A comparative study of cone-beam computed tomography and digital periapical radiography in detecting mandibular molars root perforations
Imaging Science in Dentistry
;
: 115-119, 2014.
Article
in English
| WPRIM
| ID: wpr-120543
ABSTRACT
PURPOSE:
The aim of this in vitro study was to determine the sensitivity and specificity of cone-beam computed tomography (CBCT) and digital periapical radiography in the detection of mesial root perforations of mandibular molars. MATERIALS ANDMETHODS:
In this in vitro study, 48 mandibular molars were divided into 4 groups. First, the mesial canals of all the 48 teeth were endodontically prepared. In 2 groups (24 teeth each), the roots were axially perforated in the mesiolingual canal 1-3 mm below the furcation region, penetrating the root surface ("root perforation"). Then, in one of these 2 groups, the mesial canals were filled with gutta-percha and AH26 sealer. Mesial canals in one of the other 2 groups without perforation (control groups) were filled with the same materials. The CBCT and periapical radiographs with 3 different angulations were evaluated by 2 oral and maxillofacial radiologists. The specificity and sensitivity of the two methods were calculated, and P<0.05 was considered significant.RESULTS:
The sensitivity and specificity of CBCT scans in the detection of obturated root canal perforations were 79% and 96%, respectively, and in the case of three-angled periapical radiographs, they were 92% and 100%, respectively. In non-obturated root canals, the sensitivity and specificity of CBCT scans in perforation detection were 92% and 100%, respectively, and for three-angled periapical radiographs, they were 50% and 96%, respectively.CONCLUSION:
For perforation detection in filled-root canals, periapical radiography with three different horizontal angulations would be trustworthy, but it is recommended that CBCT be used for perforation detection before obturating root canals.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tooth
/
Radiography
/
Sensitivity and Specificity
/
Radiography, Dental, Digital
/
Dental Pulp Cavity
/
Cone-Beam Computed Tomography
/
Gutta-Percha
/
Molar
Type of study:
Diagnostic study
Language:
English
Journal:
Imaging Science in Dentistry
Year:
2014
Type:
Article
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