Cotti E, Vargiu P, Dettori C, Mallarini G
Department of Conservative Dentistry, University of Cagliari, Italy.
Endod Dent Traumatol. 1999 Aug;15(4):186-9. doi: 10.1111/j.1600-9657.1999.tb00799.x.
Radiographs are good diagnostic aids in endodontics, although they have limitations. The purpose of this article is to discuss the use of computerized tomography in differential diagnosis, treatment planning, follow-up and overall clinical management of complex periapical lesions. A clinical case of an extensive symptomatic periapical lesion of the upper jaw is presented, in which the use of computerized tomography allowed evaluation of the true extent of the lesion and its spatial relationship to important anatomical landmarks. Computerized tomography also provided specific information about the type of lesion and the degree of bone repair which had taken place 18 months after non-surgical treatment had been completed.
X线片在牙髓病学中是很好的诊断辅助手段，尽管它们存在局限性。本文的目的是讨论计算机断层扫描在复杂根尖周病变的鉴别诊断、治疗计划制定、随访及整体临床管理中的应用。本文介绍了1例上颌广泛的有症状根尖周病变的临床病例，其中计算机断层扫描有助于评估病变的实际范围及其与重要解剖标志的空间关系。计算机断层扫描还提供了有关病变类型以及非手术治疗完成18个月后发生的骨修复程度的具体信息。
