Analysis of errors in endodontic treatment according to cone-beam computed tomography
E. P. Zinkovskaya,
E. V. Chestnykh,
L. A. Goreva,
I. O. Larichkin,
N. V. Shedyakova,
E. L. Zakharova https://doi.org/10.36377/ET-0040
Abstract
AIM. The aim of the study was to study the frequency of errors in endodontic treatment according to cone beam computed tomography.
MATERIALS AND METHODS. 71 cone beam computed tomography (CBCT) scans of patients treated by random sampling who sought treatment and consultation in the period 2022–2023 were studied. 256 teeth previously subjected to endodontic treatment with the presence or absence of radiological signs of chronic apical periodontitis were examined. The assessment of the quality of root canal obturation and the features of the anatomical structure of teeth was carried out. The data of the «Ray RAYSCAN alpha 3D» cone beam computed tomograph were studied using the OnDemand3DDental program. The results were considered statistically significant at p< 0.05.
RESULTS. In 57.42% of cases, there were no signs of periapical pathology, and in 42.58%, foci of bone destruction in the periapical region were observed. Homogeneously, 58.59% of root canals were sealed to the apex. In 16.79% of cases, the removal of filling material outside the root canal was noted. 10.54% of teeth with insufficient root canal filling depth and 6.64% of teeth with a missing root canal were also identified.
CONCLUSIONS. There is a decrease in the incidence of the most common errors of endodontic treatment. The method of cone beam computed tomography is important at the stage of diagnosis and planning of endodontic treatment to assess the features of the internal structure of the tooth.
About the Authors
E. P. Zinkovskaya
Tver State Medical University
Russian Federation
Russian Federation
Elena P. Zinkovskaya – Cand. Sci. (Med.), Associate Professor of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
E. V. Chestnykh
Tver State Medical University
Russian Federation
Russian Federation
Elena V. Chestnykh – Cand. Sci. (Med.), Associate Professor, Head of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
L. A. Goreva
Tver State Medical University
Russian Federation
Russian Federation
Lyubov A. Goreva – Cand. Sci. (Med.), Associate Professor of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
I. O. Larichkin
Tver State Medical University
Russian Federation
Russian Federation
Ilya O. Larichkin – Cand. Sci. (Med.), Assistant Professor of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
N. V. Shedyakova
Tver State Medical University
Russian Federation
Russian Federation
Natalia V. Shedyakova – Cand. Sci. (Med.), Assistant Professor of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
E. L. Zakharova
Tver State Medical University
Russian Federation
Russian Federation
Elena L. Zakharova – Cand. Sci. (Med.), Assistant Professor of the Department of Therapeutic Dentistry
4 Sovetskaya Str., Tver 170100
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Review
For citations:
Zinkovskaya E.P., Chestnykh E.V., Goreva L.A., Larichkin I.O., Shedyakova N.V., Zakharova E.L. Analysis of errors in endodontic treatment according to cone-beam computed tomography. Endodontics Today. 2024;22(3):229-235. (In Russ.) https://doi.org/10.36377/ET-0040
