-
Eggers G, Rieker M, Fiebach J, Kress B, Dickhaus H, Hassfeld S. Geometric accuracy of
magnetic resonance imaging of the mandibular nerve. Dentomaxillofacial Radiology.
;34:285-291.
Cotti and Campisi. Endodontic radiology second edition; 2004
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