Detection Accuracy of Bone Defects Depending on Exposure Settings of Cone Beam Computed Tomography

2020 ◽  
Vol 40 (2) ◽  
pp. e65-e72
Author(s):  
Spyridon Vassilopoulos ◽  
Yiorgos Bobetsis ◽  
Michalis Mastoris ◽  
Eudoxie Pepelassi ◽  
Keti Nikopoulou-Karagianni

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Mehmet Hakan Kurt ◽  
Nilsun Bağış ◽  
Cengiz Evli ◽  
Cemal Atakan ◽  
Kaan Orhan

Abstract Background To examine the influence of voxel sizes to detect of peri-implant fenestration defects on cone beam computed tomography (CBCT) images. Materials and methods This study performed with three sheep heads both maxilla and mandible and two types of dental implant type 1 zirconium implant (Zr40) (n = 6) and type 2 titanium implant (Ti22) (n = 10). A total of 14 peri-implant fenestrations (8 buccal surfaces, 6 palatal/lingual surface) were created while 18 surfaces (8 buccal, 10 palatal/lingual) were free of fenestrations. Three observers have evaluated the images of fenestration at each site. Images obtained with 0.75 mm3, 0.100 mm3, 0.150 mm3, 0.200 mm3, and 0.400 mm3 voxel sizes. For intra- and inter-observer agreements for each voxel size, Kappa coefficients were calculated. Results Intra- and inter-observer kappa values were the highest for 0.150 mm3, and the lowest in 0.75 mm3 and 0.400 mm3 voxel sizes for all types of implants. The highest area under the curve (AUC) values were found higher for the scan mode of 0.150 mm3, whereas lower AUC values were found for the voxel size for 0.400 mm3. Titanium implants had higher AUC values than zirconium with the statistical significance for all voxel sizes (p ≤ 0.05). Conclusion A voxel size of 0.150 mm3 can be used to detect peri-implant fenestration bone defects. CBCT is the most reliable diagnostic tool for peri-implant fenestration bone defects.





2016 ◽  
Vol 73 (4) ◽  
pp. 305
Author(s):  
Alessandra Areas e Souza ◽  
Ingrid De Assis Mota Costa ◽  
Paula Mozer Vidal

Objective: The aim of this study was to conduct a literature review on the use of cone-beam computed tomography in periodontics and determine the extent and severity of periodontal lesions so as to encourage the development of a new concept for diagnosis and surgical planning in periodontics. Material and methods: A literature search was conducted in PubMed database using the following keywords: computed tomography, diagnosis periodontics, bone defects, furcation lesions, and periodontal biotype. A total of 33 articles were found. Results: A review of the articles suggested benefits in using this technology in periodontal surgical planning, for treatment of furcation lesions, bone defects, and determination of periodontal biotype. Conclusion: Cone-beam computed tomography three-dimensional images is superior to conventional radiography. It also minimizes patient exposure to ionizing radiation, optimizes surgical planning, and decreases operative time, leading to a better response to treatment. This technology is very useful in clinical practice, but is not used widely in periodontics. We believe that the use of this technology should be promoted among professionals.



2021 ◽  
Vol 33 (1) ◽  
pp. 36-44
Author(s):  
Héctor Monardes ◽  
Karin Steinfort ◽  
Nuria Almonacid ◽  
Marcela Bustos ◽  
Jaime Abarca

Introduction: to determine the frequency of fenestration and dehiscence bone defects present in maxillary teeth with apical periodontitis, mainly in teeth with endodontic treatment, as they are frequently cause of nonspecific symptoms after treatment. Methods: 1201 Maxillary Cone Beam Computed Tomography (CBCT) exams were analyzed and 803 teeth with apical periodontitis were selected. Results: of the teeth with apical periodontitis, 142 had a fenestration defect (18%) of which 105 teeth (74%) were endodontically treated. The highest frequency was observed in premolars, with no statistical differences between groups. Dehiscence defect was found in 139 teeth (17%) out of which 90 (65%) were endodontically treated. The highest frequency was observed in molars, with statistical differences in relation to other tooth types (p< 0.001). Conclusion: an important number of teeth with apical periodontitis present dehiscence or fenestration bone defects, especially in teeth with root canal treatment.



2009 ◽  
Vol 42 (6) ◽  
pp. 507-515 ◽  
Author(s):  
S. Patel ◽  
A. Dawood ◽  
F. Mannocci ◽  
R. Wilson ◽  
T. Pitt Ford


2020 ◽  
Vol 50 (2) ◽  
pp. 133
Author(s):  
Jun Ho Kim ◽  
Reinaldo Abdala-Júnior ◽  
Luciana Munhoz ◽  
Arthur Rodriguez Gonzalez Cortes ◽  
Plauto Christopher Aranha Watanabe ◽  
...  




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