Volume 1, Issue 1 (1-2016)                   J Res Dent Maxillofac Sci 2016, 1(1): 34-39 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Dehghani M, Montazer lotf elahi H, Moeini M, Bardal R. Comparing the Accuracy of Cone Beam Computed Tomography,Digital Intraoral Radiography and Conventional Intraoral Radiography in the Measurement of Periodontal Bone Defects. J Res Dent Maxillofac Sci 2016; 1 (1) :34-39
URL: http://jrdms.dentaliau.ac.ir/article-1-89-en.html
Comparing the Accuracy of Cone Beam Computed Tomography,Digital Intraoral Radiography and Conventional Intraoral Radiography in the Measurement of Periodontal Bone Defects
M Dehghani1 , H Montazer lotf elahi2 , M Moeini3 , R Bardal 4
1- Assistant Professor, Radiology Dept, Yazd University of Medical Sciences.
2- MD. Fellowship of Pediatric Neurology, Pediatrics Dept, Tehran University of Medical Science
3- Oral & Maxillofacial Radiologist
4- Assistant Professor, Radiology Dept, Gazvin University of Medical Sciences.
Abstract:   (5300 Views)

Background and Aim: Cone beam computed tomography (CBCT) produces high-quality data in periodontal diagnosis and treatment planning. The aim of this study was to compare the accuracy of CBCT with intraoral digital and conventional radiography in the measurement of periodontal bone defects. 

Methods and Materials: In this diagnostic research, two hundred and eighteen artificial osseous defects (buccal and lingual infra-bony, inter proximal, horizontal, crater, dehiscence and fenestration defects) were shaped in 13 dry mandibles. CBCT  and intraoral radiography with parallel technique by conventional film and digital sensor were compared with the standard reference (digital caliper). Inter and intra observer agreement were assessed using Intra class correlation co-efficient and Pearson correlation. Paired T-Test was applied for the comparison of absolute differences of conventional and digital intraoral radiography and CBCT measurements with the gold standard. All statistical analyses were performed using SPSS® v13.0 statistical software.
Results: Inter and intra observer agreement were both high for CBCT (ICC: α=0/88) but moderate for intraoral conventional radiography (ICC: α=0/54) and digital radiography (ICC: α=0/73). No significant differences were detected between the observers for all the techniques (P> 0.05). According to Paired T-test, mean difference for CBCT technique (0.01mm) was lower than digital radiography (0.47mm) and conventional radiography (0.63mm). CBCT allowed the measurement of all lesion types, but intraoral radiography did not allow the measurement of buccal and lingual defects. 
Conclusion: The results of this study showed that the studied radiographic modalities are useful in identifying the periodontal bone defects. CBCT technique showed the highest accuracy in the measurement of periodontal bone defects compared with digital and conventional intraoral radiography.

Keywords: Cone beam computed tomography, Dental radiography, Digital radiography, Periodontal disease.
Full-Text [PDF 198 kb]   (2268 Downloads) |   |   Full-Text (HTML)  (1004 Views)  
Type of Study: Original article | Subject: Oral medicine
References
1. Vandenberghe B, Jacobs R, Yang J. Detection of periodontal bone loss using digital intraoral and cone beam computed tomography images: an in vitro assessment of bony and/or infra bony defects. Dentomaxillofac Radiol 2008; 37(5):252-60.
2. Ozmeric N, Kostioutchenko I, Hägler G, Frentzen M, Jervøe-Storm PM.Cone beam computed tomography in assessment of periodontal ligament space: in vitro study on artificial tooth model.Clin Oral Investig 2008; 12(3):233-9.
3. Noujeim M, Prihoda T, Langlais R, Nummikoski P. Evaluation of high resolution cone beam computed tomography in detection of simulated interradicular bone lesionDentomaxillofacRadiol 2009; 38(3):156-162.
4. Mol A, Balasundaram A. In vitro cone beam computed tomography imaging of periodontal bone.DentomaxillofacRadiol 2008; 37(6):319-24.
5. Misch KA, Yi ES, SarmentDP.Accuracy of Cone beam computed tomography for periodontal defect measurements. J periodontal 2006; 77(7): 1261-66.
6. Mischkowski RA, Scherer P, Ritter L, Neugebauer J, Keeve E, ZöllerJE.Diagnostic quality of multiplanar reformation obtained with a newly developed cone beam device for maxillofacial imaging.DentmaxillofacRadiol2008; 37(1):1-9.
7. Mengel R, Candir M, Shiratori K, Flores-de-Jacoby L.Digital volume tomography in the diagnosis of periodontal defects.an in vitro study on native pig and human mandible. J Periodontal 2005; 76(5):665-673.
8. Vandenberghe B, Jacobs R, Yang J. Diagnostic validity of 2D CCD versus 3D CBCT- images for assessing periodontal break down. Oral Surge Oral Med Oral pathol Oral radiolEndod2007; 104: 395-401.
9. Bolin A, Lavstedt S, Frithiof L, Henrikson C O. Proximal alveolar bone loss in a longitudinal radiographic investigation. IV. Smoking and some other factors influencing the progress in individuals with at least 20 remaining teeth.
10. Acta Odontol Scand 1986;44(5): 263–9.
11. Persson R E, Hollender L G, PerssonGR. Assessment of alveolar bone levels from intraoral radiographs in subjects between ages 15 and 94 years seeking dental care. J ClinPeriodontol 1998; 25(8):647-54.
12. Banodkar A B, Gaikwad R P, Gunjikar T U, Lobo T A. Evaluation of accuracy of cone beam computed tomography for measurement of periodontal defects: A clinical study. J Indian Soc Periodontol 2015; 19(3): 285–9.
13. Leung CC, Palomo L, Griffith R, Hans M G. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop 2010 ;137(4 ):109-19.
14. Fleiner J, Hannig C, Schulze D, Stricker A, Jacobs R. Digital method for quantification of circumferential periodontal bone level using cone beam CT. Clin Oral Investig 2013; 17( 2): 389–96.
15. AlJehani Y A. Diagnostic Applications of Cone-Beam CT for Periodontal Diseases. Int J Dent 2014; 2014: 1-5.
Add your comments about this article : Your username or Email:
CAPTCHA
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research in Dental and Maxillofacial Sciences

Designed & Developed by: Yektaweb