3D Imaging Integration in Endodontic Practice: Enhancing Accuracy in Working Length Determination and Canal Morphology Assessment

Abstract

The integration of three-dimensional (3D) imaging, particularly Cone-Beam Computed Tomography (CBCT), has revolutionized diagnostic precision in modern endodontic practice. Accurate determination of working length and comprehensive assessment of canal morphology are critical for the long-term success of root canal therapy. Traditional two-dimensional (2D) radiographic methods often present limitations such as image distortion, anatomical superimposition, and inadequate visualization of complex root canal systems. The adoption of CBCT allows clinicians to obtain volumetric data, enabling precise localization of anatomical landmarks, detailed canal mapping, and accurate measurement of working lengths. This enhances clinical decision-making, reduces procedural errors, and improves treatment predictability. Despite its advantages, factors such as radiation exposure, cost, and the need for specialized training pose challenges to its widespread adoption. Continued research and technological refinement are expected to enhance image resolution and minimize radiation dose, ensuring broader clinical integration. Ultimately, 3D imaging serves as a pivotal innovation that bridges diagnostic accuracy with procedural excellence in endodontics.