The radiographic examination with horizontal angle variation should be encouraged as the first complementary approach to assess the presence of VRFs. If conventional imaging is not capable to provide adequate information, CBCT can be indicated if a root fracture is strongly suspected. The root condition should then guide the voxel resolution choice, selecting 0.3-voxel for not root filled teeth and 0.2-voxel for teeth with filling and/or a post.
The evaluation of CT diagnostic ability revealed high sensitivity and excellent specificity. However, small cavities located in the apical third were more difficult to detect than all other cavities.
The results obtained in this study suggest that students who used the DLO performed better than those who used conventional methods. This suggests that the DLO may be a useful teaching tool for dentistry undergraduates, on distance learning courses and as a complementary tool in face-to-face teaching.
The purpose of this study was to evaluate the accuracy of airway measurements from lateral cephalograms, cone-beam computed tomographic (CBCT) lateral reconstructions, and CBCT axial planes, as well as to correlate these findings with area measurements acquired with the latter imaging method. Landmarks were defined for the measurements of naso- and oropharynx of 30 patients (12 males and 18 females, mean age 17.5 years), for different planes, using linear antero-posterior measurements and the corresponding area. Analysis of variance showed significant differences in the linear measurements of the oropharynx between the two methods, although all measurements assessed corresponded to the respective areas. The linear measurements of the airway space obtained using the different techniques correlated positively with the respective area measurements, which demonstrate the reliability of the investigated techniques.
Buccal bone conspicuity was impaired by a number of factors, the implant-abutment material being the most relevant. Acquisition and reconstruction factors had minor impact on the detection of the buccal bone condition.
Objectives: To assess radiographic observers' ability to recognize patient movement during cone beam CT and to decide early termination of the examination. Methods: 100 patients were video-recorded during cone beam CT examination. Patients' videos were cropped twice: fitting the active 20-s examination time or the initial non-radiation 3 s of the examination. x-and y-coordinates of pre-defined points marked on the patient's face were used to define the reference standard for movement in the 20-s videos. A sample of 40 non-moving and 20 moving patients was selected. Eight observers scored the videos. The 3-s videos were scored: 0, the patient did not move; 1, the patient moved and the examination should be terminated. The 20-s videos were scored: 0, the patient did not move; 1, the patient moved. Re-assessment of 15% of the videos provided intra-observer reproducibility. The 20-s videos were compared with the reference standard providing sensitivity and specificity values (movement/non-movement recognition). The scores of the 3-s videos were compared with the scores of the 20-s videos. Results: Intra-and interobserver reproducibility ranged from substantial to almost perfect for both videos. The 20-s videos allowed patient movement recognition with a high specificity and a medium to high sensitivity. The 3-s videos allowed early termination of the examination with a small number of incorrect positive scores. The majority of the patients scored as moving in the 20-s videos were detected in the 3-s videos. Conclusions: By observing video recordings, trained observers are able to recognize patient movement during cone beam CT examination with high specificity and to decide an early termination of the examination.
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