Detection of Natural and Simulated Periodontal Defects Using Cone-Beam Computed Tomography and Digital Intraoral Radiography

Authors

  • Melis Misirli Near East University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Mersin 10, Turkey.
  • Secil Aksoy Near East University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Mersin 10, Turkey.
  • Murat İçen Nevşehir Hacı Bektaş Veli University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Nevşehir, Turkey.
  • Hayriye Tumer Fınal International University, Faculty of Dentistry, Department of Periodontology, Mersin 10, Turkey.
  • Kani Bilginaylar Fınal International University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Mersin 10, Turkey.
  • Suzan Karaoglulari Fınal International University, Faculty of Dentistry, Department of Periodontology, Mersin 10, Turkey.
  • Atilla Berberoglu Unıversity of City Island, Faculty of Dentistry, Department of Periodontology, Mersin 10, Turkey.
  • Kaan Orhan Ankara University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Ankara, Turkey; Ankara University Medical Design Application and Research Center (MEDITAM), Ankara, Turkey; Medical University of Lublin, Department of Dental and Maxillofacial Radiodiagnostics, Lublin, Poland.

DOI:

https://doi.org/10.22317/jcms.v8i1.1126

Abstract

Objective: In this study, it was aimed to compare the diagnostic value of cone beam computed tomography (CBCT) and digital intraoral periapical imaging methods in the diagnosis of periodontal defects, and the comparison of observers practicing dentistry in the field of periodontology and 3 other observers specialized in various branches was evaluated.

Methods: 7 dry mandible and 5 dry maxilla were used in this study. A total of 111 artificial and natural defects (dehiscence, furca, fenestration, vertical defects) on the anterior, premolar and molar region were imaged with digital imaging techniques using different exposure parameters and scanned with CBCT.

Results: According to the results of this study, CBCT is a more reliable method in the evaluation of all periodontal defects compared to CCD and PSP. 60 and 70 kVp with 0.01 irradiation time in CCD and 70 kVp 0.25 irradiation time in PSP is not suitable for detecting defects owing to high contrast. In the evaluation of periodontal defects, there was no single observer who had good results, different imaging methods and varying results were obtained in different defects.

Conclusion: This study showed that the CBCT method has some diagnostic value for detecting all natural and simulated periodontal defects but it should only be used in cases where clinical evaluation and conventional radiographic imaging do not provide the information necessary for an adequate diagnosis and proper periodontal treatment planning.

References

- Noujeim M, Prihoda TJ, Langlais R, Nummikoski P (2009) Evaluation of high-resolution cone-beam computed tomography in the detection of simulated inter radicular bone lesions. Dentomaxillofac. Radiol. 38:156-162.

- Larato DC (1970) Periodontal Bone Defects in the Juvenile Skull. J. Periodontol41:473–475.

- Newman MG, Takei HH, Klokkvold PR, Carranza FA(2012) Carranza's Clinical Periodontology, 11th edn; Saunders, Louis, Missouri.

- Enhos S, Uysal T, Yağcı A, Veli İ, Uçar FI, Ozer T (2012) Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography. Angle Orthod. 82:868-874.

- Salineiro FCS, Gialain IO, Kobayashi-Velasco S, Pannuti CM, Cavalcanti MGP (2017) Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study. Imaging Sci. Dent. 47:17-24.

- Misch KA, Yi ES, Sarment DP (2006) Accuracy of cone-beam computed tomography for periodontal defect measurements. J. Periodontol. 77:1261-1266.

- Bayat S, Talaeipour AR, Sarlati F (2016) Detection of simulated periodontal defects using cone-beam CT and digital intraoral radiography.Dentomaxillofac. Radiol. 45, 20160030.

- Kolsuz ME, Bagis N, Orhan K, Avsever H, Demiralp KÖ (2015) Comparison of the influence of FOV sizes and different voxel resolutions for the assessment of periodontal defects. Dentomaxillofac. Radiol. 44:10250070.

- Bagis N, Kolsuz ME, Kursun S, Orhan K (2015) Comparison of intraoral radiography and cone-beam computed tomography for the detection of periodontal defects: an in vitro study. BMC Oral Health. 28:64.

- Meyer MS, Joshipura K, Giovannucci E, Michaud DS (2008) A review of the relationship between tooth loss, periodontal diseases, and cancer. Cancer Causes Control. 19:895-907.

- Vanderberghe B, Jacobs R, Yang J (2008) Detection of periodontal bone loss using digital intraoral and cone-beam computed tomography images: an in vitro assessment of bony and/or infrabony defects. Dentomaxillofac. Radiol. 37:252-260.

- Aljehani YA(2014) Diagnostic applications of cone-beam CT for periodontal diseases. Int. J. Dent. 2014:865079.

- Vanderberghe B, Jacobs R, Yang J (2007) Diagnostic validity (or acuity) of 2D CCD versus 3D CBCT-images for assessing periodontal breakdown. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 104:395-401.

- Mol A (2000) Imagıng Methods in Periodontology. Periodontol 2000. 34:34-48.

- Chiapasco M, Zaniboni M (2009) Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clin. Oral Implants Res. 20:113-123.

- Timock AM, Cook V, McDonald T, Leo MC, Crowe J, Benninger BL, Jr Covell, DA(2011) Accuracy and reliability of buccal bone height and thickness measurements from cone-beam computed tomography imaging. Am. J. Orthod. Dentofacial Orthop. 140: 734-744.

- Sun Z, Smith T, Kortam S, Kim DG, Tee BC, Fields H(2011) Effects of bone thickness on alveolar bone-height measurements from cone beam computed tomography images. Am. J. Orthod. Dentofacial Orthop. 139:117-127.

- Langen HJ, Fuhrmann R, Dıedrıch P, Günther RW (1995) Diagnosis of infra-alveolar bony lesions in the dentate alveolar process with high-resolution computed tomography. Invest. Radiol. 30: 421-426.

- Mengel R, Candir M, Shiratori K, Flores-de-Jacoby L (2005) Digital volume tomography in the diagnosis of periodontal defects: An in vitro study on native pig and human mandibles. J. Periodontol. 76:665-673.

- Sun L, Zhang L, Shen G, Wang B, Fang B (2015) Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Am. J. Orthod. Dentofacial Orthop. 147:313-323.

- Umetsubo OS, Gaia BF, Costa FF, Cavalcanti MG(2012) Detection of simulated incipient furcation involvement by CBCT: an in vitro study using pig mandibles. Braz. Oral Res. 26:341–347.

- Pinheiro LR, Scarfe WC, de Oliveira Sales MA, Gaia BF, Cortes ARG, Cavalcanti MGP (2017) Effectiveness of Periapical Radiography Versus Cone Beam Computed Tomography with Different Kilovoltage Settings in the Detection of Chemically Created Peri-implant Bone Defects: An In Vitro Study. Int. J. Oral Maxillofac. Implants. 32:741-750.

- Leung CC, Palamo L, Griffith R, Hans MG(2010) Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am. J. Orthod. Dentofacial Orthop. 137:109-119.

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Published

2022-02-26

How to Cite

Misirli, M., Aksoy, S., İçen, M. ., Tumer, H., Bilginaylar, K., Karaoglulari, S., Berberoglu, A., & Orhan, K. (2022). Detection of Natural and Simulated Periodontal Defects Using Cone-Beam Computed Tomography and Digital Intraoral Radiography. Journal of Contemporary Medical Sciences, 8(1), 38–43. https://doi.org/10.22317/jcms.v8i1.1126

Issue

Vol. 8 No. 1 (2022): January-February 2022

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