Endodontic Applications of Cone-Beam Volumetric Tomography

The ability to assess an area of interest in 3 dimensions might benefit both novice and experienced clinicians alike. High-resolution limited cone-beam volumetric tomography (CBVT) has been designed for dental applications. As opposed to sliced-image data of conventional computed tomography (CT) imaging, CBVT captures a cylindrical volume of data in one acquisition and thus offers distinct advantages over conventional medical CT. These advantages include increased accuracy, higher resolution, scan-time reduction, and dose reduction. Specific endodontic applications of CBVT are being identified as the technology becomes more prevalent. CBVT has great potential to become a valuable tool in the modern endodontic practice. The objectives of this article are to briefly review cone-beam technology and its advantages over medical CT and conventional radiography, to illustrate current and future clinical applications of cone-beam technology in endodontic practice, and to discuss medicolegal considerations pertaining to the acquisition and interpretation of 3-dimensional data.