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Silva TA, Martins ADS, Alves LR, Pereira LWB, Saraiva JR, Duarte JMB, Zanetti EDS, Schweitzer CM, Dutra IS, Borsanelli AC. Prevalence and Risk Factors of Bone and Dental Lesions in Neotropical Deer. Animals (Basel) 2024; 14:1892. [PMID: 38998003 PMCID: PMC11240400 DOI: 10.3390/ani14131892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 06/18/2024] [Accepted: 06/24/2024] [Indexed: 07/14/2024] Open
Abstract
Bone and dental lesions have been documented in various deer species globally, affecting the efficiency of ingestion and digestion, consequently influencing their general health and leading to a decline in survival and reproductive performance. The present study aimed to characterize bone and dental lesions in the dry skulls of individual deer, estimate the prevalence of these lesions, and assess potential risk factors associated with the development of bone and dental alterations. This study assessed bone and dental lesions in 180 dry skulls of eleven neotropical deer species, originating from both captivity and wildlife conditions, through direct visual inspection. A high prevalence of bone and dental lesions was observed in all analyzed species. Dental calculus was the most common alteration (96.7%), followed by dental wear (71.1%). Animal age positively correlated with most bone and dental alterations, indicating that older animals showed more lesions. Additionally, the prevalence of these alterations was similar between sexes. Moreover, all lesions were more common in captive-bred animals, likely attributed to their older age and a less diverse diet. Blastocerus dichotomus and Mazama americana were most affected by bone resorption and dental trauma and had the highest dental calculus prevalence, along with Subulo gouazoubira and Passalites nemorivagus. All eleven species evaluated in the present study were susceptible to the occurrence of bone and dental lesions. Therefore, monitoring oral health and diet in captivity are fundamental practices for the conservation of these species.
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Affiliation(s)
- Tamires Ataides Silva
- Posgraduate Program in Animal Science, School of Veterinary Medicine and Animal Science, Universidade Federal de Goiás (UFG), Goiânia 74690-900, GO, Brazil
| | - Andressa da Silva Martins
- Department of Veterinary Medicine, School of Veterinary and Animal Science, Universidade Federal de Goiás (UFG), Goiânia 74690-900, GO, Brazil
| | - Lisandra Rodrigues Alves
- Posgraduate Program in Animal Science, School of Veterinary Medicine and Animal Science, Universidade Federal de Goiás (UFG), Goiânia 74690-900, GO, Brazil
| | - Luana Wenceslau Bittencourt Pereira
- Department of Veterinary Medicine, School of Veterinary and Animal Science, Universidade Federal de Goiás (UFG), Goiânia 74690-900, GO, Brazil
| | - Júlia Rebecca Saraiva
- Department of Production and Animal Health, School of Veterinary Medicine of Araçatuba, São Paulo State University (Unesp), Araçatuba 16050-680, SP, Brazil
| | - José Maurício Barbanti Duarte
- Deer Research and Conservation Center (NUPECCE), School of Agricultural and Veterinary Sciences (FCAV), São Paulo State University (UNESP), Jaboticabal 14884-900, SP, Brazil
| | - Eveline Dos Santos Zanetti
- Marsh Deer Conservation Center (CCCP), School of Agricultural and Veterinary Sciences (FCAV), São Paulo State University (UNESP), Jaboticabal 14884-900, SP, Brazil
| | - Christiane Marie Schweitzer
- Department of Mathematics, School of Engineering of Ilha Solteira, São Paulo State University (Unesp), Ilha Solteira 15385-000, SP, Brazil
| | - Iveraldo Santos Dutra
- Department of Production and Animal Health, School of Veterinary Medicine of Araçatuba, São Paulo State University (Unesp), Araçatuba 16050-680, SP, Brazil
| | - Ana Carolina Borsanelli
- Department of Veterinary Medicine, School of Veterinary and Animal Science, Universidade Federal de Goiás (UFG), Goiânia 74690-900, GO, Brazil
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Kalaitzoglou ME, Lambrianidis T. Understanding root fenestration: A systematic scoping review of prevalence and clinical factors. AUST ENDOD J 2023; 49:428-443. [PMID: 35852910 DOI: 10.1111/aej.12647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 06/18/2022] [Indexed: 11/29/2022]
Abstract
The aim of this systematic scoping review is to explore the literature on root fenestration prevalence and its possible etiologic, aggravating and predisposing clinical factors. A systematic search was conducted in 5 electronic databases, by two independent reviewers, without any language and date restrictions. Forty-six full-text records were included in the study, out of which 27 were used for prevalence analysis and 42 for clinical factor analysis. The results suggest that the literature is heterogenous, with major differences in the study protocols and results' presentation, providing limited information regarding root fenestration prevalence and possible racial distribution patterns. Further documentation is also required regarding clinical parameters that may affect root fenestration's presence and severity. Despite their few limitations, retrospective cone beam computed tomography studies with high-resolution protocols, as well as open flap studies for direct observation of possible root fenestration sites, seem the most reliable methods to better comprehend its presence and possible distribution patterns.
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Affiliation(s)
- Maria-Elpida Kalaitzoglou
- Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Theodoros Lambrianidis
- Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Kalaitzoglou ME, Angelopoulos C, Lyroudia K, Lambrianidis T. Frequency of root fenestration in a Greek subpopulation: A cone beam computed tomography clinical study. AUST ENDOD J 2021; 47:580-591. [PMID: 34190384 DOI: 10.1111/aej.12523] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 03/28/2021] [Accepted: 04/13/2021] [Indexed: 12/29/2022]
Abstract
This cone beam computed tomography (CBCT) study aimed to assess the root fenestration (RF) frequency in healthy, intact teeth and analyse their features in a Greek subpopulation. 432 CBCT scans were examined. 5486 teeth were evaluated for RF prevalence. RF prevalence and distribution were recorded for each jaw, tooth group, as well as patient age and sex. RF symmetry, distribution to the affected root surface and the effects of age and sex were evaluated. The prevalence of RF ranged from 0.57% (central incisors) to 7.18% (first premolars) and from 0.48% (second premolars) to 10.79% (lateral incisors) for the maxilla and the mandible, respectively. No symmetrical occurrence of RF was detected. Most RF patients presented one or two defects in both jaws. Types I and IV were the most prevalent in the maxilla, while Types III, II and V were the most prevalent in the mandible. No statistical difference was detected between different sexes and age groups (P > 0.05).
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Affiliation(s)
- Maria-Elpida Kalaitzoglou
- Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Christos Angelopoulos
- Department of Oral Diagnosis & Radiology, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Kleoniki Lyroudia
- Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Theodoros Lambrianidis
- Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Maret D, Vergnes JN, Peters OA, Peters C, Nasr K, Monsarrat P. Recent Advances in Cone-beam CT in Oral Medicine. Curr Med Imaging 2021; 16:553-564. [PMID: 32484089 DOI: 10.2174/1573405615666190114152003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Revised: 12/09/2018] [Accepted: 12/19/2018] [Indexed: 11/22/2022]
Abstract
BACKGROUND The cone-beam computed tomography (CBCT) technology has continuously evolved since its appearance in oral medicine in the early 2000s. OBJECTIVES To present recent advances in CBCT in oral medicine: i) selection of recent and consensual evidence-based sources, ii) structured summary of the information based on an iterative framework and iii) compliance with ethical, public health and patient-centered concerns. MAIN FINDINGS We will focus on technological advances, such as sensors and reconstruction algorithms used to improve the constant quality of the image and dosimetry. CBCT examination is now performed in almost all disciplines of oral medicine: currently, the main clinical disciplines that use CBCT acquisitions are endodontics and oral surgery, with clearly defined indications. Periodontology and ear, nose and throat medicine are more recent fields of application. For a given application and indication, the smallest possible field of view must be used. One of the major challenges in contemporary healthcare is ensuring that technological developments do not take precedence over admitted standards of care. The entire volume should be reviewed in full, with a systematic approach. All findings are noted in the patient's record and explained to the patient, including incidental findings. This presupposes the person reviewing the images is sufficiently trained to interpret such images, inform the patient and organize the clinical pathway, with referrals to other medical or oral medicine specialties as needed. CONCLUSION A close collaboration between dentists, medical physicists, radiologists, radiographers and engineers is critical for all aspects of CBCT technology.
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Affiliation(s)
- Delphine Maret
- Oral Rehabilitation Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.,AMIS Laboratory - Laboratoire Anthropologie Moléculaire et Imagerie de Synthèse, Université de Toulouse, UMR 5288 CNRS, UPS, Toulouse, France
| | - Jean-Noel Vergnes
- Epidemiology and Public Health Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.,Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Ove A Peters
- Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, California, United States.,School of Dentistry, University of Queensland, Brisbane, Queensland, Australia
| | - Christine Peters
- Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, California, United States
| | - Karim Nasr
- Oral Rehabilitation Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France
| | - Paul Monsarrat
- Oral Rehabilitation Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.,STROMALab, Université de Toulouse, CNRS ERL 5311, EFS, ENVT, Inserm U1031, UPS, Toulouse, France
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Boubaris M, Chan KL, Zhao W, Cameron A, Sun J, Love R, George R. A Novel Volume-based Cone-beam Computed Tomographic Periapical Index. J Endod 2021; 47:1308-1313. [PMID: 33984376 DOI: 10.1016/j.joen.2021.04.027] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 04/04/2021] [Accepted: 04/29/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The purpose of this study was to evaluate the variations in the volume of periapical lesions scored using a cone-beam computed tomographic periapical index (CBCTPAI) and to develop a new volume-based periapical index. METHODS Cone-beam computed tomographic images were obtained from InteleViewer (Intelerad Medical Systems Incorporated, Montreal, Canada). Teeth with a periapical radiolucency or with a history of endodontic treatment were included in this study. Using 3-dimensional medical imaging processing software (Mimics Research; Materialise NV, Leuven, Belgium), the maximum diameter of 273 periapical lesions and their corresponding CBCTPAI score was determined. The software was then used to determine the volume of the lesions using a semiautomatic segmentation technique. RESULTS There was a substantial variation in the volume for CBCTPAI scores 3, 4, and 5, which was demonstrated by the variance and range, thus making it difficult to use the current CBCTPAI as a method to predict volume and treatment outcomes. A new index, the cone-beam computed tomographic periapical volume index (CBCTPAVI), was developed using partition classification analysis. The results for the new index demonstrated high levels of sensitivity, specificity, precision, and area under the curve, all at 0.90 or more, except 1 sensitivity for CBCTPAVI 1 at 0.875. Overall, the accurate classification rate was 98.169%, and the root mean square error rate was low at 0.07. CONCLUSIONS The proposed CBCTPAVI will allow clinicians to classify lesions based on their true 3-dimensional size, accurately assess healing of lesions, and predict treatment outcomes.
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Affiliation(s)
- Matthew Boubaris
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Keen Long Chan
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Wei Zhao
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Andrew Cameron
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Jing Sun
- Menzies Health Institute Queensland and School of Medicine, Griffith University, Gold Coast, Australia
| | - Robert Love
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Roy George
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia.
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Diagnosis and Management of Apical Fenestrations Associated with Endodontic Diseases: A Literature Review. Eur Endod J 2021; 6:25-33. [PMID: 33609018 PMCID: PMC8056804 DOI: 10.14744/eej.2020.51422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Apical fenestration describes a window-like opening of the alveolar bone that involves the root apex of the associated tooth. Mucosal fenestration is a similar defect of the overlying mucosa and, when presented with a concomitant apical fenestration, may expose the root apex to the oral environment. A fenestration may arise from physiological and pathological processes. Although its presence does not necessitate treatment per se, these lesions have significant clinical implications when associated with endodontic diseases. Apical fenestrations associated with endodontic infections are relatively uncommon and can easily be overlooked or misdiagnosed. A thorough understanding of these lesions is key for timely diagnosis and successful management. The aim of this study was to review the epidemiology, aetiological factors, characteristics, management methods and potential outcomes of apical fenestrations associated with endodontic diseases. A search of online databases for relevant studies was conducted. With the inclusion of hand searched articles, 20 articles, consisting of case reports and series, were identified, and the key characteristics of each case were summarised. Apical fenestrations were found to be most commonly associated with maxillary teeth and almost always occur on the buccal aspect of the alveolar bone. Clinicians may consider the possibility of an apical fenestration with concurrent endodontic pathology when patients present with non-healing sinus tracts, exposed tooth apices and/or persistent pain after endodontic treatment, particularly on palpation and mastication. Clinical signs and symptoms can vary, hence cone-beam computed tomography is an important tool for diagnosis. The management involves surgically restoring a favourable anatomical configuration of the root apex in relation to the alveolar bony housing and may be combined with guided tissue regeneration and/or grafting procedures. Sloughing, reopening and infection are potential complications. The literature on apical fenestrations associated with endodontic diseases is limited, thus further research is needed to develop evidence-based guidelines for the diagnosis and management of these lesions.
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Sheth K, Kapoor S, Daveshwar S. Comparison of Cone-beam Computed Tomography and Periapical Radiography to Determine the Proximity of Periapical Lesions to Anatomical Structures in Premaxillary Area prior to Surgical Endodontics: A Clinical Study. Int J Clin Pediatr Dent 2020; 13:322-326. [PMID: 33149402 PMCID: PMC7586484 DOI: 10.5005/jp-journals-10005-1783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim In the anterior maxillary region when periapical (PA) surgery is contemplated, knowledge of relation between root apices and lesion, spatial relationship of tooth root to adjacent anatomical structures is essential. The aim of this study was to compare cone-beam computed tomography (CBCT) and PA radiography to determine the proximity of PA lesions to anatomical structures in the premaxillary area for decision-making before apical surgery. Materials and methods Twenty subjects were selected. Three endodontists viewed PA radiographs and CBCT images. These observers (1) determined proximity of lesion to anatomical structures and (2) made decisions on treatment based on each imaging modality. Chi-square test was used to check the relationship between the treatment plans given by PA radiographs and CBCT images. Reliability of the observations was evaluated using intraclass correlation (ICC). Results Significant difference was noted in the treatment plan selected by the observers using the two modalities (p < 0.05). Conclusion After the lesions were observed with CBCT, there was an increase in the number of teeth involved with the lesion. A change in the observer's treatment plan was recorded after viewing the CBCT scans. How to cite this article Sheth K, Kapoor S, Daveshwar S, et al. Comparison of Cone-beam Computed Tomography and Periapical Radiography to Determine the Proximity of Periapical Lesions to Anatomical Structures in Premaxillary Area prior to Surgical Endodontics: A Clinical Study. Int J Clin Pediatr Dent 2020;13(4):322-326.
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Affiliation(s)
- Kesha Sheth
- Department of Conservative Dentistry and Endodontics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
| | - Sonali Kapoor
- Department of Conservative Dentistry and Endodontics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
| | - Shilpi Daveshwar
- Department of Conservative Dentistry and Endodontics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
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Azim AA, Alquria T, Wang HH, Piasecki L. Management of Root Fenestration Using Buccal Decortication and Guided Tissue Regeneration: A Case Report and 3-dimensional Analysis. J Endod 2020; 47:125-132. [PMID: 32976916 DOI: 10.1016/j.joen.2020.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 08/23/2020] [Accepted: 09/16/2020] [Indexed: 10/23/2022]
Abstract
The management of patients with apical fenestration and clinical symptoms has always been limited to apical root resection and placement of the root tip within the bony crypt. This result would often present resolution of clinical symptoms based on a few case studies. In this case report, we present a case in which apical resection alone did not resolve the patient's discomfort; on the contrary, it resulted in further bone loss and persistence of clinical symptoms. A corrective surgery was performed with the use of guided bone regeneration in conjunction with decortication of the cortical plate to induce bleeding. The patient symptoms resolved within a few weeks after the surgery, and the follow-up scan showed apical root coverage. Three-dimensional analysis was performed to compare the bony changes between the 2 surgeries and showed a significant amount of bone gain of around 200 mm3 and a 2-mm linear bone gain opposite the distobuccal root. The case presents a conservative approach to manage root fenestration of the buccal plate without further compromising the root apex.
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Affiliation(s)
- Adham A Azim
- School of Dental Medicine, University at Buffalo, Buffalo, New York.
| | - Theeb Alquria
- School of Dental Medicine, University at Buffalo, Buffalo, New York
| | - Howard H Wang
- School of Dental Medicine, University at Buffalo, Buffalo, New York
| | - Lucila Piasecki
- School of Dental Medicine, University at Buffalo, Buffalo, New York
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Clinical Factors Associated with Apical Periodontitis Visible on Cone-beam Computed Tomography but Missed with Periapical Radiographs: A Retrospective Clinical Study. J Endod 2020; 46:832-838. [DOI: 10.1016/j.joen.2020.03.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 02/15/2020] [Accepted: 03/01/2020] [Indexed: 11/21/2022]
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10
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Kajan Z, Seyed Monir S, Khosravifard N, Jahri D. Fenestration and dehiscence in the alveolar bone of anterior maxillary and mandibular teeth in cone-beam computed tomography of an Iranian population. Dent Res J (Isfahan) 2020. [DOI: 10.4103/1735-3327.294327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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11
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Krug R, Connert T, Beinicke A, Soliman S, Schubert A, Kiefner P, Sonntag D, Weiger R, Krastl G. When and how do endodontic specialists use cone‐beam computed tomography? AUST ENDOD J 2019; 45:365-372. [DOI: 10.1111/aej.12337] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/03/2019] [Indexed: 01/04/2023]
Affiliation(s)
- Ralf Krug
- Department of Operative Dentistry and Periodontology and Center of Dental TraumatologyUniversity Hospital of Würzburg Würzburg Germany
| | - Thomas Connert
- Department of Operative Dentistry and Periodontology and Center of Dental TraumatologyUniversity Hospital of Würzburg Würzburg Germany
- Department of Periodontology, Endodontology and CariologyUniversity Center for Dental MedicineUniversity of Basel Basel Switzerland
| | - Andrea Beinicke
- Department of Psychology, Work & Organizational PsychologyUniversity of Würzburg Würzburg Germany
| | - Sebastian Soliman
- Department of Operative Dentistry and Periodontology and Center of Dental TraumatologyUniversity Hospital of Würzburg Würzburg Germany
| | - Alexander Schubert
- Department of Operative Dentistry and Periodontology and Center of Dental TraumatologyUniversity Hospital of Würzburg Würzburg Germany
| | | | - David Sonntag
- Department of Operative Dentistry, Periodontology and EndodontologyUniversity Hospital of Düsseldorf Düsseldorf Germany
| | - Roland Weiger
- Department of Periodontology, Endodontology and CariologyUniversity Center for Dental MedicineUniversity of Basel Basel Switzerland
| | - Gabriel Krastl
- Department of Operative Dentistry and Periodontology and Center of Dental TraumatologyUniversity Hospital of Würzburg Würzburg Germany
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Ricucci D, Siqueira JF, Loghin S, Grosso A, Valois EM, Leal AS. Management and Histobacteriological Findings of Mucosal Fenestration: A Report of 2 Cases. J Endod 2018; 44:1583-1592. [DOI: 10.1016/j.joen.2018.07.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 07/11/2018] [Accepted: 07/17/2018] [Indexed: 12/12/2022]
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Detection of Bone Defects Using CBCT Exam in an Italian Population. Int J Dent 2017; 2017:7523848. [PMID: 29181025 PMCID: PMC5664353 DOI: 10.1155/2017/7523848] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Revised: 09/09/2017] [Accepted: 09/19/2017] [Indexed: 11/21/2022] Open
Abstract
Background The aim of this study was to evaluate the in vivo incidence and the location of fenestrations in a young Italian population by using CBCT. Materials and Methods Fifty patients who had previously performed CBCT for planning third molar extraction or orthodontic therapy were selected for the study. No previous dental treatment had been performed on these patients. Overall, 1,395 teeth were evaluated. Root fenestrations were identified according to the definition of Davies and the American Association of Endodontists. Data was collected and statistically analyzed. Results Fenestrations were observed in 159 teeth out of 1,395 (11% of teeth). In the lower jaw, we found 68 fenestrations (5%) and 91 in the maxilla (6,5%). Incisors were the teeth with the highest incidence of fenestrations. Conclusion The relative common finding (11%) of fenestration supports the need for CBCT exams before any surgical/implant treatment to avoid complications related to the initial presence of fenestrations. CBCT was found to be an effective and convenient tool for diagnosing fenestration.
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de Sousa ET, Pinheiro MA, Maciel PP, Sales MAO. Influence of enhancement filters in apical bone loss measurement: A cone-beam computed tomography study. J Clin Exp Dent 2017; 9:e516-e519. [PMID: 28469815 PMCID: PMC5410670 DOI: 10.4317/jced.53496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Accepted: 11/27/2016] [Indexed: 12/05/2022] Open
Abstract
Background The use of cone-beam computed tomography images (CBCT) providing a better assessment of bone injuries, although the sensibility of lesions measurement might be improved by the use of enhancement filters. Objective: This study aimed to analyze the influence of enhancement filters in apical bone loss measurement. Material and Methods Eighteen CBCT cases randomly selected of apical bone loss were evaluated. The analyses were carried out following the evaluation in axial, coronal and sagittal protocols, using enhancement filters as Hard, Normal, and Very Sharp. The variables were statistically analyzed by Friedman and Wilcoxon test, Spearman’s rho, and intraclass correlation coefficient. Results The differences between filters in axial and sagittal protocols were significant (p<0.05); however, this was not observed in the coronal slice. The use of Hard filter demonstrates better results than Very Sharp and Normal filter, improving significantly the bone loss measurement. A strong, significant and positive correlation was noted for all filters (with p< 0.001), such as a strong agreement between the variables, when the Normal filter was used as a reference. Conclusions The use of enhancement filters increases the sensitivity of alveolar bone loss measurement, with relative advantage for Hard filter. Key words:Cone-Beam computed tomography. endodontics. periapical periodontitis. image enhancement. alveolar bone loss.
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Affiliation(s)
- Emerson-Tavares de Sousa
- DDS, MS. Ph.D. Student. Faculty of Dentistry at Piracicaba - Campinas University, Piracicaba-Brazil
| | - Mayara-Abreu Pinheiro
- DDS, MS. Ph.D. Student. Faculty of Dentistry at Piracicaba - Campinas University, Piracicaba-Brazil
| | | | - Marcelo-Augusto-Oliveira Sales
- DDS, MSc, Ph.D. Department of Clinics and Social Dentistry, School of Dentistry, Federal University of Paraiba, Joao Pessoa-Brazil
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Haridas H, Mohan A, Papisetti S, Ealla KKR. Computed tomography: Will the slices reveal the truth. J Int Soc Prev Community Dent 2016; 6:S85-92. [PMID: 27652253 PMCID: PMC5022398 DOI: 10.4103/2231-0762.189734] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
With the advances in the field of imaging sciences, new methods have been developed in dental radiology. These include digital radiography, density analyzing methods, cone beam computed tomography (CBCT), magnetic resonance imaging, ultrasound, and nuclear imaging techniques, which provide high-resolution detailed images of oral structures. The current review aims to critically elaborate the use of CBCT in endodontics.
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Affiliation(s)
- Harish Haridas
- Department of Conservative Dentistry and Endodontics, PSM College of Dental Sciences and Research, Akkikavu, Trichur, Kerala, India
| | - Abarajithan Mohan
- Department of Conservative Dentistry and Endodontics, MNR Dental College and Hospital, Medak, Telangana, India
| | | | - Kranti K R Ealla
- Department of Conservative Dentistry and Endodontics, MNR Dental College and Hospital, Medak, Telangana, India
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Uraba S, Ebihara A, Komatsu K, Ohbayashi N, Okiji T. Ability of Cone-beam Computed Tomography to Detect Periapical Lesions That Were Not Detected by Periapical Radiography: A Retrospective Assessment According to Tooth Group. J Endod 2016; 42:1186-90. [DOI: 10.1016/j.joen.2016.04.026] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 04/20/2016] [Accepted: 04/24/2016] [Indexed: 11/28/2022]
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Lemagner F, Maret D, Peters OA, Arias A, Coudrais E, Georgelin-Gurgel M. Prevalence of Apical Bone Defects and Evaluation of Associated Factors Detected with Cone-beam Computed Tomographic Images. J Endod 2015; 41:1043-7. [DOI: 10.1016/j.joen.2015.03.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 03/02/2015] [Accepted: 03/14/2015] [Indexed: 10/23/2022]
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18
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Kruse C, Spin-Neto R, Wenzel A, Kirkevang LL. Cone beam computed tomography and periapical lesions: a systematic review analysing studies on diagnostic efficacy by a hierarchical model. Int Endod J 2014; 48:815-28. [DOI: 10.1111/iej.12388] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Accepted: 09/30/2014] [Indexed: 11/27/2022]
Affiliation(s)
- C. Kruse
- Oral Radiology; Department of Dentistry; Aarhus University; Aarhus Denmark
| | - R. Spin-Neto
- Oral Radiology; Department of Dentistry; Aarhus University; Aarhus Denmark
| | - A. Wenzel
- Oral Radiology; Department of Dentistry; Aarhus University; Aarhus Denmark
- Radiology; Department of Dentistry; Copenhagen University; Copenhagen Denmark
| | - L.-L. Kirkevang
- Oral Radiology; Department of Dentistry; Aarhus University; Aarhus Denmark
- Department of Endodontics; Institute of Clinical Dentistry; Faculty of Dentistry; Oslo University; Oslo Norway
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19
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Kourkouta S, Bailey GC. Periradicular Regenerative Surgery in a Maxillary Central Incisor: 7-year Results Including Cone-beam Computed Tomography. J Endod 2014; 40:1013-9. [DOI: 10.1016/j.joen.2013.10.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Revised: 10/04/2013] [Accepted: 10/08/2013] [Indexed: 11/24/2022]
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20
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Moore JI, Niemiec B. Evaluation of extraction sites for evidence of retained tooth roots and periapical pathology. J Am Anim Hosp Assoc 2014; 50:77-82. [PMID: 24446405 DOI: 10.5326/jaaha-ms-5977] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The objective of this retrospective clinical study was to determine the frequency and pathogenicity of unintentional retained tooth root fragments after extraction of the maxillary fourth premolar (108 and 208) and mandibular first molar teeth (309 and 409) in 74 canine and 42 feline client-owned patients. Radiographs of client-owned animals with historical evidence of extraction of teeth 309 and 409 were reviewed. All patients had dental extraction(s) for clinical reasons, and all extractions were deemed successful by the practitioners. Extraction sites were radiographed to identify tooth root fragments and pathology. Twenty-five canine and 25 feline patients that had extractions utilizing preoperative and postoperative radiography were also included. Sixty-one of 74 canine patients (82.4%; P < 0.0001) and 39 of 42 feline patients (92.8%; P < 0.0001) had evidence of retained tooth root fragments. In total, 100 of 116 cases (86.4%; P < 0.0001) had retained tooth root fragments, and periapical pathology was found in 66 of 116 (56.8%; P = 0.000000743) radiographs, including 39 of 74 canine cases (52.7%; P = 0.00002765) and 27 of 42 feline cases (64.3%; P = 0.01589). The control group had no evidence of retained root fragments. Further veterinary dental training and routine use of pre- and postoperative dental radiology are recommended.
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Affiliation(s)
- James I Moore
- Veterinary Teaching Hospital, Michigan State University, East Lansing, MI
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21
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Pan H, Yang H, Zhang R, Yang YM, Wang H, Hu T, Dummer PMH. Use of cone-beam computed tomography to evaluate the prevalence of root fenestration in a Chinese subpopulation. Int Endod J 2013; 47:10-9. [PMID: 23701176 DOI: 10.1111/iej.12117] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2012] [Accepted: 04/03/2013] [Indexed: 02/05/2023]
Affiliation(s)
- H.Y. Pan
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
| | - H. Yang
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
| | - R. Zhang
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
- Department of Endodontics; Beijing Stomatological Hospital; Capital Medical University School of Stomatology; Beijing China
| | - Y. M. Yang
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
| | - H. Wang
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
| | - T. Hu
- West China Hospital of Stomatology; State Key Laboratory of Oral Diseases; Sichuan University; Chengdu Sichuan China
| | - P. M. H. Dummer
- School of Dentistry; College of Biomedical and Life Sciences; Cardiff University; Cardiff UK
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Cone beam computed tomography evaluation of the diagnosis, treatment planning, and long-term followup of large periapical lesions treated by endodontic surgery: two case reports. Case Rep Dent 2013; 2013:564392. [PMID: 23762646 PMCID: PMC3674742 DOI: 10.1155/2013/564392] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2013] [Accepted: 05/04/2013] [Indexed: 12/01/2022] Open
Abstract
The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.
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Peters CI, Peters OA. Cone beam computed tomography and other imaging techniques in the determination of periapical healing. ACTA ACUST UNITED AC 2013. [DOI: 10.1111/etp.12021] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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24
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Abella F, Patel S, Duran-Sindreu F, Mercadé M, Bueno R, Roig M. Evaluating the Periapical Status of Teeth with Irreversible Pulpitis by Using Cone-beam Computed Tomography Scanning and Periapical Radiographs. J Endod 2012; 38:1588-91. [DOI: 10.1016/j.joen.2012.09.003] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Revised: 08/30/2012] [Accepted: 09/10/2012] [Indexed: 10/27/2022]
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25
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Deepak BS, Subash TS, Narmatha VJ, Anamika T, Snehil TK, Nandini DB. Imaging techniques in endodontics: an overview. J Clin Imaging Sci 2012; 2:13. [PMID: 22530184 PMCID: PMC3328979 DOI: 10.4103/2156-7514.94227] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2012] [Accepted: 02/17/2012] [Indexed: 02/06/2023] Open
Abstract
This review provides an overview of the relevance of imaging techniques such as, computed tomography, cone beam computed tomography, and ultrasound, to endodontic practice. Many limitations of the conventional radiographic techniques have been overcome by the newer methods. Advantages and disadvantages of various imaging techniques in endodontic practice are also discussed.
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Affiliation(s)
- B S Deepak
- Department of Conservative Dentistry and Endodontics, Bapuji Dental College, Davangere, Karnataka, India
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Pasqualini D, Scotti N, Ambrogio P, Alovisi M, Berutti E. Atypical facial pain related to apical fenestration and overfilling. Int Endod J 2012; 45:670-7. [DOI: 10.1111/j.1365-2591.2012.02021.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography - Part 1: pre-operative status. Int Endod J 2011; 45:702-10. [DOI: 10.1111/j.1365-2591.2011.01989.x] [Citation(s) in RCA: 102] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pigg M, List T, Petersson K, Lindh C, Petersson A. Diagnostic yield of conventional radiographic and cone-beam computed tomographic images in patients with atypical odontalgia. Int Endod J 2011; 44:1092-101. [DOI: 10.1111/j.1365-2591.2011.01923.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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