CT scan for bone loss


Joined
Oct 5, 2021
Messages
6
Hello, I need answer for this question

When a tooth is affected by some bone loss at the root and needs root canal treatment, is ct scan absolutely needed, or if the patient asks it and doesn´t want ct, can periapical X rays and be used instead as alternative? Thank you
 
Ad

Advertisements

honestdoc

Verified Dentist
Joined
Jun 14, 2018
Messages
1,361
Solutions
165
Firstly, there must be clinical signs and symptoms to diagnose a tooth needing root canal treatment. Secondly, I've never used a CT scan. It can be very helpful for root canals to reveal 3-D anatomy that a 2-D periapical image cannot. CT scans are very expensive and if it is available, it can be very helpful.
 
Joined
Oct 5, 2021
Messages
6
Thanks for your answer. Based on symptoms and a periapical X rays image, doctor says there is some bone loss under one tooth root and the root is affected, so endodontics is needed but says he would need a CT image. If patient refuse scan, would be enough, then, other low radiation procedures? Thank you very much.
 
Joined
Oct 5, 2021
Messages
6
Could you provide the periapical image? What symptoms are you experiencing?
Hello. Sorry for my delay. I have had a great abcess. The tooth next to the one with endodontucs treatment had a raised sensation and a very slight movement when moved with fingers. This tooth had not had serious symptoms before: After root canal treatment were donde on next tooth, the tooth I am referring now begun to show some discomfort. Specially after eating, a slight raising sensation and very slight pain when the piece was laterally pressed with finger was felt. These sensations ended some time (1-3h) after eating. In the last months almost no pain nor discomfort was felt. Then I had the abscess. Currently there is no pain nor discomfort. Piece movement is near zero.
 
Joined
Oct 5, 2021
Messages
6
Hello, I send the radiograph. I do not know why the image is inverted: The piece with endodontics should be at your right, and the other (the dental piece which shown raised sensation, pain, etc, at your left). I would like to know the possible solutions to this problem, and if only low radiation radiographs like this could be performed. Thank you.
 

Attachments

  • Dental-x rays- image_.jpg
    Dental-x rays- image_.jpg
    117.4 KB · Views: 11
Ad

Advertisements

Ad

Advertisements

Joined
Oct 5, 2021
Messages
6
Thanks for your answer. What about the adjacent tooth? Can you see bone loss?
IS there any possibility for root canal treatment tooth to be saved?
Do you think could help if I ask for a second opinion?

Thanks again.
 

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments. After that, you can post your question and our members will help you out.

Ask a Question

Top