Monali A Shah1, Sneha S Shah2, Deepak Dave3. 1. Professor, Department of Periodontics, K.M. Shah Dental College & Hospital , At. & Po. Piparia, Ta. Waghodia, Dist. Vadodara, Gujarat, India . 2. PG, Department of Periodontics, K.M. Shah Dental College & Hospital , At. & Po. Piparia, Ta. Waghodia, Dist. Vadodara, Gujarat, India . 3. Professor and H.O.D, Department of Periodontics, K.M. Shah Dental College & Hospital , At. & Po. Piparia, Ta. Waghodia, Dist. Vadodara, Gujarat, India .
Abstract
BACKGROUND: Open Bone Measurement (OBM) and Bone Sounding (BS) are most reliable but invasive clinical methods for Alveolar Bone Level (ABL) assessment, causing discomfort to the patient. Routinely, IOPAs & OPGs are the commonest radiographic techniques used, which tend to underestimate bone loss and obscure buccal/lingual defects. Novel technique like dentascan (CBCT) eliminates this limitation by giving images in 3 planes - sagittal, coronal and axial. AIM: To compare & correlate non-invasive 3D radiographic technique of Dentascan with BS & OBM, and IOPA and OPG, in assessing the ABL. SETTINGS AND DESIGN: Cross-sectional diagnostic study. MATERIAL AND METHODS: Two hundred and five sites were subjected to clinical and radiographic diagnostic techniques. Relative distance between the alveolar bone crest and reference wire was measured. All the measurements were compared and tested against the OBM. STATISTICAL ANALYSIS: Student's t-test, ANOVA, Pearson correlation coefficient. RESULTS: There is statistically significant difference between dentascan and OBM, only BS showed agreement with OBM (p < 0.05). Dentascan weakly correlated with OBM & BS lingually.Rest all techniques showed statistically significant difference between them (p= 0.00). CONCLUSION: Within the limitations of this study, only BS seems to be comparable with OBM with no superior result of Dentascan over the conventional techniques, except for lingual measurements.
BACKGROUND: Open Bone Measurement (OBM) and Bone Sounding (BS) are most reliable but invasive clinical methods for Alveolar Bone Level (ABL) assessment, causing discomfort to the patient. Routinely, IOPAs & OPGs are the commonest radiographic techniques used, which tend to underestimate bone loss and obscure buccal/lingual defects. Novel technique like dentascan (CBCT) eliminates this limitation by giving images in 3 planes - sagittal, coronal and axial. AIM: To compare & correlate non-invasive 3D radiographic technique of Dentascan with BS & OBM, and IOPA and OPG, in assessing the ABL. SETTINGS AND DESIGN: Cross-sectional diagnostic study. MATERIAL AND METHODS: Two hundred and five sites were subjected to clinical and radiographic diagnostic techniques. Relative distance between the alveolar bone crest and reference wire was measured. All the measurements were compared and tested against the OBM. STATISTICAL ANALYSIS: Student's t-test, ANOVA, Pearson correlation coefficient. RESULTS: There is statistically significant difference between dentascan and OBM, only BS showed agreement with OBM (p < 0.05). Dentascan weakly correlated with OBM & BS lingually.Rest all techniques showed statistically significant difference between them (p= 0.00). CONCLUSION: Within the limitations of this study, only BS seems to be comparable with OBM with no superior result of Dentascan over the conventional techniques, except for lingual measurements.
Entities:
Keywords:
Alveolar bone level; Bone sounding; CBCT; Dentascan