CBCT Scan: Resorption Case Study

Using the indispensable information that a CBCT scan can provide, check out our recent resorption case study.

A 30-year-old male came to the office with pain in tooth #9. He wants to save his tooth. A conventional 2-D radiograph was taken but the diagnosis was not clear. A CT scan showed significant internal resorption in addition to a periapical lesion. No external resorption and no fracture lines were found. The patient was told that the resorption makes the tooth fragile and the prognosis is poor. Despite this, the patient wanted to save the tooth. The tooth was treated successfully and he has retained his tooth that would have otherwise been extracted.

We are proud to share our cases with you. If you have any doubts as to the prognosis of a tooth of your patient, please let us help you save a tooth!

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Despite years of training and practice, it has been difficult to correctly diagnose what can barely be seen on 2-D intra-oral images. The Kodak 3D extra oral imaging (CBCT) shows the whole picture from the axial, coronal, and sagittal views. CBCT provides additional information that is essential when used in Endodontics for finding evidence of resorption . This patient was diagnosed with pain in the maxillary right area. The patient was sent to this office for root canal therapy on tooth 2. Ordinary radiographs did not show a clear picture of the area. A CT was taken and the results show resorption of tooth #2 by tooth #1. Clearly the prognosis is poor. CT scans are recommended to diagnose the relationship of tooth #1 in relationship to tooth #2. If you're in any doubts as to the prognosis of your patient's tooth, please let us help you save a tooth.

Laser Endodontics LLC - Mary Ann Choby, DMD, MS

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