the effect of intra-canal posts on diagnostic accuracy of cone beam computed tomography and digital radiography in detection of vertical root fractures
نویسندگان
چکیده
objective: diagnosis of vertical root fractures (vrfs) is critical in endodontics. cone beam computed tomography (cbct) has significantly enhanced image quality compared to digital radiography (dr) and greatly aids the diagnosis of vrfs but, metal artifacts has remained as a problem in vrf detection. this study evaluated the effect of intra canal posts on the diagnostic accuracy of cbct and dr for detection of vrfs. methods: in this experimental in vitro study eighty extracted human premolar teeth were cut at the cement-enamel junction .after root canal preparation, the casting posts were made. samples were randomly divided into 2 groups of 40 group one with induced fracture and group 2 as the control group. radiographs were taken for all specimens with and without posts with both imaging systems. three observers assessed the presence or absence of vrf. accuracy of the two imaging systems and the effect of post on vrf detection were assessed, using two-way anova test and inter observer coefficient agreement was calculated. results: absolute diagnostic sensitivity and specificity of cbct and absolute sensitivity of dr in the group with intracanal posts were significantly lower than those in the group without posts (p=0.023, p=0.034 and p=0.034 respectively). absolute specificity of dr in the group with posts was significantly higher than that of the cbct (p=0.014). the absolute and complete specificity of cbct in the group without posts was significantly higher than those of dr (p=0.024, p=0.04). no statistically significant difference was found in inter observer agreement coefficient in presence or absence of posts or between the two imaging systems (p=0.119). conclusion: intra canal posts decreased the diagnostic accuracy of cbct and dr for detection of vrfs and this reduction was greater in cbct. however, absolute specificity of dr in the group with posts was significantly higher than that of the cbct, where as cbct images of teeth without posts still had higher diagnostic accuracy than dr.
منابع مشابه
The Effect of Intra-Canal Posts on Diagnostic Accuracy of Cone Beam Computed Tomography and Digital Radiography in Detection of Vertical Root Fractures
Objective: Diagnosis of vertical root fractures (VRFs) is critical in endodontics. Cone Beam Computed Tomography (CBCT) has significantly enhanced image quality compared to digital radiography (DR) and greatly aids the diagnosis of VRFs but, metal artifacts has remained as a problem in VRF detection. This study evaluated the effect of intra canal posts on the diagnostic accuracy of CBCT and D...
متن کاملComparison of Diagnostic Accuracy of Cone Beam Computed Tomography and Digital Radiography for Detection of Vertical Root Fractures with and without Gutta Percha
Objective: Diagnosis of vertical root fractures (VRFs) is critical in endodontics which most of the times occurs in endodontically treated teeth with root canal fillings such as gutta percha. Despite Cone Beam Computed Tomography (CBCT) has significantly enhanced image quality compared to digital radiography (DR) which aid the diagnosis, artifacts has remained as a problem in VRF detection . ...
متن کاملDiagnostic Accuracy of Different Resolutions of Cone Beam Computed Tomography Imaging System for Detection of Vertical Root Fractures In Presence of Casting Posts
Objective: The diagnosis of vertical root fracture (VRF) in endodontically treated teeth is a clinical challenge due to lack of specific clinical and radiographic signs. Although radiographic evaluation such as CBCT is helpful, intracanal posts can produce artifacts and may impair the quality of CBCT scans. This study aimed to compare the diagnostic accuracy of different resolutions of CBCT i...
متن کاملdiagnostic value of cone-beam computed tomography and periapical radiography in detection of vertical root fracture
i ntroduction: vertical root fracture (vrf) is the longitudinal fracture of the root in endodontically treated teeth. considering the limitations of two-dimensional radiographic images in detection of vrf and introduction of cone-beam computed tomography (cbct), this study was designed to find the sensitivity, specificity and accuracy of cbct and periapical (pa) radiography in detection of vrfs...
متن کاملComparison of cone beam computed tomography and digital radiography in detection of pulpal exposure in external cervical root resorption
Background and Aims: Pulpal exposures originated from the external cervical root resorptions have major effects on the treatment and prognosis. Therefore, the aim of this study was performed to compare the two different imaging systems-digital radiography with PSP (Photostimulable Phosphor) sensor in three horizontal different views and CBCT (cone beam computed tomography) images to assess the ...
متن کاملcomparison of diagnostic accuracy of cone beam computed tomography and digital radiography for detection of vertical root fractures with and without gutta percha
objective: diagnosis of vertical root fractures (vrfs) is critical in endodontics which most of the times occurs in endodontically treated teeth with root canal fillings such as gutta percha. despite cone beam computed tomography (cbct) has significantly enhanced image quality compared to digital radiography (dr) which aid the diagnosis, artifacts has remained as a problem in vrf detection . th...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
journal of dental school, shahid beheshti university of medical sciencesجلد ۳۳، شماره ۴، صفحات ۲۹۶-۳۰۴
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023