Use of Cone Beam Computed Tomography in Endodontics
Figure 2
A 52-year-old Caucasian female was referred for assessment of multiple periapical areas associated with the mandibular right first and second molars. Curved planar (a), axial (b), and correlated multiple cross-sectional (c) images are shown. There are areas of mixed central opacity and peripheral radiolucency associated with the apices of the teeth; however no expansion, tooth resorption, or displacement is evident. Hypercementosis is observed on the distal root of the first molar. On clinical examination, all teeth in this quadrant tested vital. Based on a working diagnosis of florid cemento-osseous dysplasia, an additional digital panoramic radiograph ((d) cropped panoramic image) was performed and revealed similar bony patterns in the left posterior maxilla and mandible. Management of this patient comprised a 6-month recall comparison of focused CBCT images to judge the progression of the lesion.
