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:: Volume 1, Issue 4 (Journal of Research in Dental & Maxillofacial Sciences autumn 2016) ::
J Res Dentomaxillofac Sci 2016, 1(4): 32-38 Back to browse issues page
Comparison of the Diagnostic Accuracy of Digital Intraoral Radiography with PSP and CBCT in the Detection of Horizontal and Vertical Dental Root Fractures
AR Talayi Pour1, L Hafezi2, A Yarahmadi *3, A Ghaznavi4, A Iranparvar5, L Sahabi6
1- professor,Oral and maxilofacial Radiology Dept , Dental Branch, Ialamic azad university tehran,Iran, Ialamic azad university tehran,Iran
2- Associated professor, Oral and maxilofacial Radiology Dept , Dental Branch, Ialamic azad university tehran,Iran, Ialamic azad university tehran,Iran
3- Postgraduate Student, Oral and maxilofacial Radiology Dept , Dental Branch, Ialamic azad university tehran,Iran , dr.yarahmadi169@yahoo .com
4- Assistant professor, Oral and maxilofacial Radiology Dept, oromeyeh dental branch university, oromeyeh university dental branch
5- Dentist, Tehran,Iran
6- Dentist, Tehran, Iran
Abstract:   (2439 Views)
Background and Aim: Clinical and radiographic diagnoses of dental root fractures have always been difficult and require high accuracy in dental care and treatment. The aim of this study was to compare the diagnostic accuracy of intraoral digital radiography (PSP) and CBCT in the detection of horizontal and vertical root fractures (HRF and VRF).
Materials and Methods: For this experimental study, 60 human mandibular teeth (30 anterior and 30 posterior multi-rooted teeth) were selected. Thirty randomly-selected teeth were fractured horizontally while the next 30 randomly-selected teeth were fractured vertically by use of a hammer and then the pieces were glued back together and were placed in a sheep mandible. Radiographic images of all the teeth were taken using intraoral digital radiography (PSP) and CBCT methods. Afterwards, two oral and maxillofacial radiologists assessed the images separately. The data were subjected to diagnostic analytic tests.
Results: There were significant differences in specificity, sensitivity, positive predictive value and negative predictive value between digital intraoral radiography (PSP) and CBCT in the detection of HRF and VRF. Kappa value for inter-observer and intra-observer agreement in VRF equaled 73.3% for CBCT and 54.2% for PSP, while in HRF it equaled 63.3% for CBCT and 55.4% for PSP.
Conclusion: CBCT method has higher specificity and sensitivity in the detection of HRF and VRF compared with intraoral digital radiography.
Keywords: Intraoral digital radiography, Photostimulable Phosphor Plate, Cone Beam Computed Tomography, Horizontal root fracture, Vertical root fracture
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Type of Study: Original article | Subject: Radiology
* Corresponding Author Address: Ialamic azad university tehran,Iran
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Talayi Pour A, Hafezi L, Yarahmadi A, Ghaznavi A, Iranparvar A, Sahabi L. Comparison of the Diagnostic Accuracy of Digital Intraoral Radiography with PSP and CBCT in the Detection of Horizontal and Vertical Dental Root Fractures. J Res Dentomaxillofac Sci. 2016; 1 (4) :32-38
URL: http://jrdms.dentaliau.ac.ir/article-1-132-en.html


Volume 1, Issue 4 (Journal of Research in Dental & Maxillofacial Sciences autumn 2016) Back to browse issues page
Journal of Research in Dental and Maxillofacial Sciences
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