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CBCT in evaluation of root canal preparation - a scoping review

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Resumo(s)

Cone-beam computed tomography (CBCT) is widely utilized in endodontics for evaluating root canal shaping outcomes, offering critical three-dimensional imaging capabilities. This study aims to assess the differences in apical and root canal preparation across various instrumentation techniques using CBCT. A systematic search of the Medline database (via PubMed) and Web of Science was performed up to 12 April 2025, yielding a total of 70 studies, with 45 full-text articles assessed for eligibility; 28 were included in the review. Studies showed great heterogeneity in experimental design, anatomical variables, and outcome measurements. The results indicate that rotary instruments, such as ProTaper Next® and XP-Endo Shaper®, were reported more frequently or showed favorable shaping trends in individual studies. Although rotary systems often appeared advantageous, conclusions were limited by study design variability and a lack of correlation with clinical outcomes. The evidence highlights the need for standardized methodologies and further research, especially on manual techniques. CBCT remains a valuable research tool despite inherent spatial resolution limitations.

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CBCT Dental instruments Endodontics Root canal preparation Root canal therapy

Contexto Educativo

Citação

Vidal, A., Teles, A. M., Cardoso, M., & Bartolomeu, M. et al. (2026). CBCT in evaluation of root canal preparation - a scoping review. Dentistry Journal, 14(2), Article 114. https://doi.org/10.3390/dj14020114

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