CBCT based value-added diagnostic information in the periodontal treatment planning
CBCT as a modern diagnostic tool in periodontal treatment planning
Periodontitis and diagnostic procedures
Probing and 2D radiographs are commonly used for diagnosis and monitoring of periodontal disease. None of these methods are without limitations. Attachment loss evaluation using periodontal probe is conditioned by manipulation and anatomical characteristics of the teeth. Limitations associated with the use of a two-dimensional image include: localization, size, morphological characteristics of intrabony defects especially in the buccolingual plane. With the advent of CBCT the assessment of alveolar bone level and bone defect architecture is simplified.
CBCT in assessment of periodontal bone level
The clinical measurements obtained during the surgical procedure represent the “gold standard” in determining of the alveolar bone level. In vitro studies have demonstrated a high accuracy of CBCT method in determining the level of bone resorption. The existence of a positive correlation between the measurements obtained during the surgical procedure and the relevant linear radiographic measurements obtained from CBCT images confirm the CBCT as a reliable and non-invasive method for assessing the success of regenerative therapy.
Learning Objectives:
Use the CBCT for correct diagnosis, determining prognosis and appropriate treatment plan of periodontal disease.