Vol. 3, Issue 5 (2018)
Use of CBCT in surgical decision making for the management of large periapical lesion: A case report
Author(s): Dr. Devika T Das, Dr. Nidhi Solanki, Dr. Kishan KV, Dr. Margi Parikh
Abstract: Surgical management of periapical pathology poses a dilemma when the radiolucency in the intraoral periapical radiograph extends to root tip of the adjacent vital tooth. But since it is two-dimensional representation of the object, most of the times it gives a false impression of the involvement of a vital tooth. Since the advent of the advanced diagnostic aids like CBCT the clinician can actually decide predictably whether to involve the adjacent vital tooth for the surgical planning by compromising the vitality or to preserve the vitality of the tooth after carefully evaluating the apical portion of the involved tooth. The present case report is one such conservative management of a case without compromising the vitality of the adjacent tooth by using the CBCT.