Cone beam computed tomography in dentistry Provided by Dr. Benjamin Engelke, Images taken with the 3D Accuitomo 170

“The case presented here illustrates very clearly the advantages of 3D diagnosis in comparison to conventional 2D X-rays. A conclusive appraisal of the actual extent of local findings and optimum planning of the resulting treatment was only possible as a result of the CBCT scan.“


Case:

The patient was referred by his orthodontist to discuss possible therapies for tooth 16.

Findings:

Infraposition of tooth 16 with, as compared to the neighboring teeth, higher resonance and negative vitality test.

Diagnosis:

Presumption diagnosis: Ankylosis of tooth 16. Diagnosis (after CBCT): Vascularization of bone tissue up into the pulp in the furcation region.

Therapy:

CBCT to verify the presumption diagnosis. Extraction of tooth 16 and referral back to the oral surgeon for mesialization of teeth 17 and 18.

OPG x-ray provided by the orthodontist who had referred the patient shows the initial diagnosis „Infraposition tooth 16.

OPG X-ray provided by the orthodontist who had referred the patient shows the initial diagnosis „Infraposition tooth 16.

Sagittal section regio 16

Sagittal section regio 16

Coronal section in the furcation region of tooth 16

Coronal section in the furcation region of tooth 16

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