Fabien Lemagner1, Delphine Maret2, Ove A Peters3, Ana Arias3, Elisabeth Coudrais1, Marie Georgelin-Gurgel1. 1. Faculté de Chirurgie Dentaire, Université Paul Sabatier, Centre Hospitalier Universitaire, Toulouse, France. 2. Faculté de Chirurgie Dentaire, Université Paul Sabatier, Centre Hospitalier Universitaire, Toulouse, France; Laboratoire Anthropologie Moléculaire et Imagerie de Synthèse, Université Paul Sabatier, Toulouse, France. Electronic address: delphine_maret@yahoo.fr. 3. Department of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
Abstract
INTRODUCTION: Cone-beam computed tomographic (CBCT) imaging has been shown to be accurate for detecting apical bone defects (ABDs). Medium field of view CBCT imaging may provide apical images of the whole oral cavity at a resolution that is sufficient to allow ABDs to be located and measured. The aim of the work presented was to calculate the prevalence of ABDs from CBCT images as well as to assess some associated factors and their measurement. METHODS: One hundred CBCT data sets with a voxel size of 0.2 mm were analyzed by 2 evaluators according to a standardized reading protocol. The number of maxillary and mandibular teeth, the presence of endodontic treatment, and the presence of ABDs associated with endodontic treatment were identified, and the presence of intraradicular posts was documented. The size of ABDs detected was measured, and they were classified according to the Cone Beam Computed Tomography Periapical Index. RESULTS: A total of 2368 teeth and 100 subjects were analyzed. The prevalence of ABDs in subjects was 78%; in 8.6% of the sample teeth, ABDs were present, and 38.2% of endodontically treated maxillary molars were affected by it. Endodontic treatment was significantly associated with an increased risk for the presence of an ABD (P = .0001); 40.8% of endodontically treated teeth were associated with an ABD. This rate increased to 85.9% in endodontically treated maxillary molars. Placement of a post was significantly associated with the presence of an ABD (P = .003). The most frequent lesions were those with diameters between 2 and 4 mm (39.2%). CONCLUSIONS: There are only few studies on the prevalence of ABDs using CBCT analysis. This study in a French population shows a high prevalence of ABDs, especially on endodontically treated molars. The most effective way to exhaustively detect such defects is with CBCT imaging. Moreover, CBCT images show details of the extent of bone loss, thus providing information valuable for the therapeutic decision and details that could help with the prognosis.
INTRODUCTION: Cone-beam computed tomographic (CBCT) imaging has been shown to be accurate for detecting apical bone defects (ABDs). Medium field of view CBCT imaging may provide apical images of the whole oral cavity at a resolution that is sufficient to allow ABDs to be located and measured. The aim of the work presented was to calculate the prevalence of ABDs from CBCT images as well as to assess some associated factors and their measurement. METHODS: One hundred CBCT data sets with a voxel size of 0.2 mm were analyzed by 2 evaluators according to a standardized reading protocol. The number of maxillary and mandibular teeth, the presence of endodontic treatment, and the presence of ABDs associated with endodontic treatment were identified, and the presence of intraradicular posts was documented. The size of ABDs detected was measured, and they were classified according to the Cone Beam Computed Tomography Periapical Index. RESULTS: A total of 2368 teeth and 100 subjects were analyzed. The prevalence of ABDs in subjects was 78%; in 8.6% of the sample teeth, ABDs were present, and 38.2% of endodontically treated maxillary molars were affected by it. Endodontic treatment was significantly associated with an increased risk for the presence of an ABD (P = .0001); 40.8% of endodontically treated teeth were associated with an ABD. This rate increased to 85.9% in endodontically treated maxillary molars. Placement of a post was significantly associated with the presence of an ABD (P = .003). The most frequent lesions were those with diameters between 2 and 4 mm (39.2%). CONCLUSIONS: There are only few studies on the prevalence of ABDs using CBCT analysis. This study in a French population shows a high prevalence of ABDs, especially on endodontically treated molars. The most effective way to exhaustively detect such defects is with CBCT imaging. Moreover, CBCT images show details of the extent of bone loss, thus providing information valuable for the therapeutic decision and details that could help with the prognosis.
Authors: Florin Eggmann; Thomas Connert; Julia Bühler; Dorothea Dagassan-Berndt; Roland Weiger; Clemens Walter Journal: Clin Oral Investig Date: 2016-09-02 Impact factor: 3.573
Authors: Amparo Ramis-Alario; Beatriz Tarazona-Álvarez; Miguel Peñarrocha-Diago; David Soto-Peñaloza; María Peñarrocha-Diago; David Peñarrocha-Oltra Journal: J Clin Exp Dent Date: 2022-08-01
Authors: Amparo Ramis-Alario; Beatriz Tarazona-Alvarez; Juan Cervera-Ballester; David Soto-Peñaloza; Miguel Peñarrocha-Diago; David Peñarrocha-Oltra; María Peñarrocha-Diago Journal: J Clin Exp Dent Date: 2019-08-01