CBCT

1. WHAT IS CBCT?
So cbct, cone beam computed tomography, Is a relatively new machine which can
and is used for dental practices in Albania. What it does, is it provides a high
resolution 3 dimensional imagery of the skull and anatomical landmarks present in
the area of the scan unlike conventional radiographs like periapical and panoramic
which provide a 2 dimensional image. Although it is mostly used by dental
specialist, like oral maxillofacial surgeons, endodontist, periodontists, and
orthodontics.
2. AND NOW THE DIFFERENT FIELDS
a. Denta maxilla facial surgery – used for impacted or displaced teeth, diagnosis
of apical periodontitis and other chronic inflammation of the jaw, cysts, pre
and post operative imaging, implant treatment and even cleft palate
malformation cases.
b. Periodontology – cbct is used to detect marginal bone contouring, 3d
imaging of deep pockets (probing no more) and furcation in bones
c. Endodontics – configuration of the root canals (bye bye perforations), root
canal measurements, additional canals and anatomical variations
d. Orthodontics – cbct may be applied at the interest in detecting the
configuration of roots, anatomical situation, relation of teeth between pdl
and resorption

A CASE REPORT on the role of cbct in diagnosis and treatment plan of

impacted teeth. By dr. tian and dr. Pradhan in 2016

A 14 year old male patient reported to the department of orthodontics at

West China Hospital of stomatology with the chief complaint at retained
deciduous tooth on the upper right side. They took extra oral pictures, intra
oral pictures, which revealed a class 2 molar relationship and a retained
maxillary deciduous tooth in the right side with a missing lateral incisor and
canine. A panoramic xray then revealed a impacted upper right lateral
incisor and canine. The cephalometric finding revealed a class 2 jaw relation,
increased ANB angle, retrusive mandible and much more. Fast forward, the
CBCT revealed the exact location and shape of the impacted canine which
helped the surgeon access the impacted teeth in the best way possible with
minimal damage to the neighboring structures. Further more it helped it
helped to identify te amount of root resorption of the adjacent teeth and
help in treatment planning accordingly.

TREATMENT PLAN : extraction of the retained deciduous tooth followed by

initial alignment and leveling of the upper and lower arches, surgical
exposure of the impacted teeth after obtaining the adequate space. Force
 added on the exposed teeth to pull the teeth downward for proper
alignment

So in this case:
- Helped detect the canine inclination
- Root resorption of adjacent
tooth
- Detection of the canine apex
where in it was dilacerated
- Relation to the adjacent
teeth which helped to
determine the direction of
orthodontic forces
- Minimal bone structures were removed to expose the impacted tooth
IN CONCLUSION
We have to become aware that cbct technology hugely expands diagnostic and treatment
possibilities for patients. It aids in providing better patient management with minimal
invasive atraumatic surgeries and procedures.