An In Vivo and Cone Beam Computed Tomography Investigation of the Accuracy in Measuring Alveolar Bone Height and Detecting Dehiscence and Fenestration Defects

Peterson, Andrew G; Wang, Mansen; Gonzalez, Shawneen M.; Covell, David A.; Katancik, James A.; Sehgal, Harjit Singh

doi:10.11607/jomi.6633

Cited by 23 publications

(21 citation statements)

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“…However, its diagnostic ability for VRF is not sufficient, particularly in root-filled teeth where imaging artifacts from radio-dense obturating materials impair diagnostic accuracy [18][19][20]. CBCT may also be useful for detection of osseous changes associated with a VRF [24], although its accuracy for detection of buccal cortical bone defects requires attention because it may overestimate their presence [25,26]. This appears to be the first study to have confirmed the empirical notion that sinus tracts are formed closer to the gingival margin in teeth with a VRF, in contrast to failed root canal treatment where sinus tracts are often located more apically [9,12,21,22].…”

Section: Discussionmentioning

confidence: 99%

Differences in the corono-apical location of sinus tracts and buccal cortical bone defects between vertically root-fractured and non-root-fractured teeth based on periradicular microsurgery

et al. 2020

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This retrospective study aimed to investigate whether the corono-apical location of sinus tracts differs according to the presence/ location of vertical root fracture (VRF) in microsurgically treated rootfilled teeth. The cases included were (1) anterior and premolar teeth without a preoperative diagnosis of VRF, (2) those with a periodontal probing depth of ≤3 mm, and (3) those for which preoperative cone-beam computed tomography (CBCT) scans and intraoperative video records were available. VRF was diagnosed intraoperatively. The locations of buccal cortical bone defects and fracture lines were categorized on video images, and the corono-apical sinus tract locations were determined by superimposing video images onto volume-rendered CBCT images. Eleven of the 78 teeth investigated had VRF, and there was no significant difference in the incidence of sinus tracts between vertically fractured and non-fractured teeth (Mann-Whitney U-test, P > 0.05). The location of the sinus tract was significantly more coronal in vertically fractured than in non-fractured teeth (Mann-Whitney U-test, P < 0.0001). The location of sinus tracts was high correlated with cortical bone defects (Spearman's correlation, P < 0.0001). In microsurgically treated anterior and premolar teeth with a normal probing depth, sinus tracts were located more coronally in vertically fractured than in non-fractured teeth, and were highly correlated with the location of cortical bone defects.

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Section: Discussionmentioning

confidence: 99%

Differences in the corono-apical location of sinus tracts and buccal cortical bone defects between vertically root-fractured and non-root-fractured teeth based on periradicular microsurgery

et al. 2020

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“…[27][28][29] Alveolar bone with a thickness less than 0.3 mm may wrongly be diagnosed as ABD 28 and still be overestimated in a false-positive result in very thin bony plate regions. 28 Peterson et al 30 also reported an increase in the prevalence of ABD when measured using CBCTs as compared with clinical measurements. On the other hand, it is necessary to analyze the cost-benefit balance based on the principles of ALARA.…”

Section: Discussionmentioning

confidence: 95%

Impact of orthognathic surgery on the prevalence of dehiscence in Class II and Class III surgical-orthodontic patients:

Santos¹,

Iwaki²,

Valladares‐Neto³

et al. 2021

The Angle Orthodontist

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Objectives The objectives were to evaluate and compare the presence of bone dehiscence before and after orthognathic surgery. Materials and Methods In this retrospective study, 90 cone-beam computed tomography (CBCT) scans from 45 patients were evaluated. Class II (n = 23) and Class III (n = 22) orthodontic patients who were being prepared for orthognathic surgery were measured. CBCT scans were obtained about 30 days prior to (T0) and 6 months after (T1) double jaw orthognathic surgery. The distance between the cemento-enamel junction (CEJ) and the alveolar bone crest was assessed at the buccal and lingual surfaces of all teeth, on both sides and arches, except for the second premolars and the second and third molars. A total of 1332 sites were measured for Class II (644) and Class III (688) patients. The software used was OsiriX (version 3.3 32-bit). Data were compared with Wilcoxon and McNemar tests at the 5% level. Results Bone dehiscence before surgery was present in 26% and 15% of the Class II and III groups, respectively. The presence of dehiscence increased to 31% in the Class II and 20% in the Class III patients after surgery (P < .05). Conclusions The prevalence of dehiscence increased slightly in Class II and Class III surgical-orthodontic patients after orthognathic surgery. Temporary vascular supply reduction and oral hygiene difficulties may explain these results; however, more studies are needed.

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“…It has been suggested that, although CBCT has significant diagnostic applications in periodontics, conventional radiography can better depict bone quality, periodontal ligament space, and bone levels; accordingly, the decision to use CBCT imaging should only be made after careful consideration of its potential risks and benefits. In addition, differences in imaging protocol parameters can affect the reproducibility and reliability of CBCT used for the measurement of alveolar bone height and thickness 2829. Peterson et al29 concluded that CBCT underestimated alveolar bone height; mean facial bone height on CBCT images ranged from 0.33±0.78 mm to 0.88±1.14 mm, which was less than the absolute bone height of 0.56±0.35 mm to 1.08±0.92 mm.…”

Section: Applications Of Cbct In Dentistrymentioning

confidence: 99%

“…In addition, differences in imaging protocol parameters can affect the reproducibility and reliability of CBCT used for the measurement of alveolar bone height and thickness 2829. Peterson et al29 concluded that CBCT underestimated alveolar bone height; mean facial bone height on CBCT images ranged from 0.33±0.78 mm to 0.88±1.14 mm, which was less than the absolute bone height of 0.56±0.35 mm to 1.08±0.92 mm.…”

Section: Applications Of Cbct In Dentistrymentioning

confidence: 99%

“…Full-scan CBCT (360°) with a 0.2-mm voxel size using a small FOV is more effective in the detection of both fenestrations and dehiscence, especially in peri-implant cases. Peterson et al29 found that CBCT overestimated the presence of dehiscence and fenestration defects, and inter-examiner reliability ranged from poor to moderate (Cohen's kappa= − 0.09 to 0.66). In another study, Xu et al30 found limited diagnostic value of CBCT in clinical practice, as the technique overestimated the presence of dehiscence and fenestrations in the maxillary anterior teeth of patients with Angle class III malocclusion; however, the level of agreement between clinical examination and CBCT imaging was higher for dehiscence than fenestration.…”

Section: Applications Of Cbct In Dentistrymentioning

confidence: 99%

See 1 more Smart Citation

New evolution of cone-beam computed tomography in dentistry: Combining digital technologies

Jain¹,

Choudhary²,

Nagi

et al. 2019

Imaging Sci Dent

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Panoramic radiographs and computed tomography (CT) play a paramount role in the accurate diagnosis, treatment planning, and prognostic evaluation of various complex dental pathologies. The advent of cone-beam computed tomography (CBCT) has revolutionized the practice of dentistry, and this technique is now considered the gold standard for imaging the oral and maxillofacial area due to its numerous advantages, including reductions in exposure time, radiation dose, and cost in comparison to other imaging modalities. This review highlights the broad use of CBCT in the dentomaxillofacial region, and also focuses on future software advancements that can further optimize CBCT imaging.

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An In Vivo and Cone Beam Computed Tomography Investigation of the Accuracy in Measuring Alveolar Bone Height and Detecting Dehiscence and Fenestration Defects

Cited by 23 publications

References 0 publications

Differences in the corono-apical location of sinus tracts and buccal cortical bone defects between vertically root-fractured and non-root-fractured teeth based on periradicular microsurgery

Differences in the corono-apical location of sinus tracts and buccal cortical bone defects between vertically root-fractured and non-root-fractured teeth based on periradicular microsurgery

Impact of orthognathic surgery on the prevalence of dehiscence in Class II and Class III surgical-orthodontic patients:

New evolution of cone-beam computed tomography in dentistry: Combining digital technologies

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