Office Technology

3D CBCT Imaging

Cone Beam CT Imaging

In Office 3D Imaging Technology comes to Medical Center Endodontics!

CBCT-PHOTOMedical Center Endodontics is proud to announce the acquisition of a 3D CBCT. This unit will enable the doctors to assess your tooth and its surrounding structures in three dimensions and with unparalleled accuracy!

Our teeth are three dimensional yet we have been limited to relying on two dimensional radiographs obtained using an X -Ray technique for many years. This prevents us from viewing areas of superficial bone breakdown that may be responsible for less defined or more irregular symptoms and pathology not visible on a radiograph. Studies have shown that radiographs require at least 30% of bone degeneration around the tooth before it can be seen, even with digital radiography. High resolution Cone Beam imaging requires less than 2% bone degeneration for it to be visible on a scan. 

Over the last three years, 3D Cone Beam Imaging has become recognized as the latest technological advance in Endodontics and this has been proven using unbiased scientific research.

How will I know if I need a CBCT scan?

We do not assume that every case requires a pre-treatment CBCT scan. If your diagnosis is not definitive using our standard testing protocol and we suspect that there is the potential for pathology that is not evident from our digital radiographs or there is pathology that requires additional evaluation, then we will advise you that there are clinical indications for a CBCT scan which may provide additional diagnostic information.

Teeth that have existing endodontic treatment that has not been successful in maintaining your tooth free of symptoms or pathology are more likely to require a CBCT scan for the following reasons:

1. A three dimensional evaluation will enable the full extent of the pathology to be assessed.

2. The possibility of a root fracture can be more accurately assessed. This is important as this may affect the treatment option we recommend to maximize the potential for treatment success. It will also help to provide a better indication of the chances of success of your treatment.

3. The high resolution of the CBCT scans that we can obtain enables us to identify possible untreated canals or anatomical irregularities that can contain infections which are contributing to your symptoms or pathology. It will also enable us to accurately pinpoint the location of these canals to prevent unnecessary weakening of the root structure when we are attempting to locate them during treatment.

4. Existing treatment complications such as the presence of canal obstructions, significant weakening of the root structure or openings between the external and internal surfaces of your root can be accurately identified and strategies prepared to overcome these factors.

Sometimes your treating Doctor may decide it is necessary to obtain a CBCT scan during treatment. This will enable us to confirm that all the root canals inside your tooth have been located and your tooth has been ideally treated and there are no potential complicating factors that require further treatment, or which may affect the long term prognosis of your tooth.

Endodontic cases that are likely to require surgical treatment will usually require a CBCT scan for the following reasons

1. It will enable us to accurately locate the position of critical anatomical structures such as main branches of the nerves in your jaw

2. It will allow us to assess the size of the pathologic defect that is present to confirm the potential for its involvement with surrounding teeth and anatomical structures such as your sinuses.

3. It provides us with the ability to preplan your surgical treatment to minimize the potential for unforeseen complications at the time of your treatment.

You may have been referred by your treating dentist/physician for a CBCT scan, without a consultation with one of our doctors.  Please be advised that we are only providing the scan in these instances and are not establishing a doctor-patient relationship.  Please also be advised that we will not be able to provide our opinions on your scan without a consultation.  Your dentist will review the findings with you once they have received the scan.