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World J Radiol. May 28, 2014; 6(5): 139-147
Published online May 28, 2014. doi: 10.4329/wjr.v6.i5.139
Use of cone beam computed tomography in periodontology
Buket Acar, Kıvanç Kamburoğlu
Buket Acar, Kıvanç Kamburoğlu, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara 06560, Turkey
Buket Acar, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara 06230, Turkey
Author contributions: Acar B and Kamburoğlu K contributed equally to this paper.
Correspondence to: Kıvanç Kamburoğlu, DDS, MSc, PhD, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Emniyet District, İnci Taş Street, Yenimahalle, Ankara 06560, Turkey. dtkivo@yahoo.com
Telephone: +90-31-22965632 Fax: +90-31-22123954
Received: December 25, 2013
Revised: March 1, 2014
Accepted: April 25, 2014
Published online: May 28, 2014
Processing time: 154 Days and 14.7 Hours
Core Tip

Core tip: Dentomaxillofacial cone beam computed tomography (CBCT) is now commonly used for a variety of diagnostic tasks in dentistry. Its applications in periodontal disease has not been very well reviewed and documented previously. This review paper will shed light into this innovative technology and its use in periodontology. Diagnosis of periodontal disease depends on clinical signs and symptoms. However, in the case of bone destruction, radiographs are valuable diagnostic tools as an adjunct to the clinical examination. Two dimensional periapical and panoramic radiographs are routinely used for diagnosing periodontal bone levels. In two dimensional imaging, evaluation of bone craters, lamina dura and periodontal bone level is limited by projection geometry and superposition of adjacent anatomical structures. Those limitations of 2D radiographs can be eliminated by three-dimensional imaging techniques such as computed tomography. CBCT generates 3D volumetric images and is also commonly used in dentistry. All CBCT units provide axial, coronal and sagittal multi-planar reconstructed images without magnification. Also, panoramic images without distortion and magnification can be generated with curved planar reformation. CBCT displays 3D images that are necessary for the diagnosis of intra bony defects, furcation involvements and buccal/lingual bone destructions. CBCT applications provide obvious benefits in periodontics, however; it should be used only in correct indications considering the necessity and the potential hazards of the examination.