Comparison of Periapical Radiography with Cone Beam Computed Tomography in the Diagnosis of Vertical Root Fractures in Teeth with Metallic Post

Overview

Journal J Conserv Dent

Specialty Dentistry

Date 2014 Jun 20

PMID 24944444

Citations 7

Authors

Wilton Mitsunari Takeshita

Lilian Cristina Vessoni Iwaki

Mariliani Chicarelli da Silva

Sergio Sabio

Paulo Ricardo Febrairo Albino

Affiliations

Soon will be listed here.

Abstract

Aim: To compare the diagnostic accuracy of conventional periapical radiography and cone beam computed tomography (CBCT) in detecting vertical root fracture (VRF) in tooth with metallic post (MP).

Materials And Methods: Twenty endodontically-treated teeth received MPs, artificial fractures were created in 10 teeth, and they were all examined with tomography and radiography. The sample consisted of periapical radiography with post and without post, and tomography with post and without post; each group with five fractured and five non-fractured teeth. The images were evaluated by three dental/maxillofacial radiologists and statistical validations were carried out using receiver operating characteristic (ROC) analysis.

Results: Sensitivity and specificity of the area under the ROC (Az) of tomography with post (Az = 0.953) and without post (Az = 0.956) were significantly higher than those of periapical radiography with post (Az = 0.753) and without post (Az = 0.778).

Conclusion: CBCT was more accurate than conventional periapical radiography in detecting VRF.

Citing Articles

Is cone-beam computed tomography more accurate than periapical radiography for detection of vertical root fractures? A systematic review and meta-analysis.

Shokri A, Salemi F, Taherpour T, Karkehabadi H, Ramezani K, Zahedi F BMC Med Imaging. 2024; 24(1):286.

PMID: 39438817 PMC: 11515760. DOI: 10.1186/s12880-024-01472-5.

Diagnostic Accuracy of Caries and Periapical Lesions on a Monitor with and without DICOM-GSDF Calibration Under Different Ambient Light Conditions.

Freire R, Prata-Junior A, Pinho J, Takeshita W J Digit Imaging. 2022; 35(3):654-659.

PMID: 35166971 PMC: 9156603. DOI: 10.1007/s10278-022-00596-w.

Assessment of fractures in endodontically treated teeth restored with and without root canal posts using high-resolution cone beam computed tomography.

Aristizabal-Elejalde D, Arriola-Guillen L, Castillo A, Ruiz-Mora G, Rodriguez-Cardenas Y J Clin Exp Dent. 2020; 12(6):e547-e554.

PMID: 32665813 PMC: 7335599. DOI: 10.4317/jced.56854.

Radiographic diagnosis of root fractures: a systematic review, meta-analyses and sources of heterogeneity.

Salineiro F, Kobayashi-Velasco S, Braga M, Gusmao Paraiso Cavalcanti M Dentomaxillofac Radiol. 2017; 46(8):20170400.

PMID: 28749700 PMC: 5965946. DOI: 10.1259/dmfr.20170400.

Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study.

Salineiro F, Gialain I, Kobayashi-Velasco S, Pannuti C, Gusmao Paraiso Cavalcanti M Imaging Sci Dent. 2017; 47(1):17-24.

PMID: 28361025 PMC: 5370246. DOI: 10.5624/isd.2017.47.1.17.

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