Zahnmedizin up2date 2016; 10(04): 327-355
DOI: 10.1055/s-0042-101842
Endodontologie
Georg Thieme Verlag KG Stuttgart · New York

Die digitale Volumentomografie (DVT) in der Endodontologie

Karl Dula
,
Franziska Kissling-Jeger
,
Klaus W. Neuhaus
Further Information

Publication History

Publication Date:
01 August 2016 (online)

Zusammenfassung

Die digitale Volumentomografie darf zur Untersuchung und Diagnose im Bereich Endodontologie nicht routinemäßig angewendet werden. Die DVT darf die klinische, ggf. durch Röntgenbilder ergänzte Untersuchung nicht ersetzen. Digitale Volumentomogramme sollen nur dann angefertigt werden, wenn konventionelle Röntgenbilder oder andere bildgebende Verfahren unzureichende Informationen bieten oder die durch die DVT resultierende Diagnose die Therapie tatsächlich wegweisend bestimmt. Die Anamnese und klinische Untersuchung des Patienten kann die Durchführung einer DVT rechtfertigen, wenn der Nutzen für den Patienten die potenziellen Risiken durch die Strahlenbelastung überwiegt.

Da in der Zahnmedizin verwendete Materialien (Komposite, Keramiken, insbesondere auch metallische Stifte und Wurzelkanalfüllmaterialien wie Guttapercha) Streustrahlen und damit Auslöschungsartefakte verursachen, ist genau zu überdenken, ob in solchen Situationen eine DVT die erwarteten diagnostischen Informationen liefern kann.

 
  • Literatur

  • 1 Mozzo P, Procacci C, Tacconi A et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998; 8: 1558-1564
  • 2 Pauwels R, Beinsberger J, Collaert B et al. Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol 2012; 81: 267-271
  • 3 Ludlow JB, Timothy R, Walker C et al. Effective dose of dental CBCT – a meta analysis of published data and additional data for nine CBCT units. Dentomaxillofac Radiol 2015; 44: 20140197
  • 4 Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: 106-114
  • 5 Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation. BEIR VII – Phase 2. Washington DC: National Research Council; 2006
  • 6 Dula K, Mini R, van der Stelt PF et al. The radiographic assessment of implant patients: decision-making criteria. Int J Oral Maxillofac Implants 2001; 16: 80-89
  • 7 Dula K, Mini R, van der Stelt PF et al. Hypothetical mortality risk associated with spiral computed tomography of the maxilla and mandible. Eur J Oral Sci 1996; 104: 503-510
  • 8 United Nations Publications. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) 2013 Report: Effects of Radiation Exposure of Children. Supplement No. 46. New York: United Nations; 2013
  • 9 Liang X, Jacobs R, Hassan B et al. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT). Part I. On subjective image quality. Eur J Radiol 2010; 75: 265-269
  • 10 Dula K, Buser D, Porcellini B et al. Computertomographie/Orale Implantologie. Dental-CT: Ein Programm zur computertomographischen Darstellung der Kiefer: Grundlagen und Aufnahmetechnik. Schweiz Monatsschr Zahnmed 1994; 104: 451-456
  • 11 AAE and AAOMR Joint Position Statement: Use of cone beam computed tomography in endodontics 2015 update. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 4: 508-512
  • 12 Patel S, Durack C, Abella F et al. Cone beam computed tomography in endodontics – a review. Int Endod J 2015; 48: 3-15
  • 13 Dula K, Benic GI, Bornstein M et al. SADMFR guidelines for the use of cone-beam computed tomography/digital volume tomography – endodontics, periodontology, reconstructive dentistry, pediatric dentistry. Swiss Dent J 2015; 125: 945-953
  • 14 European Commission. Radiation Protection N°172: Evidence based guidelines on cone beam CT for dental and maxillofacial radiology. Luxembourg: Office for official publications of the European communities; 2012
  • 15 Jeger FB, Lussi A, Bornstein MM et al. Die digitale Volumentomografie in der Endodontologie: Eine Übersicht für den Praxisalltag. Schweiz Monatsschr Zahnmed 2013; 123: 661-668
  • 16 Janner SF, Jeger FB, Lussi A, Bornstein MM. Precision of endodontic working length measurements: a pilot investigation comparing cone-beam computed tomography scanning with standard measurement techniques. J Endod 2011; 37: 1046-1051
  • 17 Jeger FB, Janner SF, Bornstein MM et al. Endodontic working length measurement with preexisting cone-beam computed tomography scanning: a prospective, controlled clinical study. J Endod 2012; 38: 884-888
  • 18 Estrela C, Bueno MR, Sousa-Neto MD et al. Method for determination of root curvature radius using cone-beam computed tomography images. Braz Dent J 2008; 19: 114-118
  • 19 Michetti J, Maret D, Mallet JP et al. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod 2010; 36: 1187-1190
  • 20 Krastl G, Zehnder MS, Connert T et al. Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent Traumatol 2015; DOI: 10.1111/edt.12235.
  • 21 Perrin P, Neuhaus KW, Lussi A. The impact of loupes and microscopes on vision in endodontics. Int Endod J 2014; 47: 425-429
  • 22 DIN 6868-161: Sicherung der Bildqualität in röntgendiagnostischen Betrieben – Teil 161: Abnahmeprüfung nach RöV an zahnmedizinischen Röntgeneinrichtungen zur digitalen Volumentomografie. Berlin: Beuth; 2013
  • 23 Wu MK, Shemesh H, Wesselink PR. Limitations of previously published systematic reviews evaluating the outcome of endodontic treatment. Int Endod J 2009; 42: 656-666
  • 24 Lofthag-Hansen S, Huumonen S, Gröndahl K et al. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 114-119
  • 25 Low KM, Dula K, Burgin W et al. Comparison of periapical radiography and limited cone-beam tomography in posterior maxillary teeth referred for apical surgery. J Endod 2008; 34: 557-562
  • 26 Bornstein MM, Lauber R, Sendi P et al. Comparison of periapical radiography and limited cone-beam computed tomography in mandibular molars for analysis of anatomical landmarks before apical surgery. J Endod 2011; 37: 151-157
  • 27 Weissman J, Johnson JD, Anderson M et al. Association between the presence of apical periodontitis and clinical symptoms in endodontic patients using cone-beam computed tomography and periapical radiographs. J Endod 2015; 41: 1824-1829
  • 28 Janner SF, Caversaccio MD, Dubach P et al. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res 2011; 22: 1446-1453
  • 29 Bornstein MM, Bingisser AC, Reichart PA et al. Comparison between radiographic (2-dimensional and 3-dimensional) and histologic findings of periapical lesions treated with apical surgery. J Endod 2015; 41: 804-811
  • 30 Pigg M. Chronic intraoral pain assessment of diagnostic methods and prognosis. Swed Dent J Suppl 2011; 7-91
  • 31 Pasqualini D, Scotti N, Ambrogio P et al. Atypical facial pain related to apical fenestration and overfilling. Int Endod J 2012; 45: 670-677
  • 32 Polycarpou N, Ng YL, Canavan D et al. Prevalence of persistent pain after endodontic treatment and factors affecting its occurrence in cases with complete radiographic healing. Int Endod J 2005; 38: 169-178
  • 33 Kamburoglu K, Kursin S. A comparison of the diagnostic accuracy of CBCT images of different voxel resolutions used to detect simulated small internal resorption cavities. Int Endod J 2010; 43: 798-807
  • 34 Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int 1999; 30: 83-89
  • 35 Von Arx T, Schawalder P, Ackermann M et al. Human and feline invasive cervical resorptions: the missing link? Presentation of four cases. J Endod 2009; 35: 904-913
  • 36 Cohenca N, Simon JH, Roges R et al. Clinical indications for digital imaging in dento-alveolar trauma. Part 1: traumatic injuries. Dental Traumatol 2007; 23: 95-104
  • 37 Dula K, Bornstein MM, Buser D et al. SADMFR guidelines for the use of cone-beam computed tomography/digital volume tomography – oral and maxillofacial surgery, temporomandibular joint disorders and orthodontics. Swiss Dent J 2014; 124: 1170-1183