Comparison of clinical and cone beam computed tomography measurements to diagnose furcation involvement

Darby, Ivan; Sanelli, M; Shan, Syed Kazim Ali; Silver, Joel; Singh, Ankita; Soedjono, M; Ngo, Luan H

doi:10.1111/idh.12116

Cited by 30 publications

(68 citation statements)

References 17 publications

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“…Sixty‐two articles were excluded for not meeting inclusion criteria. In total, twelve articles were included in the present systematic review 13‐15 , 21,22 , 35‐41 . Six of the included studies assessed the accuracy of CBCT for detection of ABL (Tables 1 and 2), 13‐15,35‐37 and the other six studies evaluated application of CBCT for diagnosis of furcation involvement 42 (Tables 3 and 4).…”

Section: Resultsmentioning

confidence: 99%

“…Six of the included studies assessed the accuracy of CBCT for detection of ABL (Tables 1 and 2), 13‐15,35‐37 and the other six studies evaluated application of CBCT for diagnosis of furcation involvement 42 (Tables 3 and 4). 21,22,38‐41 …”

Section: Resultsmentioning

confidence: 99%

“…Intrabony and furcation defects were the two most commonly discussed bony defects when comparing the efficacy of CBCT versus IRs. A total of 12 references met our inclusion criteria to determine the role of CBCT in diagnosis and treatment of both intrabony and furcation defects 13‐15,21,22,35‐41 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Furcation defects can be best assessed using a Nabers periodontal probe, but its accuracy depends on factors such as tooth position, inclination, presence of adjacent teeth, and variability in operator technique 39 . Radiographs have a low sensitivity but high specificity for furcation detection 39 . Detectability of early furcation involvement by intraoral radiography is limited due to inherent shortcomings of 2D imaging, and results are inconsistent when different horizontal and vertical angulations are used 44,45 .…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

When Is Cone‐Beam Computed Tomography Imaging Appropriate for Diagnostic Inquiry in the Management of Inflammatory Periodontitis? An American Academy of Periodontology Best Evidence Review

Kim

Bassir

2017

Journal of Periodontology

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Currently, limited evidence supports the utilization of CBCT for diagnosis of intrabony and furcation defects. Despite the fact that there is rapidly accruing literature on CBCT, there are still no current evidence-based guidelines on its necessity and use for periodontal treatment planning. In selective cases, however, limited field of view CBCT may be useful for periodontal disease diagnoses due to less radiation dosage to the patient, higher spatial resolution, and shorter volumes to be interpreted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

When Is Cone‐Beam Computed Tomography Imaging Appropriate for Diagnostic Inquiry in the Management of Inflammatory Periodontitis? An American Academy of Periodontology Best Evidence Review

Kim

Bassir

2017

Journal of Periodontology

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A New Model for Training in Periodontal Examinations Using Manikins

Heym

Krause²,

Hennessen

et al. 2016

Journal of Dental Education

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The aim of this study was to develop and test models for training dental students in periodontal examinations using manikins that had distinct anatomical designs but were indistinguishable in external appearance. After four models were tested for inter-and intra-examiner reliability by two experienced dentists, 26 additional models were produced. The models were tested by 35 dental students at a dental school in Germany in 2014. The testing involved completing a periodontal examination that included probing depths, gingival recessions, and furcation involvements. The primary purpose of the study was to determine whether the models could be used as a tool for periodontal examination training by the students. Levels of agreement (students and dentists) and Kappa statistics (dentists) were calculated using absolute (±0 mm) and tolerable difference (±1 mm). Over the span of two weeks, the dentists' reliability with preset values for probing depths, gingival recessions, and furcation involvements ranged from 0.29 to 0.38, 0.52 to 0.61, and 0.54 to 0.57, respectively, under absolute difference and from 0.86 to 0.90, 0.96 to 0.99, and 0.62 to 0.73, respectively, under tolerable difference. The students' proportions of agreement for probing depths and gingival recessions under absolute vs. tolerable difference were 34.8% vs. 79.9% and 71.9% vs. 94.4%, respectively. The students frequently scored values higher than the preset values, overestimated furcation involvements, and failed to differentiate the levels of furcations. The models used did not pose any systematic or technical difficulties in the pilot study. Students were unable to measure furcation involvements with acceptable agreement. Thus, these models could be used for student periodontal examination training.

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Clinico‐radiographic comparative evaluation of 1% metformin gel plus platelet‐rich fibrin over platelet‐rich fibrin alone in the treatment of Grade II furcation defects: A randomized controlled double‐blind clinical trial

Swami

Kolte

2021

Journal of Periodontology

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Background: The present study was aimed to evaluate and compare the effects of 1% MF plus PRF over PRF alone in treatment of Grade II furcation defects, clinically and radiographically by using cone-beam computed tomography.Methods: This split-mouth clinical trial randomly allotted 21 patients with 42 bilateral Grade II furcation defects into two groups. Group I was treated with PRF alone while Group II with 1% MF gel and PRF. The primary outcome parameters were clinical attachment level (CAL) and horizontal probing depth (HPD) while the secondary outcome parameters were probing depth (PD) and defect volume (DV). The clinical parameters were evaluated at 3, 6, and 12 months and the radiographic parameters at 12 months.Results: Both the study groups yielded improvements in assessed parameters; however, significantly greater mean reduction of PD, HPD, and CAL gain was observed in Group II (3.90 ± 0.78 mm, 2.94 ± 0.80 mm, and 3.42 ± 0.93 mm) in comparison with Group I (3.23 ± 0.90 mm, 1.96 ± 0.80 mm, and 2.67 ± 0.88 mm) at 12 months, respectively. A significant reduction of DV was exhibited radiographically in Group II (12.61 ± 4.01 mm 3 ) as compared with Group I (9.14 ± 4.31 mm 3 ) at the end of 12 months. Conclusions:Better clinical and radiographic findings in terms of reduction in PD, HPD, CAL gain, and significant reduction in DV in Group II patients indicated that the combination therapy of 1% MF + PRF promotes regenerative ability within the periodontal tissues in Grade II furcation defects to a greater extent.

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Comparison of clinical and cone beam computed tomography measurements to diagnose furcation involvement

Cited by 30 publications

References 17 publications

When Is Cone‐Beam Computed Tomography Imaging Appropriate for Diagnostic Inquiry in the Management of Inflammatory Periodontitis? An American Academy of Periodontology Best Evidence Review

When Is Cone‐Beam Computed Tomography Imaging Appropriate for Diagnostic Inquiry in the Management of Inflammatory Periodontitis? An American Academy of Periodontology Best Evidence Review

A New Model for Training in Periodontal Examinations Using Manikins

Clinico‐radiographic comparative evaluation of 1% metformin gel plus platelet‐rich fibrin over platelet‐rich fibrin alone in the treatment of Grade II furcation defects: A randomized controlled double‐blind clinical trial

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