4.5 Article

Outcome of Root Canal Treatment in Dogs Determined by Periapical Radiography and Cone-Beam Computed Tomography Scans

Journal

JOURNAL OF ENDODONTICS
Volume 35, Issue 5, Pages 723-726

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.joen.2009.01.023

Keywords

Cone-beam computed tomography (CBCT); favorable (unfavorable) outcome; periapical radiography (PR); root canal treatment

Funding

  1. State of Sao Paulo Research Foundation (FAPESP) [06/59072-7, 06/51161-0]

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The purpose of this study was to compare the favorable outcome of root canal treatment determined by periapical radiographs (PRs) and cone beam computed tomography (CBCT) scans. Ninety-six roots of dogs' teeth were used to form four groups (n = 24). In group 1, root canal treatments were performed in healthy teeth. Root canals in groups 2 through 4 were infected until apical periodontitis (AP) was radiographically confirmed. Roots with AP were treated by one-visit therapy in group 2, by two-visit therapy in group 3, and left untreated in group 4. The radiolucent area in the PRs and the volume of CBCT-scanned periapical lesions were measured before and 6 months after the treatment. In groups 1, 2, and 3, a favorable outcome (lesions absent or reduced) was shown in 57 (79%) roots using PRs but only in 25 (35%) roots using CBCT scans (p = 0.0001). Unfavorable outcomes occurred more frequently after one-visit therapy than two-visit therapy when determined by CBCT scans (p = 0.023). (J Endod 2009; 35:723-726)

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