Comparison of intraoral radiography and cone-beam computed tomography for the detection of horizontal root fractures: an in vitro study

Avsever, Hakan; Günduz, Kaan; Orhan, Kaan; Uzun, İsmail; Özmen, Bilal; Eğrioğlu, Erol; Midilli, Muhammed

doi:10.1007/s00784-013-0940-4

Cited by 47 publications

(39 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[7][8][9][10][11][12][13][14][15][16] The literature, mainly based on in vitro studies, supports the hypothesis that CBCT is a method with greater accuracy than periapical radiographs in detecting apical periodontitis, resorptions and root fractures. [17][18][19][20][21][22][23][24][25][26][27] The effective radiation dose using the state-of-the-art radiologic technique with rectangular collimator and a high-speed film or digital sensor is extremely low. 28 For a CBCT examination to be justified, it needs to be of potential benefit to the patient, i.e.…”

Section: Introductionmentioning

confidence: 99%

The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics

Almeida¹,

Knutsson²,

Flygare³

2014

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objectives: The aim was to assess to what extent cone beam CT (CBCT) used in accordance with current European Commission guidelines in a normal clinical setting has an impact on therapeutic decisions in a population referred for endodontic problems. Methods: The study includes data of consecutively examined patients collected from October 2011 to December 2012. From 2 different endodontic specialist clinics, 57 patients were referred for a CBCT examination using criteria in accordance with current European guidelines. The CBCT examinations were performed using similar equipment and standardized among clinics. After a thorough clinical examination, but before CBCT, the examiner made a preliminary therapy plan which was recorded. After the CBCT examination, the same examiner made a new therapy plan. Therapy plans both before and after the CBCT examination were plotted for 53 patients and 81 teeth. As four patients had incomplete protocols, they were not included in the final analysis. Results: 4% of the patients referred to endodontic clinics during the study period were examined with CBCT. The most frequent reason for referral to CBCT examination was to differentiate pathology from normal anatomy, this was the case in 24 patients (45% of the cases). The primary outcome was therapy plan changes that could be attributed to CBCT examination. There were changes in 28 patients (53%). Conclusions: CBCT has a significant impact on therapeutic decision efficacy in endodontics when used in concordance with the current European Commission guidelines.

show abstract

Section: Introductionmentioning

confidence: 99%

The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics

Almeida¹,

Knutsson²,

Flygare³

2014

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

show abstract

“…, Avsever et al . ) on the 3D Accuitomo along with one study that included both the i‐CAT and 3D‐Accuitomo CBCTs (Brady et al . ).…”

Section: Resultsmentioning

confidence: 99%

“…Early detection of fractured roots is vital to prevent extensive damage to the supporting tissues (Tang et al 2011). Although imaging is an important diagnostic adjunct to the clinical assessment of root fracture (Scarfe & Farman 2008), they can be overlooked when the X-ray beam does not pass along the fracture line (Avsever et al 2014). Recently, 3D images using various computed tomography (CT) methods have been adopted to overcome the inherent disadvantages of conventional 2D radiographic methods, for example magnification, distortion and anatomic superimposition (Avsever et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Although imaging is an important diagnostic adjunct to the clinical assessment of root fracture (Scarfe & Farman 2008), they can be overlooked when the X-ray beam does not pass along the fracture line (Avsever et al 2014). Recently, 3D images using various computed tomography (CT) methods have been adopted to overcome the inherent disadvantages of conventional 2D radiographic methods, for example magnification, distortion and anatomic superimposition (Avsever et al 2014). The introduction of cone-beam computed tomography (CBCT) specifically dedicated to imaging the maxillofacial region heralds a true paradigm shift from a 2D to a 3D approach to data acquisition and image reconstruction (Scarfe & Farman 2008).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Detection accuracy of root fractures in cone‐beam computed tomography images: a systematic review and meta‐analysis

2015

Int Endodontic J

View full text Add to dashboard Cite

The aim of this review was to evaluate whether CBCT is reliable for the detection of root fractures in teeth without root fillings, and whether the voxel size has an impact on diagnostic accuracy. The studies published in PubMed, Web of Science, ScienceDirect, Cochrane Library, Embase, Scopus, CNKI and Wanfang up to May 2014 were the data source. Studies on nonroot filled teeth with the i-CAT (n = 8) and 3D Accuitomo CBCT (n = 5) units were eventually selected. In the studies on i-CAT, the pooled sensitivity was 0.83 and the pooled specificity was 0.91; in the 3D Accuitomo studies, the pooled sensitivity was 0.95 and pooled specificity was 0.96. The i-CAT group comprised 5 voxel size subgroups and the 3D Accuitomo group contained 2 subgroups. For the i-CAT group, there was a significant difference amongst the five subgroups (0.125, 0.2, 0.25, 0.3 and 0.4 mm; P = 0.000). Pairwise comparison revealed that 0.125 mm voxel subgroup was significantly different from those of 0.2, 0.25 and 0.3 mm voxel subgroups, but not from the 0.4 mm voxel subgroup. There were no significant differences amongst any other two subgroups (by α' = 0.005). No significant difference was found between 0.08 mm and 0.125 mm voxel subgroups (P = 0.320) for the 3D Accuitomo group. The present review confirms the detection accuracy of root fractures in CBCT images, but does not support the concept that voxel size may play a role in improving the detection accuracy of root fractures in nonroot filled teeth.

show abstract

“…Being an extraoral technique, it is much more feasible and comfortable than intraoral radiographs in recently traumatized patients; and offers multifold better information than otherwise resorted panoramic radiographs in such situations. Horizontal and oblique root fractures can be accurately assessed [44]. Additional areas where importance of CBCT is being studied include location of narrow canal space in pulp canal obliteration cases ( Figure 5F), location of lateral canals and assessment of treatment outcome [45].…”

Section: Endodonticsmentioning

confidence: 99%