Aspekty radiologiczne w leczeniu endodontycznym

*Katarzyna Kosińska¹, Magdalena Sobecka²

Summary
Root canal treatment depends to a very large extent on radiological examination. Radiographs play an important role at every stage of endodontic treatment: diagnosis, treatment and follow-up. In endodontics, intra- and extraoral X-rays are used. Intraoral images include: dental radiographs, bitewings and occlusal radiographs, while extraoral radiographs are: panoramic views and cone beam computed tomography (CBCT). Dental radiographs are the most useful in intraoral radiographs. There are two main techniques for taking dental radiographs: paralleling technique and bisecting angle technique. Both conventional and digital radiography can be used. Crucial benefits of digital images include high quality of imaging, possibility of obtaining results very quickly, possibility of image transformations, reduction of radiation dose. The above-mentioned techniques provide two-dimensional images of three-dimensional structures of patient’s facial part of the scull. The cone beam computed tomography (CBCT) is a three-dimensional imaging technique, which has gained the popularity in recent years. The most important radiological aspects of endodontic treatment are presented, based on review of Polish and foreign literature. Quality criteria of radiographs, according to the European Commission in 2004 are presented. Advantages and disadvantages of particular techniques of taking radiographs are shown. Problems related to the cooperation with the patient, which may affect the course of endodontic treatment was also highlighted.

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