Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

Salineiro, Fernanda Cristina Sales; Gialain, Ivan Onone; Kobayashi-Velasco, Solange; Pannuti, Cláudio Mendes; Cavalcanti, Marcelo Gusmão Paraíso

doi:10.5624/isd.2017.47.1.17

Cited by 9 publications

(4 citation statements)

References 30 publications

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“…This study is only applicable to mandibular teeth that include two-rooted teeth and not relevant to the maxillary teeth, due to presence of palatal root which can get superimposed on the adjacent bony structures. In our study, we included only maxillary molars (three-rooted) which could be difficult to visualize using 2D imaging [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability of CBCT Compared to Clinical Probing in Detection of Trifurcation Defects: An In Vivo Study

Alsakr

Creanga

Alqahtani

et al. 2022

BioMed Research International

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Background. Furcation defects are areas of pathological bone resorption in multirooted teeth. The aim of the study was to compare the measurements of trifurcation bone loss, measured using CBCT, versus clinical measurements in order to evaluate the efficacy of CBCT as an adjunctive diagnostic tool. Material and Methods. The included patients had both CBCT scans for maxillary molars and completed periodontal charts. Clinical examination consisted of probing and detection of vertical and horizontal furcation defects. These were measured and recorded. CBCT measurements were then evaluated using the linear measuring tool in Carestream imaging software (Carestream, Rochester, USA) and iCAT (Imaging Sciences, Hatfield, USA). These measurements of the CBCT images were then documented and compared to clinical findings. The two examiners were blinded to each other’s measurements. Results. The most common tooth with a detected furcation defect was tooth #2 (31.7%), followed by tooth #15 (26.8%) and #3 (21.9%). The least common tooth with a detected furcation defect was #14 (19.5%). The mean values of buccal furcation for clinical and CBCT measurements were 3.01 mm and 2.6 mm, respectively. The measurements of mesial furcation were 2.5 mm and 2.2 mm for CBCT. The distal measurement of clinical examination was 2.7 mm and for CBCT was 2.44 mm. Conclusion. CBCT can be used as an adjunct to clinical furcation measurements and adds useful diagnostic information to assess trifurcation defects. In addition, CBCT limited field of view (FOV) can provide relatively high-resolution images at a reduced dose that is comparable to two-dimensional imaging.

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Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability of CBCT Compared to Clinical Probing in Detection of Trifurcation Defects: An In Vivo Study

Alsakr

Creanga

Alqahtani

et al. 2022

BioMed Research International

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“…A total of 28 articles were excluded because they did not possess at least one of the inclusion criteria. Studies reported by [28,[38][39][40][41][42][43][44][45][46][47][48][49][50] were ex vivo studies and out of our review.…”

Section: Studies Allocationmentioning

confidence: 99%

Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

et al. 2020

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Background: Periodontal diseases are prevalent among adult populations. Its diagnosis depends mainly on clinical findings supported by radiographic examinations. In previous decades, cone beam computed tomography has been introduced to the dental field. The aim of this study was to address the diagnostic efficacy of cone-beam computed tomographic (CBCT) imaging in periodontics based on a systematic search and analysis of the literature using the hierarchical efficacy model. Methods: A systematic search of electronic databases such as PubMed, Scopus, Web of Science, and Cochrane was conducted in February 2019 to identify studies addressing the efficacy of CBCT imaging in Periodontics. The identified studies were subjected to pre-identified inclusion criteria followed by an analysis using a hierarchical model of efficacy (model) designed for an appraisal of the literature on diagnostic imaging modality. Four examiners performed the eligibility and quality assessment of relevant studies and consensus was reached in cases where disagreement occurred. Results: The search resulted in 64 studies. Of these, 34 publications were allocated to the relevant level of efficacy and quality assessments wherever applicable. The overall diagnostic accuracy of the included studies showed a low or moderate risk of bias and applicability concerns in the use of CBCT. In addition, CBCT is accurate in identifying periodontal defects when compared to other modalities. The studies on the level of patient outcomes agreed that CBCT is a reliable tool for the assessment of outcomes after the treatment of periodontal defects. Conclusion: CBCT was found to be beneficial and accurate in cases of infra-bony defects and furcation involvements.

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“…Traditionally, the gold standard diagnosis of furcation involvement is based on clinical examination with a Nabers probe and the periapical radiography (PR). PR is a 2-dimensional imaging technique and might not be accurate enough for the assessment of furcation involvement, mainly as a result of image overlay and a consequent lack of sufficient information [5]. To overcome the inherent difficulties of PR, advanced 3-D image analysis imaging systems has been introduced and are widely used in dentistry [6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Cone Beam Computed Tomography in the Assessment of Mandibular Molar Furcation Defects

Alzwiri

Ismail

Patil

2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To evaluate the accuracy of cone-beam computed tomography (CBCT) in the assessment of mandibular molar furcation defects. Material and Methods: Thirty patients with furcation defects were selected, oral hygiene instructions, scaling, and root planing with ultrasonic devices and hand instruments and occlusal adjustments were performed. Pre-surgical clinical measurements were carried out at the buccal aspect of the selected mandibular molars. The horizontal furcation measurements were measured with a Nabers Probe starting at the furcation entrance to the greatest horizontal depth. The degree of furcation involvement was graded from 0 to III. Bone loss in the horizontal and vertical direction and the width of the furcation entrance were measured on CBCT and after reflecting the full-thickness flap and debridement of the defects. The data were analyzed using t-test and Pearson's correlation coefficient. Results: The width of furcation entrance in clinical method was 3.27 ± 0.77, while in CBCT method was 3.35 ± 0.71, clinically the vertical bone loss was 3.61±1.09, while in CBCT was 3.57 ± 1.15, horizontal bone loss in clinical method was 5.08 ± 2.21, while in CBCT was 5.11 ± 2.23. No significant difference between the two methods was noted, and a high correlation between the two methods was observed. With regards to the agreement between the two methods of assessment, the width of furcation entrance revealed a difference between the two methods by 0.08 ± 0.21, while vertical bone loss showed difference between the two methods by -0.04 ± 0.19, the horizontal bone loss showed a mean difference between the two methods by 0.03 ± 0.21. Conclusion: CBCT provided high accuracy for the furcation involvement detection and anatomy of surrounding periodontal tissues.

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Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

Cited by 9 publications

References 30 publications

Accuracy and Reliability of CBCT Compared to Clinical Probing in Detection of Trifurcation Defects: An In Vivo Study

Accuracy and Reliability of CBCT Compared to Clinical Probing in Detection of Trifurcation Defects: An In Vivo Study

Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

Accuracy of Cone Beam Computed Tomography in the Assessment of Mandibular Molar Furcation Defects

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