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Compendium
March 2016
Volume 37, Issue 3
Peer-Reviewed

A cast post was advised in this case, as the maxillary left central incisor was labially inclined; therefore, to provide proper inclination of the prosthesis a cast post was fabricated prior to porcelain-fused-to-metal crown cementation.

CBCT was introduced in endodontics in 1990.17 This diagnostic imaging modality can greatly aid endodontic diagnosis. CBCT axial slices are a more helpful diagnostic tool than periapical radiographs, even if taken at different angles.18 CBCT also helps in identifying the root canal configuration—ie, whether the canals join together or run individually. Other applications of CBCT in endodontics include detecting dental and periapical pathosis, evaluating root fractures, and identifying internal and external root resorption. However, CBCT has inherent limitations such as high cost and increased radiation exposure compared to normal periapical radiographs; the effective radiation dose from CBCT is 0.6 mSv while it is 0.005 mSv using normal periapical radiographs.18

Conclusion

Clinicians should be aware of the possible need for a multidisciplinary approach in the treatment of routine dental problems. This includes dental traumas that require comprehensive treatment and an accurate diagnosis and treatment plan that could involve surgeries, endodontics, orthodontics, periodontics, and prosthodontics. The investigational use of CBCT as a complementary imaging device helps in identifying these dental traumas, and the authors highly recommend it for use in endodontics.

About the Authors

Jaya Pamboo, MDS
Assistant Professor
Department of Conservative Dentistry and Endodontics
Institute of Dental Sciences
Bareilly, Uttar Pradesh, India

Manoj Kumar Hans, MDS
Professor
Department of Conservative Dentistry and Endodontics
K.D. Dental College and Hospital
Mathura, Uttar Pradesh, India

Subhash Chander, MDS
Reader
Department of Conservative Dentistry and Endodontics
Vyas Dental College and Hospital
Jodhpur, Rajasthan, India

Santosh Kumar, MDS
Reader
Department of Orthodontics
Kothiwal Dental College and Research Centre
Moradabad, Uttar Pradesh, India</p>

Harleen Chinna, MDS
Assistant Professor
Department of Conservative Dentistry and Endodontics
Ryat Bahara Dental College and Hospital
Sahauran, Mohali, Punjab, India

References

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