CONE BEAM COMPUTED TOMOGRAPHY ROLE IN DIAGNOSIS AND TREATMENT PLAN OF SYMPTOMATIC OR ASYMPTOMATIC PERIODONTITIS IN CONTEXT OF ORAL REHABILITATION

Abstract

Before choosing a treatment plan, the diagnosis must be well known. The diagnosis is based on the signs and symptoms, but an important role is played by the paraclinical examination, the radiograph. Our article highlights the case of a 24 years old woman who came to the Departament of Endodontology for treating the second left maxillary premolar. According to the signs and symptoms she presented and periapical radiograph which revealed a periapical radiolucency. We made the diagnosis of symptomatic periodontitis. To be able to measure 3D the size of the periapical lesion, we indicated a CBCT. The CBCT cross sections revealed a periapical radiolucency at the first left maxillary molar, affecting the roots both at periapical and interradicular level, but the patient was asymptomatic even though she had a metallic post and a crown. At the second clinical examination she remembered that she had repeated endodontic retreatments. After an interdisciplinary discussion between endodontist, surgeon and radiologist, we decided to treat the premolar and extract the molar, followed by an implant.

Keywords

• periodontitis
• periapical radiograph
• cbct
• prosthetic restoration