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Mascardo KC, Tomack J, Chen CY, Mancini L, Kim DM, Friedland B, Barootchi S, Tavelli L. Risk indicators for gingival recession in the esthetic zone: A cross-sectional clinical, tomographic, and ultrasonographic study. J Periodontol 2024; 95:432-443. [PMID: 38196327 DOI: 10.1002/jper.23-0357] [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: 06/05/2023] [Revised: 12/09/2023] [Accepted: 12/13/2023] [Indexed: 01/11/2024]
Abstract
BACKGROUND To evaluate the risk indicators associated with midfacial gingival recessions (GR) in the natural dentition esthetic regions. METHODS Cone-beam computed tomography (CBCT) results of thirty-seven subjects presenting with 268 eligible teeth were included in the cross-sectional study. Clinical measurements included presence/absence of midfacial GR; the depth of the midfacial, mesial, and distal gingival recession; the recession type (RT); keratinized tissue width (KT); and attached gingiva width (AG). Questionnaires were utilized to capture patient-reported esthetics and dental hypersensitivity for each study tooth. Buccal bone dehiscence (cBBD) and buccal bone thickness (cBBT) were measured on the CBCT scans. High-frequency ultrasonography was performed to assess gingival thickness (GT) and buccal bone dehiscence (uBBD). Intraoral optical scanning was obtained to quantify the buccolingual position of each study site (3D profile analysis). Multilevel logistic regression analyses with generalized estimation equations were performed to assess the factors associated with the conditions of interest. RESULTS The presence of midfacial GR was significantly associated with the history of periodontal treatment for pocket reduction (OR 7.99, p = 0.006), KT (OR 0.62, p < 0.001), cBBD (OR 2.30, p = 0.015), GT 1.5 mm from the gingival margin (OR 0.18, p = 0.04) and 3D profile 1 mm from the gingival margin (OR 1.04, p = 0.001). The depth of midfacial GR was significantly correlated to previous history of periodontal treatment (OR 0.96, p = 0.001), KT (OR -0.18, p < 0.001), presence of bone fenestration (OR 0.24, p = 0.044), and cBBD (OR 0.43, p < 0.001). The depth of midfacial GR was also the only factor associated with patient-reported esthetics (OR -3.38, p = 0.022), while KT (OR 0.77, p = 0.018) and AG (OR 0.82, p = 0.047) were significantly correlated with patient-reported dental hypersensitivity. CONCLUSIONS Several risk indicators of midfacial and interproximal GR in the esthetic region were identified. The use of imaging technologies allowed for detection of parameters associated with the conditions of interest, and, therefore, their incorporation in future clinical studies is advocated. Ultrasonography could be preferred over CBCT for a noninvasive assessment of periodontal phenotype.
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Affiliation(s)
- Kathleen Chloe Mascardo
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Justin Tomack
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Chia-Yu Chen
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Leonardo Mancini
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
- Center for Clinical Research and Evidence Synthesis in Oral Tissue Regeneration (CRITERION), Boston, Massachusetts, USA
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - David M Kim
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Bernard Friedland
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Shayan Barootchi
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
- Center for Clinical Research and Evidence Synthesis in Oral Tissue Regeneration (CRITERION), Boston, Massachusetts, USA
- Department of Periodontics & Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
| | - Lorenzo Tavelli
- Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA
- Center for Clinical Research and Evidence Synthesis in Oral Tissue Regeneration (CRITERION), Boston, Massachusetts, USA
- Department of Periodontics & Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
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Eeckhout C, Seyssens L, Glibert M, Keppens L, Nollet B, Lambert M, Cosyn J. A Randomized Controlled Trial Comparing Collagen Matrix to Hemostatic Gelatin Sponge as Socket Seal in Alveolar Ridge Preservation. J Clin Med 2024; 13:2293. [PMID: 38673566 PMCID: PMC11051156 DOI: 10.3390/jcm13082293] [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: 02/02/2024] [Revised: 04/08/2024] [Accepted: 04/09/2024] [Indexed: 04/28/2024] Open
Abstract
(1) Objectives: This study aimed to compare a collagen matrix to a hemostatic gelatin sponge as a socket seal in alveolar ridge preservation (ARP). (2) Methods: Systemically healthy patients planned for ARP at two sites with more than 50% of the buccal bone wall remaining after tooth extraction were eligible for inclusion. ARP involved socket grafting using collagen-enriched deproteinized bovine bone mineral. Sites were then randomly assigned to the test group (collagen matrix) or the control group (hemostatic gelatin sponge). The primary outcome was soft tissue thickness in the center of the site at 4 months, analyzed on cone-beam computed tomography. Secondary outcomes included the buccal and lingual soft tissue heights, horizontal bone loss, buccal soft tissue profile changes, wound dimensions, and Socket Wound Healing Score (SWHS). (3) Results: In total, 18 patients (12 females, 6 males) with a mean age of 57.3 years (SD 11.1) were included. Four months after ARP, the soft tissue thickness in the center of the site amounted to 2.48 mm (SD 0.70) in the test group and 1.81 mm (SD 0.69) in the control group. The difference of 0.67 mm (95% CI: 0.20-1.14) in favor of the collagen matrix was statistically significant (p < 0.009). The buccal soft tissue height was also statistically significantly higher for the collagen matrix (0.72 mm; 95% CI: 0.06-1.38; p = 0.034). A trend favoring the collagen matrix was found for the lingual soft tissue height (p = 0.066). No significant differences between the groups in terms of horizontal bone loss, buccal soft tissue profile changes, wound dimensions, and the SWHS were found. (4) Conclusions: The absence of significant differences in hard tissue outcomes suggests that both the collagen matrix and hemostatic gelatin sponge effectively sealed the extraction socket and supported bone preservation. However, the collagen matrix better maintained soft tissue dimensions. The clinical relevance of this finding with respect to the necessity for adjunctive soft tissue augmentation at the time of implant placement is yet to be studied.
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Affiliation(s)
- Célien Eeckhout
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
| | - Lorenz Seyssens
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
| | - Maarten Glibert
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
| | - Laurens Keppens
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
| | - Baptist Nollet
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
| | - Martijn Lambert
- Department of Equal Lifelong Oral Health for All (ELOHA), Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium;
| | - Jan Cosyn
- Department of Periodontology and Oral Implantology, Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, B-9000 Ghent, Belgium; (L.S.); (M.G.); (L.K.); (B.N.); (J.C.)
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Assessment of Negative Gingival Recession: A Critical Component of Periodontal Diagnosis. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12147015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Accurate measurement of negative gingival recession (GR) is essential to accurately determine the clinical attachment loss, which leads to an accurate diagnosis and optimal therapy of periodontal disease. However, the accuracy of measuring the negative GR has been shown to be low and highly variable between examiners. The position of the gingiva margin in relation to the cemento-enamel junction (CEJ) varies among different stages of passive eruption. The amount of negative GR is about 2 mm on average at the mid-facial sites and ranges from 2 to 3.5 mm at interproximal sites in periodontally healthy patients. Some other clinical conditions may change the gingival dimension coronal to the CEJ, such as altered passive eruption and gingival enlargement. In addition to the traditional approach using a periodontal probe to assess the negative GR, nowadays dental ultrasound imaging may be able to assist in accurately measuring the amount of negative GR. This narrative review will discuss the existing evidence of the dimension of dentogingival tissue and the clinical assessment of negative GR using different clinical tools.
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Three-dimensional assessment of the favorability of maxillary posterior teeth intrusion in different facial patterns limited by the vertical relationship with the maxillary sinus floor. Clin Oral Investig 2022; 26:4905-4915. [DOI: 10.1007/s00784-022-04458-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 03/14/2022] [Indexed: 12/15/2022]
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Chung HM, Park JY, Ko KA, Kim CS, Choi SH, Lee JS. Periodontal probing on digital images compared to clinical measurements in periodontitis patients. Sci Rep 2022; 12:1616. [PMID: 35102150 PMCID: PMC8803931 DOI: 10.1038/s41598-021-04695-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 12/17/2021] [Indexed: 11/18/2022] Open
Abstract
The aim of the study was to compare the supra-alveolar gingival dimension (GD) and the clinical pocket probing depth (PD) by combining data from an intraoral scanner (IOS) and cone-beam computed tomography (CBCT) and identify the clinical features affecting the clinical PD. 1,071 sites from 11 patients were selected for whom CBCT, IOS images, and periodontal charts were recorded at the same visit. CBCT and IOS data were superimposed. GD was measured on cross-sectional images of the probed sites. The level of agreement and correlation between GD and PD were assessed for the entire population and within groups (treated vs untreated, bleeding on probing [BOP] vs no BOP, and PDs of 0-3 mm vs 4-5 mm vs ≥ 6 mm). The mean [± SD] difference between GD and PD was 0.82 [± 0.69] mm, and they were positively correlated (r = 0.790, p < 0.001). The correlations between GD and PD were stronger for untreated sites, sites with BOP, and sites with a larger PD. Within the limitations of this study, the similarity between GD and PD may suggest a possible tendency of overestimation when recording PD.
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Affiliation(s)
- Hye-Min Chung
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| | - Jin-Young Park
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| | - Kyung-A Ko
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
- Innovation Research and Support Center for Dental Science, Yonsei University Dental Hospital, Seoul, Republic of Korea
| | - Chang-Sung Kim
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
- Innovation Research and Support Center for Dental Science, Yonsei University Dental Hospital, Seoul, Republic of Korea.
| | - Seong-Ho Choi
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
- Innovation Research and Support Center for Dental Science, Yonsei University Dental Hospital, Seoul, Republic of Korea
| | - Jung-Seok Lee
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
- Innovation Research and Support Center for Dental Science, Yonsei University Dental Hospital, Seoul, Republic of Korea.
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Houlton TM, Jooste N, Steyn M. Testing regression and mean model approaches to facial soft-tissue thickness estimation. MEDICINE, SCIENCE, AND THE LAW 2021; 61:170-179. [PMID: 33251942 DOI: 10.1177/0025802420977018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Average facial soft-tissue thickness (FSTT) databanks are continuously developed and applied within craniofacial identification. This study considered and tested a subject-specific regression model alternative for estimating the FSTT values for oral midline landmarks using skeletal projection measurements. Measurements were taken from cone-beam computed tomography scans of 100 South African individuals (60 male, 40 female; Mage = 35 years). Regression equations incorporating sex categories were generated. This significantly improved the goodness-of-fit (r2-value). Validation tests compared the constructed regression models with mean FSTT data collected from this study, existing South African FSTT data, a universal total weighted mean approach with pooled demographic data and collection techniques and a regression model approach that uses bizygomatic width and maximum cranial breadth dimensions. The generated regression equations demonstrated individualised results, presenting a total mean inaccuracy (TMI) of 1.53 mm using dental projection measurements and 1.55 mm using cemento-enamel junction projection measurements. These slightly outperformed most tested mean models (TMI ranged from 1.42 to 4.43 mm), and substantially outperformed the pre-existing regression model approach (TMI = 5.12 mm). The newly devised regressions offer a subject-specific solution to FSTT estimation within a South African population. A continued development in sample size and validation testing may help substantiate its application within craniofacial identification.
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Affiliation(s)
- Tobias Mr Houlton
- Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown, South Africa
| | - Nicolene Jooste
- Department of Human Anatomy and Physiology, University of Johannesburg, Doornfontein, South Africa
| | - Maryna Steyn
- Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown, South Africa
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Bielecki-Kowalski B, Kozakiewicz M. Assessment of Differences in the Dimensions of Mandible Condyle Models in Fan- versus Cone-Beam Computer Tomography Acquisition. MATERIALS 2021; 14:ma14061388. [PMID: 33809298 PMCID: PMC7999192 DOI: 10.3390/ma14061388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 03/04/2021] [Accepted: 03/08/2021] [Indexed: 11/16/2022]
Abstract
Modern treatment in the field of head and neck surgery aims for the least invasive therapy and places great emphasis on restorative treatment, especially in the case of injury and deformation corrective surgery. More and more often, surgeons use CAD/CAM (Computer-Aided Design and Computer-Aided Manufacturing) tools in their daily practice in the form of models, templates, and computer simulations of planning. These tools are based on DICOM (Digital Imaging and Communications in Medicine) files derived from computed tomography. They can be obtained from both fan-beam (FBCT) and cone-beam tomography (CBCT) acquisitions, which are subsequently segmented in order to transform them into a 1-bit 3D model, which is the basis for further CAD processes. AIM Evaluation of differences in the dimensions of mandible condyle models in fan- versus cone-beam computer tomography for surgical treatment purposes. METHODS 499 healthy condyles were examined in CT-based 3D models of Caucasians aged 8-88 years old. Datasets were obtained from 66 CBCT and 184 FBCT axial image series (in each case, imaging both mandible condyles resulted in the acquisition of 132 condyles from CBCT and 368 condyles from FBCT) and were transformed into three-dimensional models by digital segmentation. Eleven different measurements were performed to obtain information whether there were any differences between FBCT and CBCT models of the same anatomical region. RESULTS 7 of 11 dimensions were significantly higher in FBCT versus lower in CBCT (p < 0.05).
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Accuracy of alveolar bone height and thickness measurements in cone beam computed tomography: a systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128:667-679. [DOI: 10.1016/j.oooo.2019.05.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 05/02/2019] [Accepted: 05/14/2019] [Indexed: 02/08/2023]
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Shirota T, Shiogama S, Asama Y, Tanaka M, Kurihara Y, Ogura H, Kamatani T. CAD/CAM splint and surgical navigation allows accurate maxillary segment positioning in Le Fort I osteotomy. Heliyon 2019; 5:e02123. [PMID: 31372564 PMCID: PMC6657307 DOI: 10.1016/j.heliyon.2019.e02123] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 04/24/2019] [Accepted: 07/18/2019] [Indexed: 11/28/2022] Open
Abstract
Purpose To evaluate the accuracy of the maxillary segment positioning method using a splint fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) and surgical navigation in patients who required two-jaw surgery. Methods Subjects were 35 patients requiring two-jaw surgery. A 3-dimensional (3D) skull model was prepared using cone-beam computed tomography (CBCT) data and dentition model scan data. Two-jaw surgery was simulated using this model, and a splint for maxillary positioning was fabricated by CAD/CAM. Using coordinate transformation software, the coordinate axis of surgical simulation data was merged with the navigation system, and data were imported to the navigation system. The maxillary segment was placed using the CAD/CAM splint, and consistency of the maxillary segment position with that planned by simulation was confirmed using the navigation system. CBCT taken at 4 weeks postoperatively and the prediction image fabricated using surgical simulation were superimposed. Predicted movement distances (PMD) at 6 arbitrary measurement points and actual movement distance (AMD) in surgery were measured. Differences of 3D measurements between the surgical simulation and postoperative results were evaluated. Results No significant differences were seen between PMD and AMD at most measurement points on the X and Y axes. Although significant differences between PMD and AMD were seen on the Z axis, no difference was evident between linear distance on the estimated image and postoperative CBCT image at most measurement points in 3D space. Mean error at measurement points between the PMD and AMD ranged from 0.57 mm to 0.78 mm on the X axis, 0.64 mm–1.03 mm on the Y axis, and 0.84 mm–0.90 mm in the Z axis. Conclusion Position of the maxillary segment moved by the CAD/CAM splint in Le Fort I osteotomy was almost consistent with the position established by simulation using the navigation system, confirming clinical accuracy.
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Affiliation(s)
- Tatsuo Shirota
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan
| | - Sunao Shiogama
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan
| | - Yusuke Asama
- Department of Orthodontics, School of Dentistry, Showa University, Tokyo, Japan
| | - Motohiro Tanaka
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan
| | - Yuji Kurihara
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan
| | - Hiroshi Ogura
- Department of Information Science, Faculty of Arts and Sciences at Fujiyoshida, Showa University, Fujiyoshida, Japan
| | - Takaaki Kamatani
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan
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Moudi E, Haghanifar S, Johari M, Gholinia H, Ghanbarabadi MK. Evaluation of the cone-beam computed tomography accuracy in measuring soft tissue thickness in different areas of the jaws. J Indian Soc Periodontol 2019; 23:334-338. [PMID: 31367130 PMCID: PMC6628763 DOI: 10.4103/jisp.jisp_675_18] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Purpose: Due to the extensive use of cone-beam computed tomography (CBCT) in dentistry, especially in measuring thicknesses of hard and soft tissues, and the fact that CBCT has low contrast resolution, the aim of this study was to evaluate the accuracy of CBCT in measuring soft tissue thickness. Materials and Methods: In this cross-sectional study, pink baseplate wax as a soft tissue simulation was overlaid in different areas of the jaws on the dry human skull, and the probe was used to determine the thicknesses of 1, 2, 3, and 5 mm. These thicknesses were then measured accurately with a digital caliper by one person four times at interval of a week. The skull was scanned using two CBCT scanners, and the different thicknesses of wax were measured by two observers four times with a week interval. The CBCT measurements were compared with digital caliper measurements as a reference. Results: Statistical analysis showed no significant difference between CBCT and digital caliper measurements for thickness < 2 mm (P > 0.05). Conclusions: Statistically, the difference between digital caliper and CBCT measurements was < 0.1 mm, but this difference is not clinically important. The accuracy of CBCT in measuring soft tissue thickness was 0.1 mm.
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Affiliation(s)
- Ehsan Moudi
- Oral Health Research Center, Institute of Health, Babol, Iran
| | - Sina Haghanifar
- Oral Health Research Center, Institute of Health, Babol, Iran
| | - Maryam Johari
- Dental Materials Research Center, Health Research Institute, Babol, Iran
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Dental age estimation in Malaysian adults based on volumetric analysis of pulp/tooth ratio using CBCT data. Leg Med (Tokyo) 2018; 36:50-58. [PMID: 30415192 DOI: 10.1016/j.legalmed.2018.10.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 10/16/2018] [Accepted: 10/19/2018] [Indexed: 11/21/2022]
Abstract
Forensic odontology plays an important role in human identification and dental age estimation is an integral part of this process. The aim of the study was to investigate the association between chronological age and pulp/tooth volume ratio in a Malaysian population (Malays and Chinese) from cone-beam computed tomography (CBCT) scans, enhanced with Mimics software. Three hundred CBCT scans of 153 males and 147 females, aged between 16 and 65 years were divided into 5 age groups. Volumetric analysis of the pulp/tooth ratio was performed in maxillary left canines, maxillary right canines and maxillary right central incisors. Simple linear regression and Pearson correlation analysis indicated the strongest coefficient of correlation (R) values for maxillary right central incisors (0.83) followed by maxillary right canines (0.74) and maxillary left canines (0.73). Fisher's Z test indicated that dental age estimation is gender independent. The derived regression equations were further validated on an independent group of 126 teeth. The results indicated mean absolute error (MAE) values of 6.48 and 8.58 years for maxillary right central incisors and maxillary canines respectively. It was also noticed that MAE values were higher among the age groups ranging from 46 to 65 years. This study showed that a volumetric change in the pulp cavity with age is a valuable assessment method for dental age estimation among Malaysian population.
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Fakhar HB, Emami R, Moloudi K, Mosavat F. Effects of artifact removal on cone-beam computed tomography images. Dent Res J (Isfahan) 2018; 15:89-94. [PMID: 29576771 PMCID: PMC5858077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Dental implants and metal fillings may cause artifacts in cone-beam computed tomography (CBCT) images and reduce image quality and anatomic accuracy. The purposes of this study are a subjective evaluation of anatomic landmarks and linear bone measurements after applying artifact removal (low-medium) option on CBCT images. MATERIALS AND METHODS In this cross-sectional study, thirty CBCT images from thirty qualified patients were selected in a private radiology center. Low and medium artifact removal was applied to images. Three radiologists assessed the visibility of the mandibular canal, mental foramen, and lamina dura in images. Crestal width and bone length were also measured in three groups of images and was compared by exact McNemar test. ICC test (two-way random model, absolute agreement types) was calculated for comparison of linear bone measurements in three images groups. P ≤ 0.05 was considered statistically significant. RESULTS Percent agreement of determining mental foramen (outline and location), mandibular canal (outline and location), and lamina dura between three groups of images were 100%, 100%, 83.3%, 96.7%, and 56.6%, respectively. The results of exact McNemar test revealed that medium artifact removal group had a statistical difference in lamina dura observation with none and low artifact removal groups (P < 0.001). Intraclass correlation coefficient showed no statistical differences in crestal width and bone length between groups (P < 0.001). CONCLUSION Applying artifact removal does not affect the visibility of large anatomical structures and linear bone measurements, but delicate structures such as lamina dura may become less clear after artifact removal.
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Affiliation(s)
- Hooriyeh Bashizade Fakhar
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Raheleh Emami
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Semnan University of Medical Sciences, Semnan, Iran,Address for correspondence: Dr. Raheleh Emami, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Semnan University of Medical Sciences, Semnan, Iran. E-mail:
| | - Kave Moloudi
- Department of Radiology, School of Paramedical Sciences, Iran University of Medical Sciences, Semnan, Iran
| | - Farzaneh Mosavat
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Ahn NL, Park HS. Differences in distances between maxillary posterior root apices and the sinus floor according to skeletal pattern. Am J Orthod Dentofacial Orthop 2017; 152:811-819. [PMID: 29173860 DOI: 10.1016/j.ajodo.2017.05.021] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 05/01/2017] [Accepted: 05/01/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the distances from the maxillary posterior root apices to the inferior wall of the maxillary sinus using cone-beam computed tomography images and the relationships between roots and maxillary sinus according to age, sex, and skeletal pattern. METHODS Three-dimensional images of each root were checked, and the distances were measured along the true vertical axis from the apex of the root to the sinus floor in 118 patients (63 male, 55 female) aged 10 to 28 years. Compare-means statistic tests were done to assess the differences between groups classified according to age, sex, and skeletal pattern. RESULTS The frequency of root contact with the sinus floor increased from 70% at the second premolar to more than 80% at the buccal roots of the first and second molars. Male and older age (20-28 years) groups had significantly smaller distances or more protrusion of the root into the sinus than female and younger age (10-20 years) groups. The distances were shorter, or there was more protrusion of the root into the sinus in the hyperdivergent, down-canted palatal plane, and large gonial angle groups. CONCLUSIONS Male, older age, hyperdivergent skeletal pattern, and large gonial angle groups had significantly closer distances between maxillary root tips and the sinus floor or more protrusion of the roots into the sinus. The intrusion of the maxillary molars in those situations may be difficult and slow because of the pneumatized maxillary sinus.
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Affiliation(s)
- Nguyen-Lan Ahn
- Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Hyo-Sang Park
- Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, Korea.
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Fakhar HB, Rashtchian R, Parvin M. Effect of Dental Implant Metal Artifacts on Accuracy of Linear Measurements by Two Cone-Beam Computed Tomography Systems Before and After Crown Restoration. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2017; 14:329-336. [PMID: 29942327 PMCID: PMC6015588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this study was to determine the impact of fixture location and crown restoration on the accuracy of linear measurements by two cone-beam computed tomography (CBCT) systems. MATERIALS AND METHODS Six dental implants were inserted in a dry human mandible in two stages. CBCT images were obtained in each stage by Alphard VEGA 3030 and Promax 3D Max systems. Imaging procedures were repeated after metallic crown placement. Two observers measured the alveolar height and width using five radiopaque markers. Values were compared to the same measurements made on initial images (prior to implant insertion) using t-test. The linear regression test was used to evaluate the effect of implant location on the accuracy of linear measurements. RESULTS The impact of fixture and fixture-crown combination on the accuracy of linear measurements of height (t = -5.2, P=0.0001 and t=-5.98, P<0.0001, respectively) and width (t=-3.42, P=0.004 and t= -2.7, P=0.015, respectively) was significantly underestimated. Metal crowns had no significant effect on measurements of bone height and width (t=-1.38, P=0.19 and t=0, P=1.00, respectively). Although both systems showed some underestimations, Promax 3D Max underestimated bone width significantly more than the other system (Alphard VEGA 3030=- 0.51mm and Promax 3D Max=-0.80). Regarding implant location, the measurements in the canine sites were found to be more accurate than the region between adjacent implants. CONCLUSIONS CBCT is an accurate and reproducible system for dental implant follow-up examinations. Metal artifacts can lead to underestimation of measurements. However, this was not statistically significant in our study.
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Affiliation(s)
- Hoorieh Bashizadeh Fakhar
- Assistant Professor, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran; Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Roxana Rashtchian
- Postgraduate Student, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran,Corresponding author: R. Rashtchian, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran,
| | - Milad Parvin
- Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Sendyk M, de Paiva JB, Abrão J, Rino Neto J. Correlation between buccolingual tooth inclination and alveolar bone thickness in subjects with Class III dentofacial deformities. Am J Orthod Dentofacial Orthop 2017; 152:66-79. [DOI: 10.1016/j.ajodo.2016.12.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 12/01/2016] [Accepted: 12/01/2016] [Indexed: 10/19/2022]
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da Silva NC, Barriviera M, Junqueira JLC, Panzarella FK, Raitz R. Intraobserver and interobserver reproducibility in linear measurements on axial images obtained by cone-beam computed tomography. Imaging Sci Dent 2017; 47:11-15. [PMID: 28361024 PMCID: PMC5370249 DOI: 10.5624/isd.2017.47.1.11] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 10/02/2016] [Accepted: 10/31/2016] [Indexed: 11/18/2022] Open
Abstract
PURPOSE This study was performed to investigate the intra- and inter-observer variability in linear measurements with axial images obtained by PreXion (PreXion Inc., San Mateo, USA) and i-CAT (Imaging Sciences International, Xoran Technologies Inc., Hatfield, USA) CBCT scanners, with different voxel sizes. MATERIALS AND METHODS A cylindrical object made from nylon with radiopaque markers (phantom) was scanned by i-CAT and PreXion 3D devices. For each axial image, measurements were taken twice in the horizontal (distance A-B) and vertical (distance C-D) directions, randomly, with a one-week interval between measurements, by four oral radiologists with five years or more experience in the use of these measuring tools. RESULTS All of the obtained linear measurements had lower values than those of the phantom. The statistical analysis showed high intra- and inter-observer reliability (p=0.297). Compared to the real measurements, the measurements obtained using the i-CAT device and PreXion tomography, on average, revealed absolute errors ranging from 0.22 to 0.59 mm and from 0.23 to 0.63 mm, respectively. CONCLUSION It can be concluded that both scanners are accurate, although the linear measurements are underestimations, with no significant differences between the evaluators.
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Affiliation(s)
- Nathália Cristine da Silva
- São Leopoldo Mandic Research Center, Department of Oral Radiology, College of Dentistry, São Paulo, SP, Brazil
| | - Maurício Barriviera
- Department of Oral Radiology, College of Dentistry, Catholic University of Brasilia, São Paulo, SP, Brazil
| | - José Luiz Cintra Junqueira
- São Leopoldo Mandic Research Center, Department of Oral Radiology, College of Dentistry, São Paulo, SP, Brazil
| | - Francine Kühl Panzarella
- São Leopoldo Mandic Research Center, Department of Oral Radiology, College of Dentistry, São Paulo, SP, Brazil
| | - Ricardo Raitz
- São Leopoldo Mandic Research Center, Department of Oral Radiology, College of Dentistry, São Paulo, SP, Brazil
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Ganguly R, Ramesh A, Pagni S. The accuracy of linear measurements of maxillary and mandibular edentulous sites in cone-beam computed tomography images with different fields of view and voxel sizes under simulated clinical conditions. Imaging Sci Dent 2016; 46:93-101. [PMID: 27358816 PMCID: PMC4925656 DOI: 10.5624/isd.2016.46.2.93] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2015] [Revised: 02/11/2016] [Accepted: 02/19/2016] [Indexed: 12/12/2022] Open
Abstract
PURPOSE The objective of this study was to investigate the effect of varying resolutions of cone-beam computed tomography images on the accuracy of linear measurements of edentulous areas in human cadaver heads. Intact cadaver heads were used to simulate a clinical situation. MATERIALS AND METHODS Fiduciary markers were placed in the edentulous areas of 4 intact embalmed cadaver heads. The heads were scanned with two different CBCT units using a large field of view (13 cm×16 cm) and small field of view (5 cm×8 cm) at varying voxel sizes (0.3 mm, 0.2 mm, and 0.16 mm). The ground truth was established with digital caliper measurements. The imaging measurements were then compared with caliper measurements to determine accuracy. RESULTS The Wilcoxon signed rank test revealed no statistically significant difference between the medians of the physical measurements obtained with calipers and the medians of the CBCT measurements. A comparison of accuracy among the different imaging protocols revealed no significant differences as determined by the Friedman test. The intraclass correlation coefficient was 0.961, indicating excellent reproducibility. Inter-observer variability was determined graphically with a Bland-Altman plot and by calculating the intraclass correlation coefficient. The Bland-Altman plot indicated very good reproducibility for smaller measurements but larger discrepancies with larger measurements. CONCLUSION The CBCT-based linear measurements in the edentulous sites using different voxel sizes and FOVs are accurate compared with the direct caliper measurements of these sites. Higher resolution CBCT images with smaller voxel size did not result in greater accuracy of the linear measurements.
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Affiliation(s)
- Rumpa Ganguly
- Department of Diagnostic Sciences, Division of Oral and Maxillofacial Radiology, Tufts University School of Dental Medicine Boston, MA, USA
| | - Aruna Ramesh
- Department of Diagnostic Sciences, Division of Oral and Maxillofacial Radiology, Tufts University School of Dental Medicine Boston, MA, USA
| | - Sarah Pagni
- Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston, MA, USA
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Nikiforidou M, Tsalikis L, Angelopoulos C, Menexes G, Vouros I, Konstantinides A. Classification of periodontal biotypes with the use of CBCT. A cross-sectional study. Clin Oral Investig 2015; 20:2061-2071. [PMID: 26689570 DOI: 10.1007/s00784-015-1694-y] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Accepted: 12/14/2015] [Indexed: 01/03/2023]
Abstract
OBJECTIVES The aim of this study is to investigate the relationship between periodontal morphometric parameters and to develop a biotype classification based on the variables examined with the use of cone-beam computed tomography (CBCT). MATERIALS AND METHODS Forty-two periodontally healthy subjects that underwent a CBCT examination as part of a different diagnostic procedure participated in the study. Measurements were performed on sectional images and included gingival thickness and labial bone plate thickness midbuccally, crown width to crown length ratio, bone crest to the CEJ distance and bone crest to the gingival margin distance midbuccally, and at the approximal aspects of 186 maxillary anterior teeth. RESULTS Gingival thickness at the level of CEJ was positively correlated with labial bone plate thickness and crown form. Crown form was not correlated with labial bone plate thickness. Cluster analysis supported the existence of four periodontal biotypes, "thin," "thick," "average," and "mixed." Labial bone plate thickness was thinner than 1 mm at 70 % of the measured sites. CONCLUSIONS Only 50 % of the teeth belonged to thin or thick biotype. The other 50 % of the teeth belonged to the average cluster or presented mixed characteristics. Assessment of labial bone plate thickness based on periodontal biotype should be made with caution. CLINICAL RELEVANCE Taking into consideration the characteristics of periodontal biotypes enables the clinician to avoid complications in periodontology, prosthetic dentistry, implant dentistry in the esthetic zone, and orthodontics.
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Affiliation(s)
- Maria Nikiforidou
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece.
| | - Lazaros Tsalikis
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece
| | - Christos Angelopoulos
- Department of Oral Surgery, Implantology and Roentgenology, School of Dentistry, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece
| | - Georgios Menexes
- School of Agriculture, Laboratory of Agronomy, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece
| | - Ioannis Vouros
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece
| | - Antonios Konstantinides
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Agiou Dimitriou 195, 541 24, Thessaloniki, Greece
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Gomes LR, Gomes MR, Gonçalves JR, Ruellas ACO, Wolford LM, Paniagua B, Benavides E, Cevidanes LHS. Cone beam computed tomography-based models versus multislice spiral computed tomography-based models for assessing condylar morphology. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 121:96-105. [PMID: 26679363 DOI: 10.1016/j.oooo.2015.10.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Revised: 10/06/2015] [Accepted: 10/12/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To quantitatively compare condylar morphology using cone beam computed tomography (CBCT) and multislice spiral computed tomography (MSCT) virtual three-dimensional surface models. STUDY DESIGN The sample consisted of secondary data analyses of CBCT and MSCT scans obtained for clinical purposes from 74 patients treated with condylar resection and prosthetic joint replacement. Three-dimensional surface models of 146 condyles were constructed from each scan modality. Across-subject models were approximated and voxel-based registration was performed between homologous CBCT and MSCT images, making it possible to create average CBCT- and MSCT-based condylar models. SPHARM-PDM software provided matching points on each corresponding model. ShapeAnalysisMANCOVA software assessed statistically significant differences between observers and imaging modalities. One-sample t-tests evaluated the null hypothesis that the mean differences between each CBCT- and MSCT-based model were not clinically significant (<.5 mm). Tests were conducted at a significance level of P < .05. RESULTS ShapeAnalysisMANCOVA showed no statistically significant difference between the average CBCT- and MSCT-based models (P > .68). During pairwise comparison, the mean difference observed was .406 mm (SD, .173). One sample t-test showed that mean differences between each set of paired CBCT- and MSCT-based models were not clinically significant (P = .411). CONCLUSION Three-dimensional surface models constructed from CBCT images are comparable to those derived from MSCT scans and may be considered reliable tools for assessing condylar morphology.
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Affiliation(s)
- Liliane Rosas Gomes
- Department of Orthodontics, Faculdade de Odontologia de Araraquara, UNESP Universidade Estadual Paulista, Sao Paulo, Brazil; Department of Orthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
| | | | - João Roberto Gonçalves
- Department of Orthodontics, Faculdade de Odontologia de Araraquara, UNESP Universidade Estadual Paulista, Sao Paulo, Brazil
| | | | - Larry M Wolford
- Departments of Oral and Maxillofacial Surgery and Orthodontics Texas, A&M University Health Science Center Baylor College of Dentistry, Baylor University Medical Center, Dallas, TX, USA
| | - Beatriz Paniagua
- Research Assistant Professor at the Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA
| | - Erika Benavides
- Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
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Shiki K, Tanaka T, Kito S, Wakasugi-Sato N, Matsumoto-Takeda S, Oda M, Nishimura S, Morimoto Y. The significance of cone beam computed tomography for the visualization of anatomical variations and lesions in the maxillary sinus for patients hoping to have dental implant-supported maxillary restorations in a private dental office in Japan. Head Face Med 2014; 10:20. [PMID: 24884983 PMCID: PMC4047780 DOI: 10.1186/1746-160x-10-20] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2014] [Accepted: 05/21/2014] [Indexed: 11/18/2022] Open
Abstract
Objectives The purpose of the present study was to elucidate the significance of cone bean computed tomography (CBCT) for patients hoping to undergo implant-supported restorations of the maxilla. Therefore, two studies were planned. One was to compare the prevalence of anatomic variations and lesions in the maxillary sinus on CBCT of patients hoping to undergo implant-supported restorations of the maxilla with that in patients with other chief complaints in a private dental office in Japan. The other study was to elucidate the limitations of panoramic radiographs in the detection of anatomic variations and lesions in the maxillary sinus. Study design Sixty-one pairs of panoramic radiographs and CBCT were retrospectively analyzed in two groups of patients, those who hoped to undergo implant-supported restorations in the maxilla (Implant group) and those who did not (Non-implant group). The presence of anatomic variations and lesions in the maxillary sinus were analyzed. Results The detection rate of mucosal thickening was significantly higher in the Implant group than in the Non-implant group. The detection rates for the features analyzed were significantly lower on panoramic radiographs. In particular, the detection rates of internal and anterior locations of some features were noticeably lower on panoramic radiographs. A significant relationship was found between the change in the detection rate on panoramic radiographs and the widths of mucosal thickening or the lengths of the major axis of SOLs in the maxillary sinus. If the width of mucosal thickening or the length of the major axis of SOLs was <3 mm or <4 mm, respectively, the detection rate on panoramic radiographs was significantly decreased. Conclusion CBCT is important for patients hoping to undergo implant-supported restorations of the maxilla because of the mucosal thickening in the maxillary sinus in such patients and their lower detection rates on panoramic radiographs.
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Affiliation(s)
| | | | | | | | | | | | | | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, 2-6-1 Manazuru, Kokurakita-ku, Kitakyushu 803-8580, Japan.
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Abstract
Diagnostic imaging techniques have evolved with technological advancements - but how far? The objective of this article was to explore the electromagnetic spectrum to find imaging techniques which may deliver diagnostic information of equal, or improved, standing to conventional radiographs and to explore any developments within radiography which may yield improved diagnostic data. A comprehensive literature search was performed using Medline, Web of Knowledge, Science Direct and PubMed Databases. Boolean Operators were used and key-terms included (not exclusively): terahertz, X-ray, ultraviolet, visible, infra-red, magnetic resonance, dental, diagnostic, caries and periodontal. Radiographic techniques are primarily used for diagnostic imaging in dentistry, and continued developments in X-ray imaging include: phase contrast, darkfield and spectral imaging. Other modalities have potential application, for example, terahertz, laser doppler and optical techniques, but require further development. In particular, infra-red imaging has regenerated interest with caries detection in vitro, due to improved quality and accessibility of cameras. Non-ionising imaging techniques, for example, infra-red, are becoming more commensurate with traditional radiographic techniques for caries detection. Nevertheless, X-rays continue to be the leading diagnostic image for dentists, with improved diagnostic potential for lower radiation dose becoming a reality.
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Ibrahim N, Parsa A, Hassan B, van der Stelt P, Aartman IHA, Wismeijer D. The effect of scan parameters on cone beam CT trabecular bone microstructural measurements of the human mandible. Dentomaxillofac Radiol 2013; 42:20130206. [PMID: 24132024 DOI: 10.1259/dmfr.20130206] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
The objective of this study was to investigate the effect of different cone beam CT scan parameters on trabecular bone microstructure measurements. A human mandibular cadaver was scanned using a cone beam CT (3D Accuitomo 170; J.Morita, Kyota, Japan). 20 cone beam CT images were obtained using 5 different fields of view (4×4 cm, 6×6 cm, 8×8 cm, 10×10 cm and 10×5 cm), 2 types of rotation steps (180° and 360°) and 2 scanning resolutions (standard and high). Image analysis software was used to assess the trabecular bone microstructural parameters (number, thickness and spacing). All parameters were measured twice by one trained observer. Intraclass correlation coefficients showed high intraobserver repeatability (intraclass correlation coefficient, 0.95-0.97) in all parameters across all tested scan parameters. Trabecular bone microstructural measurements varied significantly, especially in smaller fields of view (p = 0.001). There was no significant difference in the trabecular parameters when using different resolutions (number, p = 0.988; thickness, p = 0.960; spacing, p = 0.831) and rotation steps (number, p = 1.000; thickness, p = 0.954; spacing, p = 0.759). The scan field of view significantly influences the trabecular bone microstructure measurements. Rotation steps (180° or 360°) and resolution (standard or high) selections are not relevant.
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Affiliation(s)
- N Ibrahim
- Department of General and Specialized Dentistry, Section of Oral and Maxillofacial Radiology, Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
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Ibrahim N, Parsa A, Hassan B, van der Stelt P, Aartman IH, Wismeijer D. Accuracy of trabecular bone microstructural measurement at planned dental implant sites using cone-beam CT datasets. Clin Oral Implants Res 2013; 25:941-5. [DOI: 10.1111/clr.12163] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Norliza Ibrahim
- Department of General and Specialized Dentistry; Section of Oral and Maxillofacial Radiology; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
- Department of General Dental Practice and Oral & Maxillofacial Imaging; Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
| | - Azin Parsa
- Department of General and Specialized Dentistry; Section of Oral and Maxillofacial Radiology; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Bassam Hassan
- Department of General and Specialized Dentistry; Section of Oral and Maxillofacial Radiology; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Paul van der Stelt
- Department of General and Specialized Dentistry; Section of Oral and Maxillofacial Radiology; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Irene H.A. Aartman
- Department of Social Dentistry and Behavioral Sciences; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Daniel Wismeijer
- Department of Oral Function and Restorative Dentistry; Section of Implantology and Prosthetic Dentistry; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
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Patcas R. Accuracy of linear intraoral measurements using cone beam CT and multidetector CT: methodological mistake: Author response. Dentomaxillofac Radiol 2013; 42:20130062. [DOI: 10.1259/dmfr.20130062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Wood R, Sun Z, Chaudhry J, Tee BC, Kim DG, Leblebicioglu B, England G. Factors affecting the accuracy of buccal alveolar bone height measurements from cone-beam computed tomography images. Am J Orthod Dentofacial Orthop 2013; 143:353-63. [DOI: 10.1016/j.ajodo.2012.10.019] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2012] [Revised: 10/01/2012] [Accepted: 10/01/2012] [Indexed: 11/27/2022]
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Sabour S, Kermani H. Accuracy of linear intraoral measurements using cone beam CT and multidetector CT: methodological mistake. Dentomaxillofac Radiol 2013; 42:20130048. [PMID: 23420850 DOI: 10.1259/dmfr.20130048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Zekry A, Wang R, Chau ACM, Lang NP. Facial alveolar bone wall width - a cone-beam computed tomography study in Asians. Clin Oral Implants Res 2013; 25:194-206. [PMID: 23294441 DOI: 10.1111/clr.12096] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Ahmed Zekry
- Faculty of Dentistry, The Prince Philip Dental Hospital; The University of Hong Kong; Hong Kong SAR China
| | - Ren Wang
- Faculty of Dentistry, The Prince Philip Dental Hospital; The University of Hong Kong; Hong Kong SAR China
| | - Anson C. M. Chau
- Faculty of Dentistry, The Prince Philip Dental Hospital; The University of Hong Kong; Hong Kong SAR China
| | - Niklaus P. Lang
- Faculty of Dentistry, The Prince Philip Dental Hospital; The University of Hong Kong; Hong Kong SAR China
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Moshfeghi M, Tavakoli MA, Hosseini ET, Hosseini AT, Hosseini IT. Analysis of linear measurement accuracy obtained by cone beam computed tomography (CBCT-NewTom VG). Dent Res J (Isfahan) 2012; 9:S57-62. [PMID: 23814563 PMCID: PMC3692201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND One of the major uses of cone beam computed tomography (CBCT) is presurgical implant planning. Linear measurement is used for the determination of the quantity of alveolar bone (height and width). Linear measurements are used in orthodontic analysis and definition of jaw tumor size. The objective of this study is to evaluate the accuracy of the linear measurement of CBCT (Newtom VG) in the axial and coronal planes, with two different voxel sizes. MATERIALS AND METHODS In this accuracy diagnostic study, 22 anatomic landmarks in four dry human skulls were marked by gutta-percha. Fifteen linear measurements were obtained using a digital caliper. These were considered to be the gold standard (real measurement). The skulls were scanned by CBCT (Newtom VG) at two settings: (a) Voxel size 0.3 mm (b) voxel size 0.15 mm High Resolution (HR). The radiographic distance measurements were made in the axial and coronal sections by three observers. The radiographic measurements were repeated two weeks later for evaluation of intraobserver reliability. SPSS software version 17 was used for data analysis. The level of significance was considered to be 5% (P ≤ 0.05). RESULTS The mean differences of real and radiographic measurements were -0.10±0.99 mm in the axial sections, -0.27±1.07 mm in the coronal sections, +0.14±1.44 mm in the axial (HR) sections, and 0.02±1.4 mm in the coronal (HR) sections. The intraclass correlation (ICC) for CBCT measurements in the axial sections was 0.9944, coronal sections 0.9941, axial (HR) sections 0.9935, and coronal (HR) sections 0.9937. The statistical analysis showed high interobserver and intraobserver reliability (P ≤ 0.05). CONCLUSION CBCT (Newtom VG) is highly accurate and reproducible in linear measurements in the axial and coronal image planes and in different areas of the maxillofacial region. According to the findings of the present study, a CBCT scan with a larger voxel size (0.3 mm in comparison to 0.15 mm) is recommended when the purpose of the CBCT scan is to measure linear distances. This will result in lower patient radiation dose and faster scan time.
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Affiliation(s)
- Mahkameh Moshfeghi
- Department of Oral and Maxillofacial Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Amin Tavakoli
- Department of Oral and Maxillofacial Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ehsan Tavakoli Hosseini
- Department of Oral and Maxillofacial Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Address for correspondence: Dr. Ehsan Tavakoli Hosseini, Shahid Sadoghi University of Medical Sciences, Yazd, Iran. E-mail:
| | - Ali Tavakoli Hosseini
- Department of Oral Pathology, Shahid Sadoghi University of Medical Sciences, Yazd, Iran
| | - Iman Tavakoli Hosseini
- Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran
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