Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study
Salineiro Fernanda Cristina Sales, Gialain Ivan Onone, Solange Kobayashi Velasco, Pannuti Claudio Mendes, Cavalcanti Marcelo Gusmao Paraiso,
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( Salineiro Fernanda Cristina Sales ) - University of Sao Paulo School of Dentistry Department of Stomatology
( Gialain Ivan Onone ) - University of Sao Paulo School of Dentistry Department of Stomatology
( Solange Kobayashi Velasco ) - University of Sao Paulo School of Dentistry Department of Stomatology
( Pannuti Claudio Mendes ) - University of Sao Paulo School of Dentistry Department of Stomatology
( Cavalcanti Marcelo Gusmao Paraiso ) - University of Sao Paulo School of Dentistry Department of Stomatology
Abstract
Purpose: The purpose of this study was to assess the accuracy, sensitivity, and specificity of the diagnosis of incipient furcation involvement with periapical radiography (PR) and 2 cone-beam computed tomography (CBCT) imaging protocols, and to test metal artifact interference.
Materials and Methods: Mandibular second molars in 10 macerated pig mandibles were divided into those that showed no furcation involvement and those with lesions in the furcation area. Exams using PR and 2 different CBCT imaging protocols were performed with and without a metallic post. Each image was analyzed twice by 2 observers who rated the absence or presence of furcation involvement according to a 5-point scale. Receiver operating characteristic (ROC) curves were used to evaluate the accuracy, sensitivity, and specificity of the observations.
Results: The accuracy of the CBCT imaging protocols ranged from 67.5% to 82.5% in the images obtained with a metallic post and from 72.5% to 80% in those without a metallic post. The accuracy of PR ranged from 37.5% to 55% in the images with a metallic post and from 42.5% to 62.5% in those without a metallic post. The area under the ROC curve values for the CBCT imaging protocols ranged from 0.813 to 0.802, and for PR ranged from 0.503 to 0.448.
Conclusion: Both CBCT imaging protocols showed higher accuracy, sensitivity, and specificity than PR in the detection of incipient furcation involvement. Based on these results, CBCT may be considered a reliable tool for detecting incipient furcation involvement following a clinical periodontal exam, even in the presence of a metallic post.
키워드
Cone-Beam Computed Tomography; Furcation Defects; Diagnosis; Radiography; Dental
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