Vertical root fracture detection with cone-beam computed tomography in Biodentine™ filled teeth.

Cone-Beam Computed Tomography / methods Humans Tooth Fractures / diagnostic imaging Tooth Root / diagnostic imaging Incisor / diagnostic imaging Calcium Compounds X-Ray Microtomography / methods Root Canal Filling Materials Sensitivity and Specificity Maxilla / diagnostic imaging Observer Variation Radiography, Bitewing / methods Area Under Curve Tooth, Nonvital / diagnostic imaging Silicates
Cone-beam computed tomography Diagnosis Endodontics Radiography Tooth fractures

Journal

BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684

Informations de publication

Date de publication:
04 Oct 2024
Historique:
received: 28 06 2024
accepted: 23 09 2024
medline: 5 10 2024
pubmed: 5 10 2024
entrez: 4 10 2024
Statut: epublish

Résumé

This study aimed to evaluate the accuracy of detecting vertical root fractures in Biodentine™-filled teeth using the Promax 3Dmax cone-beam computed tomography (CBCT) unit compared to periapical radiographs. It tested hypotheses regarding CBCT's diagnostic superiority in non-root-filled and Biodentine™-root-filled maxillary central incisors and assessed the impact of smaller field of view and lower intensity settings on detection accuracy. Extracted maxillary incisors were divided into groups based on fracture status and root filling material, then placed in a Thiel-embalmed skull to simulate clinical conditions. The teeth were imaged using periapical radiographs and the CBCT unit under different settings. Fracture thickness was measured with microcomputed tomography for accuracy benchmarking. Multiple observers assessed the images, and statistical analyses were conducted to evaluate diagnostic performance. Intra-rater reliabilities of consensus scores ranged from good to very good. Specificities were generally higher than sensitivities across all imaging modalities, but sensitivities remained constantly low. None of the Area Under the Curve scores exceeded 0.6, indicating poor overall accuracy for all imaging modalities. Paired comparisons of the area differences under Receiver Operator Characteristic curves revealed no significant differences between the CBCT and periapical radiograph techniques for detecting vertical root fractures in either Biodentine™-filled or non-root-filled teeth. There was no significant accuracy improvement of the current CBCT device (Promax 3Dmax, Planmeca, Finland) over periapical radiographs in detecting small vertical root fractures in both non-root-filled and Biodentine™-root-filled maxillary central incisors. A smaller field of view with lower intensity did not enhance detection accuracy. These results highlight the challenges in accurately detecting small VRFs, emphasizing the need for further research and technological advancements in this domain.

Identifiants

DOI: 10.1186/s12903-024-04947-7 PMID: 39367348
pubmed: 39367348
doi: 10.1186/s12903-024-04947-7
pii: 10.1186/s12903-024-04947-7
doi:

Substances chimiques

tricalcium silicate 404G39282C
Calcium Compounds 0
Root Canal Filling Materials 0
Silicates 0

Types de publication

Journal Article Comparative Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1178

Subventions

Organisme : The Special Research Fund of Ghent University is acknowledged for the support of the Centre of Expertise UGCT.
ID : BOF.EXP.2017.0007

Informations de copyright

© 2024. The Author(s).

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Auteurs

Jakob W G Van Acker (JWG)

ELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium. Jakob.VanAcker@UGent.be.
ORCID: 0000-0003-4502-9416

Charlotte Yvergneaux (C)

ELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.

Wolfgang Jacquet (W)

Localities Ontologies Commons Integrated (LOCI), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Oral Health Research Group (ORHE), Vrije Universiteit Brussel (VUB), Brussels, Belgium.

Melissa Dierens (M)

Department of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.

Geert Hommez (G)

Oral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, 9000, Belgium.

Joris Van Acker (J)

UGent-Woodlab - Laboratory of Wood Technology, Department of Environment, Ghent University, Coupure links 653, Ghent, 9000, Belgium.
Centre for X-ray Tomography, Physics and Astronomy, Ghent University, Ghent, Belgium.

Matthieu Boone (M)

Centre for X-ray Tomography, Physics and Astronomy, Ghent University, Ghent, Belgium.

Sivaprakash Rajasekharan (S)

ELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.

Luc C Martens (LC)

ELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.

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Classifications MeSH

questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › Tomodensitométrie à faisceau conique › Vertical root fracture detection with...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Vertical root fracture detection with...
questionsmedicales.fr › Plaies et blessures › Traumatismes dentaires › Fractures dentaires › Vertical root fracture detection with...
questionsmedicales.fr › Système stomatognathique › Bouche › Denture › Composants dentaires › Racine dentaire › Vertical root fracture detection with...
questionsmedicales.fr › Système stomatognathique › Bouche › Denture › Dent › Incisive › Vertical root fracture detection with...
questionsmedicales.fr › Produits chimiques inorganiques › Composés du calcium › Vertical root fracture detection with...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › Microtomographie aux rayons X › Vertical root fracture detection with...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Matériaux biomédicaux et dentaires › Matériaux dentaires › Produits d'obturation des canaux radiculaires › Vertical root fracture detection with...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Sensibilité et spécificité › Vertical root fracture detection with...
questionsmedicales.fr › Système stomatognathique › Mâchoire › Maxillaire › Vertical root fracture detection with...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Facteurs épidémiologiques › Biais (épidémiologie) › Biais de l'observateur › Vertical root fracture detection with...
questionsmedicales.fr › Diagnostic buccal › Radiographie dentaire › Radiographie rétrocoronaire › Vertical root fracture detection with...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Aire sous la courbe › Vertical root fracture detection with...
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Maladies de la pulpe dentaire › Dent dévitalisée › Vertical root fracture detection with...
questionsmedicales.fr › Produits chimiques inorganiques › Composés du silicium › Silice › Acide silicique › Silicates › Vertical root fracture detection with...