INTRODUCTION: This study compared the accuracy of cone beam computed tomography (CBCT) scans made by five different systems in detecting vertical root fractures (VRFs). It also assessed the influence of the presence of root canal filling (RCF), CBCT slice orientation selection, and the type of tooth (premolar/molar) on detection accuracy. METHODS: Eighty endodontically prepared teeth were divided into four groups and placed in dry mandibles. The teeth in groups Fr-F and Fr-NF were artificially fractured; those in groups control-F and control-NF were not. Groups Fr-F and control-F were root filled. CBCT scans were made using five different commercial CBCT systems. Two observers evaluated images in axial, coronal, and sagittal reconstruction planes. RESULTS: There was a significant difference in detection accuracy among the five systems (p = 0.00001). The presence of RCF did not influence sensitivity (p = 0.16), but it reduced specificity (p = 0.003). Axial slices were significantly more accurate than sagittal and coronal slices (p = 0.0001) in detecting VRF in all systems. Significantly more VRFs were detected among molars than premolars (p = 0.0001). CONCLUSIONS: RCF presence reduced specificity in all systems (p = 0.003) but did not influence accuracy (p = 0.79) except in one system (p = 0.012). Axial slices were the most accurate in detecting VRFs (p = 0.0001).
INTRODUCTION: This study compared the accuracy of cone beam computed tomography (CBCT) scans made by five different systems in detecting vertical root fractures (VRFs). It also assessed the influence of the presence of root canal filling (RCF), CBCT slice orientation selection, and the type of tooth (premolar/molar) on detection accuracy. METHODS: Eighty endodontically prepared teeth were divided into four groups and placed in dry mandibles. The teeth in groups Fr-F and Fr-NF were artificially fractured; those in groups control-F and control-NF were not. Groups Fr-F and control-F were root filled. CBCT scans were made using five different commercial CBCT systems. Two observers evaluated images in axial, coronal, and sagittal reconstruction planes. RESULTS: There was a significant difference in detection accuracy among the five systems (p = 0.00001). The presence of RCF did not influence sensitivity (p = 0.16), but it reduced specificity (p = 0.003). Axial slices were significantly more accurate than sagittal and coronal slices (p = 0.0001) in detecting VRF in all systems. Significantly more VRFs were detected among molars than premolars (p = 0.0001). CONCLUSIONS: RCF presence reduced specificity in all systems (p = 0.003) but did not influence accuracy (p = 0.79) except in one system (p = 0.012). Axial slices were the most accurate in detecting VRFs (p = 0.0001).
Authors: Francine Kühl Panzarella; J L C Junqueira; L B Oliveira; N S de Araújo; C Costa Journal: Dentomaxillofac Radiol Date: 2011-09 Impact factor: 2.419
Authors: Ellen Ten Dam; Astrid G W Korsten-Meijer; Rutger H Schepers; Wicher J van der Meer; Peter O Gerrits; Bernard F A M van der Laan; Robert A Feijen Journal: Eur Arch Otorhinolaryngol Date: 2014-10-31 Impact factor: 2.503
Authors: Marcio José da Silva Campos; Thainara Salgueiro de Souza; Sergio Luiz Mota Júnior; Marcelo Reis Fraga; Robert Willer Farinazzo Vitral Journal: World J Radiol Date: 2014-08-28
Authors: S J M Jakobson; V P D Westphalen; U X Silva Neto; L F Fariniuk; A G D Schroeder; E Carneiro Journal: Dentomaxillofac Radiol Date: 2013-11-04 Impact factor: 2.419