What type of radiography is most often used to confirm the diagnosis of periapical disease?

Periapical radiography is the standard imaging technique used to confirm the diagnosis of periapical disease. This type of radiography specifically captures the area surrounding the apex of a tooth, providing detailed images of the tooth root, the surrounding bone structure, and any pathological changes that may indicate the presence of infection or other periapical conditions. This focused view is crucial for accurate diagnosis and treatment planning.

In contrast, panoramic radiography offers a broad view of the entire mouth, which is beneficial for a general overview but may not provide the detailed information needed for diagnosing specific periapical issues. Cephalometric radiography, typically used in orthodontic evaluations, focuses on the relationships between the teeth and skeletal structure and is not designed for periapical assessment. CBCT scans provide three-dimensional imaging and can be incredibly helpful in complex cases; however, they are not the first-line imaging technique for simple periapical diseases due to their higher cost and increased radiation exposure when simpler methods suffice.