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BackgroundThis study aimed to compare the diagnostic accuracy of cone-beam computed tomography (CBCT) unit with digital intraoral radiography technique for detecting periodontal defects.MethodsThe study material comprised 12 dry skulls with maxilla and mandible. Artificial defects (dehiscence, tunnel, and fenestration) were created on anterior, premolar and molar teeth separately using burs. In total 14 dehiscences, 13 fenestrations, eight tunnel and 16 without periodontal defect were used in the study. These were randomly created on dry skulls. Each teeth with and without defects were images at various vertical angles using each of the following modalities: a Planmeca Promax Cone Beam CT and a Digora photostimulable phosphor plates. Specificity and sensitivity for assessing periodontal defects by each radiographic technique were calculated. Chi-square statistics were used to evaluate differences between modalities. Kappa statistics assessed the agreement between observers. Results were considered significant at P < 0.05.ResultsThe kappa values for inter-observer agreement between observers ranged between 0.78 and 0.96 for the CBCT, and 0.43 and 0.72 of intraoral images. The Kappa values for detecting defects on anterior teeth was the least, following premolar and molar teeth both CBCT and intraoral imaging.ConclusionsCBCT has the highest sensitivity and diagnostic accuracy for detecting various periodontal defects among the radiographic modalities examined.

Objectives: This study assessed the influence of different voxel resolutions of two different CBCT units on the in vitro detection of periodontal defects. Methods: The study used 12 dry skulls with a maxilla and a mandible. Artificial defects (dehiscence, tunnel, fenestration) were separately created on the anterior, premolar and molar teeth using burrs. A total of 14 dehiscences, 13 fenestrations, 8 tunnels and 16 non-defect controls were used in the study. Images were obtained from two different CBCT units in six voxel sizes (voxel size: 0.080, 0.100, 0.125, 0.150, 0.160 and 0.200 mm 3 ). Kappa coefficients were calculated to assess both intra-and interobserver agreements for each image set. Results: Overall intraobserver kappa coefficients ranged between 0.978 and 0.973 for the 0.080-mm 3 images and between 0.751 and 0.737 for the 0.160-mm 3 images, suggesting notably high intraobserver agreement for detecting periodontal defects. CBCT performed significantly better at detecting fenestrations (p , 0.05) than tunnel and dehiscence defects. No statistically significant difference was found between the detection of dehiscence and tunnel defects (p . 0.05). Conclusions: A voxel size of 0.150 mm 3 was identified as the cut-off point for overall detection of periodontal defects. CBCT should be considered the most reliable imaging modality for the diagnosis of periodontal defects.

BackgroundNumb chin syndrome is an uncommon but well-recognized symptom in medical oncology. This condition can be related to metastatic neurological manifestation of malignancy, often with no clinically visible pathology. About 1% of oral cancers, which are located in the soft tissues and jaws, are metastases of primary tumors located elsewhere in the body. The posterior mandible is the most common site of metastasis of the oral region because of its rich blood supply in active areas of hematopoiesis. This article describes prostate carcinoma metastasis located in the mandible and temporomandibular joint of a 78-year-old male.Case presentationA 78-year-old male patient presented to our outpatient clinic with a complaint of numbness and pain on the left site of the mandible. The patient stated that he had been suffering from this numbness for 1 to 2 months. In the medical anamnesis, it was discovered that patient had prostate carcinoma (CA) 5 years previous, and since then, he had visited his doctor periodically for an annual examination. In these examinations and on the basis of tests carried out at the hospital 1 year previous, it was stated that no CA relapse traces were detected. The patient had visited his dentist 2 months previous for pain and numbness of the left molar region.ConclusionsWe report numb chin syndrome, which is an uncommon neurological manifestation of metastatic malignancy. The clinical course and rapid deterioration after the initial presentation of this syndrome is discussed. This clinical situation illustrates the importance of good medical history review prior to all procedures by the medical professions dealing with oncology patients. An awareness of this condition is crucial, especially in symptoms with unexplained facial pain and numbness.

The aim of this study was to quantify the internal void volume formation in bulk‐fill resin composites with using 3D micro‐computed tomography (μCT). Class II box cavities in 4‐mm depth were prepared and treated with Clearfil S3 Bond Plus (Kuraray Medical). Five resin composites were evaluated: one conventional paste‐like (Filtek Ultimate Universal Restorative‐as the control), one conventional flowable (Filtek Ultimate Flowable Restorative), two flowable bulk‐fill (Voco Extrabase, SDR), one paste‐like bulk‐fill (Filtek One BulkFill Restorative). Resin composites were light cured using a light‐emitting diode light‐curing unit (SDI Radii Plus, SDI Limited, Australia). Samples were evaluated by μCT, and data were imported into software The NRecon (ver. 1.6.10.4, SkyScan) and CTAn (ver. 1.16.1.0, SkyScan) for 3D reconstruction, from which the percentage of void volume was calculated. Data were analyzed using the Kruskal‐Wallis test and the Mann–Whitney U‐test at a significance level of 5%. All restorative tested materials showed different levels of voids. Filtek One BulkFill Restorative showed the least void formation, which was statistically less than that of the conventional flowable composite group (p < 0.05). All other restorative materials showed similar void formation. POLYM. COMPOS., 40:2984–2992, 2019. © 2018 Society of Plastics Engineers