The emerging role of maxillofacial radiology in the diagnosis and management of patients with complex periodontitis

Scarfe, William C.; Azevedo, Bruno; Pinheiro, Lucas Rodrigues; Priaminiarti, Menik; Sales, Marcelo Augusto Oliveira de

doi:10.1111/prd.12193

Cited by 33 publications

(23 citation statements)

References 133 publications

(166 reference statements)

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“…The severity of periodontal disease and the associated risk of tooth loss are higher in molars than in non‐furcated teeth (Bäumer et al., 2019; Hirschfeld & Wasserman, 1978; Papapanou, Wennstrom, & Grondahl, 1989). Therefore, correct diagnosis of furcation involvement (FI) is crucial for both prognosis estimation and optimization of treatment strategies (Avila‐Ortiz, De Buitrago, & Reddy, 2015; Scarfe, Azevedo, Pinheiro, Priaminiarti, & Sales, 2017).…”

Section: Introductionmentioning

confidence: 99%

In vivo accuracy of dental magnetic resonance imaging in assessing maxillary molar furcation involvement: A feasibility study in humans

Juerchott

Sohani²,

Schwindling

et al. 2020

J Clinic Periodontology

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Aim To investigate the accuracy and reliability of dental magnetic resonance imaging (dMRI) in assessing maxillary molar furcation involvement (FI). Material and Methods In this prospective study, 22 patients with severe periodontitis underwent cone‐beam computed tomography (CBCT) and dMRI. For 192 furcation entrances, the degree of horizontal FI was assessed by two independent observers on both modalities. Results of dMRI were compared with CBCT (reference modality) to assess the accuracy of dMRI. Cohen's kappa (κ), sensitivity and specificity were calculated for FI classification. Bland–Altman analysis and the Kruskal–Wallis test were used to evaluate measurement accuracy of dMRI. Results Based on CBCT findings, 93 furcation entrances revealed FI (degree I/II/III: 35/19/39). Intra‐ and inter‐reader agreement was excellent for both modalities (κ‐range: 0.884 to 0.933). dMRI measurements showed high agreement with CBCT (bias: 0.17 mm; 95% limits of agreement: −1.05 to 1.38 mm), and measurement accuracy did not differ among different degrees of FI (p = .67). For FI detection, sensitivity and specificity of dMRI were 98% and 99%. For FI classification, sensitivity values of dMRI were 89%/84%/100% for degree I/II/III. Conclusions Compared to CBCT (non‐invasive gold standard), dMRI demonstrates high accuracy and reliability in evaluating the degree of FI in maxillary molars.

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Section: Introductionmentioning

confidence: 99%

In vivo accuracy of dental magnetic resonance imaging in assessing maxillary molar furcation involvement: A feasibility study in humans

Juerchott

Sohani²,

Schwindling

et al. 2020

J Clinic Periodontology

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“…Currently, conventional and digitized periapical, bitewing, and panoramic radiographs (DPT) are used as an adjunct to clinical assessment in diagnosing periodontitis (Christiaens et al, 2018;Goodson et al, 1984). The most frequent radiographs to identify alterations in alveolar bone are periapical (PA) and bitewing radiographs (Scarfe, Azevedo, Pinheiro, Priaminiarti, & Sales, 2017).…”

Section: Introductionmentioning

confidence: 99%

Reliability assessment between clinical attachment loss and alveolar bone level in dental radiographs

Farook

Alodwene

Alharbi

et al. 2020

Clinical & Exp Dental Res

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Background: The clinical attachment level (CAL) and radiographically assessed bone levels are used to assess the loss of periodontal tissue support in periodontitis, a chronic, multifactorial inflammatory disease of the periodontium. However, few studies have been done to study the relationship between these two parameters. According to our knowledge, this is the first study investigating the relationship between the two measurements using intraclass correlation analysis. Aim: The aim of the study is to investigate the relationship between CAL and radiographically assessed bone level in teeth affected with periodontitis. Methods: A retrospective cross-sectional study was conducted by selecting a sample of 880 periodontal sites in 104 periodontitis patients, aged 25-60 years. CAL and peri-apical radiographs of the selected sites were obtained from the computerized patient records. The distance from the cemento-enamel junction (CEJ) to the base of the alveolar bone level (ABL) was measured. The data was analyzed using SPSS. Results: Intraclass correlation analysis (ICC) revealed a moderate degree of reliability between CAL and CEJ to ABL measurements. The average ICC was 0.68 with a 95% confidence interval of 0.53-0.77 (p < .001) indicating moderate to good reliability. Comparing the types of teeth, the central incisors, particularly the lower central incisors showed the highest ICC values (ICC: 0.822, CI: 0.77-0.86) indicating good reliability while the premolar and molars showed poor to moderate agreement (Maxillary

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“…Contemporary periodontal therapy has evolved to become more interdisciplinary and increasingly involves complex treatments, including soft‐tissue‐regenerative and bone‐regenerative procedures . Therapeutic options frequently require an imaging modality capable of providing a diagnostic osseous baseline and facilitate quantification of smaller increments of bony change, both loss and additive, that are comparable over time.…”

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confidence: 99%

Interdisciplinary periodontics: the multidisciplinary approach to the planning and treatment of complex cases

Lyons¹,

Darby²

2017

Periodontology 2000

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Periodontics cannot be practiced in isolation as frequently many patients have multiple dental needs or medical health issues requiring management. In addition, pathology may manifest in the periodontal tissues, and the onset and progression of periodontitis can be affected by systemic conditions, such as diabetes, and vice versa. The focus of this volume of Periodontology 2000 is interdisciplinary periodontics, and the articles included discuss the interactions and the interrelationshipbetween periodontal tissues/periodontal diseases and endodontics, fixed prosthodontics, implant dentistry, esthetics, gerodontology, radiology, orthodontics, pediatric dentistry, oral and maxillofacial surgery, oral pathology, special needs dentistry and general medicine. Previous volumes of Periodontology 2000 have covered some of the interactions between periodontal diseases and other dental disciplines, especially implant dentistry, 'and the interaction between periodontal disease and systemic disease', but there has not been a volume on interdisciplinary periodontics. The intention therefore is to show how and why periodontics should be interdisciplinary, as well as the benefits of an interdisciplinary approach; in addition, the potential consequences of using a discipline in isolation are discussed.

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The emerging role of maxillofacial radiology in the diagnosis and management of patients with complex periodontitis

Cited by 33 publications

References 133 publications

In vivo accuracy of dental magnetic resonance imaging in assessing maxillary molar furcation involvement: A feasibility study in humans

In vivo accuracy of dental magnetic resonance imaging in assessing maxillary molar furcation involvement: A feasibility study in humans

Reliability assessment between clinical attachment loss and alveolar bone level in dental radiographs

Interdisciplinary periodontics: the multidisciplinary approach to the planning and treatment of complex cases

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