ASK AN EXPERT: Root Canals - Minimizing Your Access Using Vatech CBCT

In the world of endodontics, precision and visualization are everything. The success of root canal therapy often hinges on the clinician’s ability to locate complex canal systems, minimize access, and preserve healthy tooth structure. That’s where Vatech CBCT technology makes all the difference.

Take a look at my 4 minute video below. I put this together to help Vatech users use their CBCT for endo. Use the Ez3D-i software to treatment plan and help keep your access down to a minimum AND know where to begin your access.

Practical Tips from the Video

• Select bone density filter so you can see tooth surface details
• Use MPR tab to visualize your axial, coronal, and sagittal views
• Change angles of slices to align with the tooth you're treatment planning
• Change angles of slices in other views to visualize the long access of the tooth
• Use nerve mapping tool to map from the floor of the pulp chamber to just outside the tooth

Clinical Applications of CBCT in Endodontics

• Complex morphology
• Retreatment cases
• Locate and treat MB2s
• Calcified canals
• Apical pathology not visible on 2D imaging
• Cases requiring surgical planning (apicoectomy)
• Identifying fractures and accessory canals
• External and internal root resorption
• And more...

The video demonstrates how to use the CBCT viewer tools to analyze the tooth’s anatomy in cross-sectional views. By precisely identifying the canal locations and angulations, clinicians can minimize the size of the access cavity, preserving more thooth structure and improving long-term tooth strength.

Key Benefits of Vatech CBCT in Endodontics

1. Minimize Access, Maximize Preservation

The video demonstrates how to use the CBCT viewer tools to analyze the tooth’s anatomy in cross-sectional views. By precisely identifying the canal locations and angulations, clinicians can minimize the size of the access cavity, preserving more dentin and improving long-term tooth strength.

2. Know Where to Begin Access

Rather than relying on estimates or tactile feedback alone, Vatech CBCT allows you to pinpoint the optimal access point before picking up the handpiece. The 3D visualization makes it easy to avoid perforations and missed canals, especially in teeth with atypical anatomy or calcification.

3. Diagnose with Confidence

From identifying extra canals to spotting periapical pathology, CBCT scans offer unparalleled detail:

• Detect MB2 canals in maxillary molars

• Visualize root fractures or resorption

• Assess canal curvature and root anatomy

• Plan re-treatment cases with more certainty

4. Treatment Planning Made Easy

The Vatech software interface simplifies navigation across axial, sagittal, and coronal slices. Tools like measurement functions, ROI focus, and customizable views help you plan everything from access to obturation with precision.

Ready to get STarted With ENDO? We're Here to help!

Get to know Voxel! We have a team of dental technology experts, with specialists in the endo market, ready to help you find the right equipment for your practice. 

We are a leading Vatech America distributor and we also are sister-company with Global Surgical microscopes. With this unique offering, we can bring endodontists leading technology in a bundle package never seen before!

Ready to begin? Give us a call at (281) 789-7270 or fill out an online inquiry form here. We look forward to earning your business.