Director, Oral Radiology and Advanced Imaging Western University of Health Sciences, College of Dental Medicine Chino Hills, California, United States
In this course, a review of relevant craniofacial anatomic structures in CBCT scans is presented. Radiographic changes related to odontogenic and non-odontogenic pathosis involving the jaws and paranasal sinuses are discussed. A step-by-step approach to evaluate CBCT scans by locating normal neuro vascular structures and their variations in maxilla and mandible to prevent nerve injury and hemorrhage during implant planning is covered. Radiographic presentation of cystic, tumoral (benign/ malignant), and fibro-osseous lesions are also covered. Case based applications of CBCT in diagnosis and treatment planning of root canal anatomy, endodontic resorptions, and missed canals are explored. The value of CBCT in implant planning, pre and post bone and sinus augmentation procedures are also discussed. Evaluation of TMJ and radiographic signs of internal derangements and osteoarthritis changes are presented.
Learning Objectives:
Identify relevant CBCT anatomical structures
Describe the common radiographic findings associated with different jaw pathosis including cystic, neoplastic, and especially radiographic signs of malignancies
Be familiar with indications of CBCT in Endodontic cases that have potential for abnormal root anatomy, resorptive lesions or missed canals
Locate vital anatomical structures related to the area of implant planning and how to utilize CBCT in planning stage to prevent nerve injury
Explain the etiology and CBCT presentation of different types of TMJ abnormalities and the next available imaging steps beyond CBCT that can help get the full picture