The Role of 3D Imaging in Endodontic Diagnosis and Treatment Planning: A Systematic Review

Abstract

The advancement of dental technology has significantly enhanced the diagnostic and treatment planning processes in endodontics. This systematic review evaluates the role of three-dimensional (3D) imaging techniques, particularly cone beam computed tomography (CBCT), in the diagnosis and treatment planning of endodontic conditions. A comprehensive literature search was conducted across multiple databases, including PubMed, Scopus, and Cochrane Library, yielding studies published from 2010 to 2023 that focused on the application of 3D imaging in endodontic practice. The review highlights the advantages of 3D imaging over traditional two-dimensional methods, such as improved visualization of complex root canal anatomies, enhanced detection of periapical lesions, and the ability to assess anatomical structures in greater detail. The findings demonstrate that 3D imaging facilitates accurate diagnosis, better understanding of root canal systems, and improved treatment outcomes. Moreover, it aids in preoperative planning, risk assessment, and guided endodontic procedures, thereby reducing the incidence of procedural errors. However, challenges such as high radiation exposure, cost implications, and the need for specialized training in interpreting 3D images were also identified. The review concludes that while 3D imaging has transformed endodontic diagnostics and treatment planning, further research is needed to standardize protocols and address the limitations associated with its clinical application. This study provides valuable insights for dental practitioners and researchers, emphasizing the necessity of integrating advanced imaging techniques into routine endodontic practice.