Comparison of high-resolution and standard zoom imaging modes in cone beam computed tomography for detection of longitudinal root fracture: An in vitro study
Taramsari Mehran, Kajan Zahra Dalili, Bashirzadeh Parinaz, Salamat Fatemeh,
소속 상세정보
( Taramsari Mehran ) - Guilan University of Medical Sciences Faculty of Dentistry Department of Endodontics
( Kajan Zahra Dalili ) - Iran Guilan University of Medical Sciences Department of Maxillofacial Radiology
( Bashirzadeh Parinaz ) - Iran Guilan University of Medical Sciences Department of Maxillofacial Radiology
( Salamat Fatemeh ) - Iran Guilan University of Medical Sciences Vice Chancellor of Research and Technology
KMID : 1024020130430030171
Abstract
Purpose: The purpose of this study was to compare the efficacy of two imaging modes in a cone beam computed tomography (CBCT) system in detecting root fracture in endodontically-treated teeth with fiber posts or screw posts by selecting two fields of view. Materials and Methods: In this study, 78 endodontically-treated single canal premolars were included. A post space was created in all of them. Then the teeth were randomly set in one of 6 artificial dental arches. In 39 of the 78 teeth set in the 6 dental arches, a root fracture was intentionally created. Next, a fiber post and a screw post were cemented into 26 teeth having equal the root fractures. High resolution (HiRes) and standard zoom images were provided by a CBCT device. Upon considering the reconstructed images, two observers in agreement with each other confirmed the presence or absence of root fracture. A McNemar test was used for comparing the results of the two modes. Results: The frequency of making a correct diagnosis using the HiRes zoom imaging mode was 71.8% and in standard zoom was 59%. The overall sensitivity and specificity in diagnosing root fracture in the HiRes mode were 71.79% and 46.15% and in the standard zoom modes were 58.97% and 33.33%, respectively. Conclusion: There were no significant differences between the diagnostic values of the two imaging modes used in the diagnosis of root fracture or in the presence of root canal restorations. In both modes, the most true-positive results were reported in the post space group.
키워드
Tooth Fractures; Cone-Beam Computed Tomography; Diagnosis
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