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Vertical root fracture detection with cone-beam computed tomography in Biodentine™ filled teeth

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Název: Vertical root fracture detection with cone-beam computed tomography in Biodentine™ filled teeth
Autoři: Jakob W. G. Van Acker, Charlotte Yvergneaux, Wolfgang Jacquet, Melissa Dierens, Geert Hommez, Joris Van Acker, Matthieu Boone, Sivaprakash Rajasekharan, Luc C. Martens
Přispěvatelé: Brussels Photonics, Educational Science, Faculty of Psychology and Educational Sciences, Clinical sciences, Localities, Ontologies, Commons, Integrated, Oral Health
Zdroj: BMC Oral Health
BMC Oral Health, Vol 24, Iss 1, Pp 1-12 (2024)
BMC ORAL HEALTH
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Maxilla/diagnostic imaging, Tooth Root/diagnostic imaging, Sensitivity and Specificity, Endodontics, Root Canal Filling Materials, Tooth Fractures, silicates, Diagnosis, Medicine and Health Sciences, Maxilla, Humans, DIAGNOSTIC-ACCURACY, Tooth Root, Tooth, Nonvital/diagnostic imaging, Radiography, Bitewing, IN-VIVO, Observer Variation, Tooth, Nonvital, X-Ray Microtomography/methods, Research, Silicates, Cone-beam computed tomography, CBCT, RK1-715, X-Ray Microtomography, Cone-Beam Computed Tomography, Calcium Compounds, Cone-Beam Computed Tomography/methods, Tooth Fractures/diagnostic imaging, Radiography, Incisor, Incisor/diagnostic imaging, Dentistry, Area Under Curve, Radiography, Bitewing/methods, PERIAPICAL RADIOGRAPHY, Tooth fractures, ENDODONTICALLY TREATED TEETH
Popis: Purpose This study aimed to evaluate the accuracy of detecting vertical root fractures in Biodentine™-filled teeth using the Promax 3Dmax cone-beam computed tomography (CBCT) unit compared to periapical radiographs. It tested hypotheses regarding CBCT’s diagnostic superiority in non-root-filled and Biodentine™-root-filled maxillary central incisors and assessed the impact of smaller field of view and lower intensity settings on detection accuracy. Materials and methods Extracted maxillary incisors were divided into groups based on fracture status and root filling material, then placed in a Thiel-embalmed skull to simulate clinical conditions. The teeth were imaged using periapical radiographs and the CBCT unit under different settings. Fracture thickness was measured with microcomputed tomography for accuracy benchmarking. Multiple observers assessed the images, and statistical analyses were conducted to evaluate diagnostic performance. Results Intra-rater reliabilities of consensus scores ranged from good to very good. Specificities were generally higher than sensitivities across all imaging modalities, but sensitivities remained constantly low. None of the Area Under the Curve scores exceeded 0.6, indicating poor overall accuracy for all imaging modalities. Paired comparisons of the area differences under Receiver Operator Characteristic curves revealed no significant differences between the CBCT and periapical radiograph techniques for detecting vertical root fractures in either Biodentine™-filled or non-root-filled teeth. Conclusions There was no significant accuracy improvement of the current CBCT device (Promax 3Dmax, Planmeca, Finland) over periapical radiographs in detecting small vertical root fractures in both non-root-filled and Biodentine™-root-filled maxillary central incisors. A smaller field of view with lower intensity did not enhance detection accuracy. These results highlight the challenges in accurately detecting small VRFs, emphasizing the need for further research and technological advancements in this domain.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 1472-6831
DOI: 10.1186/s12903-024-04947-7
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39367348
https://doaj.org/article/5d418515c8ff40c2ac7f92d8da58a9c1
https://biblio.vub.ac.be/vubir/vertical-root-fracture-detection-with-conebeam-computed-tomography-in-biodentine-filled-teeth(bd46cd5a-903e-4a36-a33a-a17044885993).html
https://biblio.ugent.be/publication/01J9C8GVQE9Z29BZZXDH82ZX50
http://hdl.handle.net/1854/LU-01J9C8GVQE9Z29BZZXDH82ZX50
http://doi.org/10.1186/s12903-024-04947-7
https://biblio.ugent.be/publication/01J9C8GVQE9Z29BZZXDH82ZX50/file/01J9C8Q25D2TMP5T28XW86J9F1
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....5379f74eb182af2bb52537cdac6cd275
Databáze: OpenAIRE
Popis
Abstrakt:Purpose This study aimed to evaluate the accuracy of detecting vertical root fractures in Biodentine™-filled teeth using the Promax 3Dmax cone-beam computed tomography (CBCT) unit compared to periapical radiographs. It tested hypotheses regarding CBCT’s diagnostic superiority in non-root-filled and Biodentine™-root-filled maxillary central incisors and assessed the impact of smaller field of view and lower intensity settings on detection accuracy. Materials and methods Extracted maxillary incisors were divided into groups based on fracture status and root filling material, then placed in a Thiel-embalmed skull to simulate clinical conditions. The teeth were imaged using periapical radiographs and the CBCT unit under different settings. Fracture thickness was measured with microcomputed tomography for accuracy benchmarking. Multiple observers assessed the images, and statistical analyses were conducted to evaluate diagnostic performance. Results Intra-rater reliabilities of consensus scores ranged from good to very good. Specificities were generally higher than sensitivities across all imaging modalities, but sensitivities remained constantly low. None of the Area Under the Curve scores exceeded 0.6, indicating poor overall accuracy for all imaging modalities. Paired comparisons of the area differences under Receiver Operator Characteristic curves revealed no significant differences between the CBCT and periapical radiograph techniques for detecting vertical root fractures in either Biodentine™-filled or non-root-filled teeth. Conclusions There was no significant accuracy improvement of the current CBCT device (Promax 3Dmax, Planmeca, Finland) over periapical radiographs in detecting small vertical root fractures in both non-root-filled and Biodentine™-root-filled maxillary central incisors. A smaller field of view with lower intensity did not enhance detection accuracy. These results highlight the challenges in accurately detecting small VRFs, emphasizing the need for further research and technological advancements in this domain.
ISSN:14726831
DOI:10.1186/s12903-024-04947-7