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The impact of cone beam computed tomography on the choice of endodontic diagnosis
Department of Endodontics, Tandvårdens Kompetenscentrum, Norrbottens County Counci, Luleå; Department of Oral-and-Maxillofacial Radiology, Odontologiska fakulteten, Malmö University, Malmö, Sweden.
Department of Oral-and-Maxillofacial Radiology, Odontologiska fakulteten, Malmö University, Malmö, Sweden.
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Diagnostic Radiology.ORCID iD: 0000-0001-8229-5428
2015 (English)In: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 48, no 6, 564-572 p.Article in journal (Refereed) Published
Abstract [en]

Aim To determine whether the outcome of cone beam computed tomography (CBCT) examinations performed in accordance with the European Commission guidelines in a clinical setting has an impact on choosing diagnoses in endodontics. Methodology A prospective observational study was conducted. Fifty-three consecutive patients (81 teeth) from two different endodontic specialist clinics in Sweden were followed. After performing a thorough clinical examination (based on the history, clinical findings, and diagnostic tests such as intra-oral radiography), the examiner wrote down a preliminary diagnosis before CBCT examination. After the CBCT examination, a new diagnosis was made by the same examiner. Both the pre- and the post-CBCT examination diagnoses were plotted according to patients and teeth. The CBCT examinations were performed using similar equipment and protocols that were standardized amongst the clinics. Results The diagnoses were changed for at least one tooth in 22 patients (41%); overall, the diagnoses were changed for 28 teeth (35%). Conclusion CBCT has a substantial impact on diagnostic thinking in endodontics when used in accordance with the European Commission guidelines.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015. Vol. 48, no 6, 564-572 p.
Keyword [en]
cone beam computed tomography, decision making, diagnosis; endodontics
Keyword [sv]
Radiologi, diagnostik
National Category
Dentistry
Research subject
Odontology
Identifiers
URN: urn:nbn:se:umu:diva-93209DOI: 10.1111/iej.12350ISI: 000354294300009OAI: oai:DiVA.org:umu-93209DiVA: diva2:746766
Available from: 2014-09-15 Created: 2014-09-15 Last updated: 2017-12-05Bibliographically approved

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Flygare, Lennart

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