Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Pajnigara, Natasha G; Kolte, Abhay; Kolte, Rajashri A; Pajnigara, Nilufer; Lathiya, Vrushali

doi:10.4103/0972-124x.192307

Cited by 20 publications

(7 citation statements)

References 18 publications

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“…According to our interpretation and in correlation with the hierarchical model of efficacy [ 33 ], we found that the study conducted by Pajnigara et al [ 67 ] fits on this level. They investigated the pre and post-surgical measurements of clinical and CBCT for furcation defects.…”

Section: Discussionsupporting

confidence: 68%

“…The author investigated the effect of CBCT on the treatment decision-making after taking into consideration the clinical parameters. Therapeutic efficacy : In this level of efficacy, only one study, Pajnigara et al [ 67 ], seemed relevant. Patient outcome efficacy : Our research resulted in eight studies in which CBCT was used to address the patients’ outcomes in relation to periodontal disease.…”

Section: Resultsmentioning

confidence: 99%

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Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

et al. 2020

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Background: Periodontal diseases are prevalent among adult populations. Its diagnosis depends mainly on clinical findings supported by radiographic examinations. In previous decades, cone beam computed tomography has been introduced to the dental field. The aim of this study was to address the diagnostic efficacy of cone-beam computed tomographic (CBCT) imaging in periodontics based on a systematic search and analysis of the literature using the hierarchical efficacy model. Methods: A systematic search of electronic databases such as PubMed, Scopus, Web of Science, and Cochrane was conducted in February 2019 to identify studies addressing the efficacy of CBCT imaging in Periodontics. The identified studies were subjected to pre-identified inclusion criteria followed by an analysis using a hierarchical model of efficacy (model) designed for an appraisal of the literature on diagnostic imaging modality. Four examiners performed the eligibility and quality assessment of relevant studies and consensus was reached in cases where disagreement occurred. Results: The search resulted in 64 studies. Of these, 34 publications were allocated to the relevant level of efficacy and quality assessments wherever applicable. The overall diagnostic accuracy of the included studies showed a low or moderate risk of bias and applicability concerns in the use of CBCT. In addition, CBCT is accurate in identifying periodontal defects when compared to other modalities. The studies on the level of patient outcomes agreed that CBCT is a reliable tool for the assessment of outcomes after the treatment of periodontal defects. Conclusion: CBCT was found to be beneficial and accurate in cases of infra-bony defects and furcation involvements.

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Section: Discussionsupporting

confidence: 68%

Section: Resultsmentioning

confidence: 99%

Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

et al. 2020

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“…However, the literature also suggests that better clinical and radiographic results with combination therapy with regenerative materials when compared to monotherapy or OFD. [22]…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of open flap debridement alone and in combination with anorganic bone matrix/cell-binding peptide in the treatment of human infrabony defects: A randomized clinical trial

Mishra

Kolte

et al. 2019

J Indian Soc Periodontol

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Background:The synthetic anorganic bone matrix/cell-binding peptide (ABM/P-15) has displayed an increased fibroblast migration and attachment with bone graft material, thus enhancing periodontal regeneration. The objective of the present study was to evaluate and to correlate the efficacy of open flap debridement (OFD) with and without ABM/P-15 in the treatment of human infrabony periodontal defects.Materials and Methods:A total of 20 chronic periodontitis patients with equal number infrabony defects were randomly selected and assigned into two groups depending on the treatment received: Control group (treated with OFD) and Test group (treated with OFD + ABM/P-15). Clinical parameters recorded included plaque index, gingival index, probing pocket depth (PPD), clinical attachment level (CAL), gingival recession, and radiographic defect depth (RDD) which were evaluated at baseline and 6 months postsurgically.Results:When compared to baseline, both the treatment groups demonstrated improvements in the clinical parameters at 6 months. Test group exhibited a mean PPD reduction of 4.15 ± 1.04 mm, CAL gain of 3.10 ± 1.42 mm, and reduction in RDD of 1.90 ± 0.72 mm postoperatively at 6 months. In contrast to Control group, the Test group showed greater reduction in PPD (P < 0.05) which was statistically significant, greater CAL gain and greater mean RDD reduction (P < 0.001) which was highly significant.Conclusion:In the surgical management of periodontal infrabony defects, Test group elicited in statistically significant PPD reduction, CAL gain, and better infrabony defect fill at 6 months’ postoperatively.

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“…The probe was penetrated until resistance was felt and the distance from the furcation entrance to the depth was recorded (Figure 5). 16…”

Section: Presurgical Clinical Examinationmentioning

confidence: 99%

Clinical and Biochemical Assessment of Lycopene Gel Combined With Nanohydroxyapatite Graft in Treatment of Grade II Furcation Defects: A Randomized Controlled Clinical Study

Gaber

Din

Nassar

et al. 2021

Perio J

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Background: This study aimed to evaluate the effects of lycopene gel, as a natural antioxidant, mixed with a nanohydroxyapatite graft (NHG) covered by an occlusive resorbable collagen membrane (CM) in the surgical treatment of grade II furcation defects and on the gingival crevicular fluid (GCF) levels of 8-hydroxydeoxyguanosine (8-OHdG), as a marker of oxidative injury. Methods: In this randomized controlled clinical study a total of 24 patients with grade II furcation defects were randomly assigned into three equal groups. Furcation defects in group I were managed with lycopene gel mixed with NHG and CM, group II with NHG and CM, and group III with open flap debridement only. Site-specific changes in clinical parameters including probing depth (PD), vertical clinical attachment level (VCAL), horizontal clinical attachment level (HCAL), radiographic maximum vertical depth (MAX V), and maximum horizontal depth (MAX H) were measured at baseline and six months postoperatively. Gingival crevicular fluid levels of 8-OHdG were analyzed using enzyme-linked immunosorbent assay (ELISA) at baseline, one week, and three months. Results: Surgical management of grade II furcation defects resulted in a significant reduction in PD and 8-OHdG levels and a gain in CAL, MAX V, and MAX H in all groups. The differences between lycopene treated sites compared to NHG and CM alone were not significant at six months but demonstrated significantly superior clinical parameters compared to open flap debridement alone. Conclusion: Lycopene does not confer a benefit when combined with NHG in the surgical treatment of grade II furcation defects.

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Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Cited by 20 publications

References 18 publications

Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

Cone beam computed tomography (CBCT) in periodontal diseases: a Systematic review based on the efficacy model

Comparative evaluation of open flap debridement alone and in combination with anorganic bone matrix/cell-binding peptide in the treatment of human infrabony defects: A randomized clinical trial

Clinical and Biochemical Assessment of Lycopene Gel Combined With Nanohydroxyapatite Graft in Treatment of Grade II Furcation Defects: A Randomized Controlled Clinical Study

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