Endodontic radiography

radiography in endodontic used for: 1- Diagnosis. 2- Treatment. 3- Recall.

Although imaging in dentistry has greatly advanced recently, the most common images used in endodontics are the periapical and bitewing radiographs.

Periapical radiographs show the whole tooth and the surrounding bone. They reveal caries, periodontal diseases and periapical lesions

1- Identifying pathosis: radiographs will explain and show the changes occur in pulp foe e.g.( internal resorption pulp stone), periapical lesion or radiolucency, periodontal or other bony lesions and presence of a broken instrument

Diagnosis:

2- Determine

root and pulp anatomy: if there is 1 root or 2 roots or if there are 1 or 2 canals in the root or mor.

Treatment:
1- Determining WL.

2- Moving superimposed structures.

3- Locating canals.

4- Evaluating obturation:

c. Recall: Review of the patient. If the patient initially comes to dental clinic with periapical radiolucency or periapical inflammation, thats indicates a disease around the apex. And if you did a well RCT, and tell the patient to come after 1 -2 months and take a radiograph, you will notice that the radiolucency or the inflammation is disappeared because the bacteria were eliminated.

The SLOB rule is one of the most widely used radiographic concept in endodontics. On periapical radiographs, roots are often superimposed upon one another and require separation for proper identification. The SLOB rule is an acronym for Same Lingual Opposite Buccal. one radiograph is taken straight on at a 90 degree angle to the tooth and a second radiograph is taken with the tube head shifted either mesially or distally. The rule simply states that the object imaged will move in the same direction as the tube head is moved if it is located on the lingual (Same Lingual). Conversely, the object being imaged will move opposite the tube head movement if it is located on the buccal (Opposite Buccal). An example of this would be a palatal root, which is on the lingual side of a maxillary molar, will move mesially on the image if the tube head moves mesially (Same Lingual).

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