Comparative Evaluation of Cone-Beam Computed Tomography and Conventional Radiography in Endodontic Lesion Detection

Abstract

The successful diagnosis and treatment of periapical lesions are dependent on successful endodontic treatment and good diagnosis, with the correct technique for the accurate detection of periapical lesions. The standard two-dimensional radiographs have been employed for this purpose, but these radiographs have disadvantages in revealing complex anatomical structures and the presence of overlapping features that may reduce the accuracy of diagnosis. Now, with three-dimensional imaging, Cone Beam CT has come to be regarded as a superior tool in delineating the extent, position, and morphology of periapical pathology. This article comparatively evaluates CBCT and conventional radiography for the detection of endodontic lesions, bringing into focus their strengths, disadvantages, and clinical applications. The studies show that CBCT has greater sensitivity and specificity for detecting lesions, especially where multi-rooted teeth and complex anatomical variations are involved. Yet issues related to radiation dose, cost, and accessibility must be considered. From these findings, we see that CBCT cannot supplant conventional imaging but rather defines itself as an adjunct place with better diagnostic precision in present-day endodontology.