Rico Short CBCT
Rico Short CBCT
Rico Short CBCT
is a Game Changer
for Endodontics
CBCT
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For over 25
years, cone beam computed
tomography (CBCT)
has transformed the way doctors
do dentistry. The advancement
of this technology has become a
valuable asset for patient diagnosis
in many workflows, as well as in
treatment planning where traditional
radiography falls short.
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THIS IS PARTICULARLY TRUE for complex end-
odontic cases in which a conventional radiograph
hasn’t produced enough information. By using
CBCT imaging for diagnosis, endodontists can find
extra canals and unusual anatomy that might not be
visible using 2D imaging and plan a patient’s care
ahead of time. CBCT scans are useful for detecting
periapical lesions, root canal anatomy and the
spatial relationship of roots to nearby anatomical
structures. There is also a better view of the location,
type and shape of structures within the root.
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Clinical situations where CBCT has proven to be highly beneficial
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aaomr.org/wp-content/uploads/2021/09/aae-aao- 3
aae.org/specialty/communique/how-cbct-is-chang-
mr-2015update.pdf ing-surgical-outcomes-assessment
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nline-dzz.com/archive/issue/article/dzzint-2-
o 4
pubmed.ncbi.nlm.nih.gov/34938018
2021/5659-103238-dzz-int20210007-cbct-in-surgical-
endodontics-a-must-have
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ncbi.nlm.nih.gov/pmc/articles/PMC4277441
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How CBCT can be used in endodontic workflows
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■ Pre-surgical assessment: Endodontists often use CBCT imaging to
identify the anatomical relationship of the root apices to important
neighboring anatomical structures, such as the inferior dental canal,
mental foramen and maxillary sinus. This can help prevent injuries
during surgery. It is possible to use a CBCT scan to accurately deter-
mine the thickness of the cortical plate, the cancellous bone pat-
tern, fenestrations and the inclination of roots involved in periapical
surgery. Practitioners may also use a CBCT scan to assess the root
morphology, bony topography and the number of root canals.
7
researchgate.net/publication/47369313_Cone_Beam_Comput-
ed_Tomography_CBCT_in_Endodontics
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DR. RICO D. SHORT
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DR. RICO D. SHORT
Comparison of 2D to 3D images
WHILE DR. SHORT agrees that both 2D and 3D images have their
strengths and weaknesses, 3D images, in particular, provide more
comprehensive views of the mouth than a 2D scan. “With 2D images,
you’re only seeing one side of the tooth,” says Dr. Short. “With 3D,
you can see an infection or crack on the back side. You can actually
take slices and look at certain areas of the tooth. It’s almost like you
3D
can travel through the tooth from the top down and know where all
the canals are, and where the infections are located.” He likens a 3D
scan to GPS. It can re-route you from a tooth where there is no prob-
lem and direct you to one where
an issue does exist, he explains. Dr. Short likens a 3D scan
“Or, if you are doing surgery, you
to GPS. It can re-route
will know you cannot go a certain
distance or you will hit a nerve,” you from a tooth where
he adds.
there is no problem and
direct you to one where
2D
an issue does exist.
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DR. RICO D. SHORT
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31 30
1
3D CBCT
rendering
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CASE
Nº 2 CBCT for Diagnosis
and Anatomy
Dr. Short discovered the palatal root was 1 You can’t see any pathology in the area
on the 2D PA (periapical) film.
very long and had a gradual curve. Beyond
2 Limited field of view (LFOV), pathology
that, the canals only became visible with the is seen on CBCT.
CBCT scan. “On the 2D image, you couldn’t MB2 3 Arrow is pointing to an accessory canal
or MB2; showing the complexity of the
tell how many canals it had — maybe one case.
root, two roots,” says Dr. Short.
In one visit, Dr. Short performed a root canal.
3
Nonetheless, with treatment, the patient re-
ported being asymptomatic the next day.
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DR. RICO D. SHORT
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Dr. Rico D. Short is a board-certified endo- he has published over 1,000 articles on social
dontist, author and speaker. In addition, media involving case studies in endodontics.
he is an expert spokesperson on endodon- They are called “The SHORT Case of the
tics for the American Dental Association, Day” in which he has a robust worldwide
a professional organization representing following of over 100,000 dentists. Dr. Short
approximately 161,000 U.S. dentists. was named one of the top “40 Under 40”
Dr. Short attended the Medical College of dentists in America by Incisal Edge maga-
Georgia School of Dentistry to attain a Doctor zine in 2013, a top “20 Alumni Under 40” by
of Dental Medicine degree in 1999. In 2002, Augusta University and has been named in
he earned his post doctorate degree in end- Dentistry Today consistently as one of the top
odontics from Nova Southeastern University. leaders in continuing education. In October
DR. RICO D. Dr. Short became a diplomate of the Ameri- 2012, Dr. Short was selected as a panelist for
SHORT can Board of Endodontics in 2009. His private the Affordable Care Act. He was invited to
practice, Apex Endodontics P.C., was opened the White House to give his personal opinion
in 2004 and is located in Smyrna, Georgia, on how the Affordable Care Act would affect
just outside of Atlanta, Georgia. both businesses and citizens of our country
from a health care provider perspective.
Dr. Short has authored three books, “End-
odontic Keys and Cases: A Clinical Guide to He is very philanthropic in his community.
Modern Root Canal Therapy,” “Getting to the Dr. Short has established an annual scholar-
Root of Your Problem: 365 Days of Inspiration- ship at the Dental College of Georgia in
al Thinking” and “In the Eye of a Storm: 45 Augusta, formally known as the Medical
Days of Turbulence and Peace.” In addition, College of Georgia School of Dentistry.
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DISCOVER EVEN MORE BENEFITS
ABOUT ADDING CBCT TO YOUR
PRACTICE – SCAN HERE
Additional resources
For additional
guidance deploying
CBCT in your dental Webinars on CBCT Articles on CBCT
practice, visit: 1. New Rules of Endodontic Retreatment
1. The No-Nonsense Guide to the Role
of CBCT in Endodontic Diagnosis 2. Debating CBCT? What You Need to Know
and Treatment Planning
3. Why More General Dental Practices are
2. Demystified: Cracked Teeth and Turning to CBCT
Vertical Root Fractures
[Diagnosis and Treatment Planning] 4. Digital Implant Planning in Your Practice
5. 3D Imaging Implant Treatment Planning
3. CBCT in Action: Interpretation
in Endodontics 6. Cracked Teeth and Vertical Root Fractures
7. How CBCT Can Supercharge Your
Endodontics Practice
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