Cone‐Beam Computed Tomography for Detection of Intrabony and Furcation Defects: A Systematic Review Based on a Hierarchical Model for Diagnostic Efficacy

Nikolić-Jakoba, Nataša; Spin‐Neto, Rubens; Wenzel, Ann

doi:10.1902/jop.2016.150636

Cited by 30 publications

(36 citation statements)

References 58 publications

(171 reference statements)

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“…Thus, there is no evidence to support routine use of CBCT to detect interproximal defects as a preventive measure. Our results are in agreement with the guidelines of the Swiss Society of Dentomaxillofacial Radiology [29] and with a recent systematic review [32]. …”

Section: Discussionsupporting

confidence: 92%

Performance of cone beam computed tomography and conventional intraoral radiographs in detecting interproximal alveolar bone lesions: a study in pig mandibles

et al. 2017

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BackgroundCone beam computed tomography (CBCT) has been largely used in dentistry. Nevertheless, there is lack of evidence regarding CBCT accuracy in the diagnosis of early periodontal lesions as well as the correlation between accuracy and lesion size. The aim of this study was to evaluate accuracy of CBCT and conventional intraoral radiographs in detecting different-sized interproximal bone lesions created in pig mandibles. The hypothesis was that CBCT accuracy would be superior to radiographs in detecting incipient bone lesions.MethodsTwenty swine dry mandibles were used, totalizing 80 experimental sites. Four groups were created according to exposure time to perchloric acid 70–72%: controls (no exposure), 2-hour exposure, 4-hour exposure, and 6-hour exposure. Standardized CBCT and conventional intraoral radiographs were taken and analyzed by two trained radiologists. The presence of lesions in the dry mandible was considered the gold standard. Sensitivity, specificity, and accuracy in detecting different-sized bone lesions were calculated for CBCT and intraoral radiographs.ResultsAccuracy of CBCT ranged from 0.762 to 0.825 and accuracy of periapical radiography ranged from 0.700 to 0.813, according to examiner and time of acid exposure. Inter-examiner agreement varied from slight to fair, whereas intra-examiner agreement varied from moderate to substantial.ConclusionsCBCT performance was not superior to that provided by conventional intraoral radiographs in the detection of interproximal bone loss.

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Section: Discussionsupporting

confidence: 92%

Performance of cone beam computed tomography and conventional intraoral radiographs in detecting interproximal alveolar bone lesions: a study in pig mandibles

et al. 2017

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“…A recent systematic review discussed the lack of CBCT standard exposure parameters (FOV and voxel size) for diagnosis of bone defects related to periodontitis 31 . The authors of the review concluded that there is not sufficient scientific evidence to support the use of CBCT for the diagnosis and/or treatment planning of intrabony and furcation defects 31 . Moreover patient desires and requests are also relevant, along with the technical and financial effort involved 31 .…”

Section: Discussionmentioning

confidence: 99%

“…The authors of the review concluded that there is not sufficient scientific evidence to support the use of CBCT for the diagnosis and/or treatment planning of intrabony and furcation defects 31 . Moreover patient desires and requests are also relevant, along with the technical and financial effort involved 31 . Also the additional radiation risk of the CBCT examination should be justified in patients for whom clinical measures and conventional radiographs cannot provide sufficient treatment information 31 …”

Section: Discussionmentioning

confidence: 99%

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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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“…Kontrolateral kemik ve dental yapıların superpozisyonları iki boyutlu radyograflarla görüntülenemez (33,34). Literatür bilgileri, KIBT'nin bu kemik defektlerinin de tanımlanması ve ölçülmesindeki doğruluğunu kanıtlamıştır (35,32).…”

Section: Periodontolojide Kullanımıunclassified

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2017

J INT Dent Sci

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ÖZKonik ışınlı bilgisayarlı tomografi (KIBT) 1982 yılında ilk kez anjiyografi, radyoterapi ve mamografi uygulamalarında kullanılmıştır. 1990'lı yıllarda geliştirilmesi ile diş hekimliğinde iki boyuttan üçüncü boyuta geçme şansı elde edilmiş ve ilk kez 1997 yılında maksillofasiyal bölgenin görüntülenmesi amacıyla kullanılmıştır. Günümüzde geleneksel radyografi tekniği daha yaygın kullanılsa da üç boyutlu kemik ve diş morfolojilerinin görüntüsel olarak iki boyuta indirgenmesi yetersiz inceleme, değerlendirme ve yanlış teşhislerin yapılmasına neden olur. Bu yetersizlikler, araştırmacıların üç boyutlu görüntüleme sistemleri üzerinde çalışmalar yapmalarını sağlamıştır. KIBT' nin özellikle son 5 yılda diş hekimliğinde kullanım alanları son derece artmıştır; oral maksillofasiyal bölge anatomik ve patolojik yapıların tanı ve tedavi planlamasında, temporomandibular eklemin değerlendirilmesinde, implant planlamasında ve daha birçok alanda kullanılmaktadır. Bu çalışmanın amacı, KIBT 'nin diş hekimliğinde kullanım alanları ve hekime sağladığı kolaylıklar hakkında literatür bilgilerinden faydalanarak bilgi sunmaktır.Anahtar sözcükler: Konik Işınlı Bilgisayarlı Tomografi, Diş Hekimliği, Tanısal Görüntüleme. ABSTRACTCone Beam Computed Tomography (CBCT) imaging system was used for the first time for angiography, radiotherapy and mammography in 1982. In 1990s, with its development, we had a chance to get 3 dimensional imaging system in addition to 2 dimensional in dentistry and it was first used for maxillofacial region in 1997. Although conventional radiography technique is commonly used nowadays, converting the morphology of 3 dimensional bone and teeth to 2 dimensional radiographs may cause insufficient examination and inaccurate diagnose. These insufficiencies made researchers study on 3 dimensional imaging systems to improve them. The usage of CBCT in dentistry has increased exceedingly, especially for last five years and includes diagnose and therapy of anatomic and pathologic structures in oral and maxillofacial region, assessment of temporomandibular joint, implant planning and many other issues. The purpose of this article is to provide an overview of applications of Cone Beam Computed Tomography systems in dental practice and its facilities for dentists.

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Cone‐Beam Computed Tomography for Detection of Intrabony and Furcation Defects: A Systematic Review Based on a Hierarchical Model for Diagnostic Efficacy

Cited by 30 publications

References 58 publications

Performance of cone beam computed tomography and conventional intraoral radiographs in detecting interproximal alveolar bone lesions: a study in pig mandibles

Performance of cone beam computed tomography and conventional intraoral radiographs in detecting interproximal alveolar bone lesions: a study in pig mandibles

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

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