Warda, H., Gaweesh, Y., Rizk, A., Fahmy, R. (2019). ACCURACY OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ASSESSMENT OF MANDIBULAR MOLAR FURCATION DEFECTS AS COMPARED TO THE INTRA-OPERATIVE FINDINGS. Alexandria Dental Journal, 44(1), 75-80. doi: 10.21608/adjalexu.2019.57582
Hisham M. Warda; Yousria S. Gaweesh; Adel M. Rizk; Rania A. Fahmy. "ACCURACY OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ASSESSMENT OF MANDIBULAR MOLAR FURCATION DEFECTS AS COMPARED TO THE INTRA-OPERATIVE FINDINGS". Alexandria Dental Journal, 44, 1, 2019, 75-80. doi: 10.21608/adjalexu.2019.57582
Warda, H., Gaweesh, Y., Rizk, A., Fahmy, R. (2019). 'ACCURACY OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ASSESSMENT OF MANDIBULAR MOLAR FURCATION DEFECTS AS COMPARED TO THE INTRA-OPERATIVE FINDINGS', Alexandria Dental Journal, 44(1), pp. 75-80. doi: 10.21608/adjalexu.2019.57582
Warda, H., Gaweesh, Y., Rizk, A., Fahmy, R. ACCURACY OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ASSESSMENT OF MANDIBULAR MOLAR FURCATION DEFECTS AS COMPARED TO THE INTRA-OPERATIVE FINDINGS. Alexandria Dental Journal, 2019; 44(1): 75-80. doi: 10.21608/adjalexu.2019.57582
ACCURACY OF CONE BEAM COMPUTED TOMOGRAPHY (CBCT) IN ASSESSMENT OF MANDIBULAR MOLAR FURCATION DEFECTS AS COMPARED TO THE INTRA-OPERATIVE FINDINGS
1Instructor at Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
2Professor of Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
3Professor of Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
4Lecturer of Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Abstract
INTRODUCTION: The precise assessment of mandibular molar furcation defects is crucial before a prognosis and a treatment strategy can be established. The use of CBCT in periodontology has led to an increased precision in diagnosis of bone morphology. OBJECTIVES: The aim of this study is to determine the accuracy of cone beam computed tomography (CBCT) in the assessment of mandibular molar furcation defects when compared to intra-surgical assessment. MATERIALS AND METHODS: The study included 19 mandibular molar furcation defects. Three different CBCT measurements were taken: (bone loss in the horizontal direction – ‘BL-H’), degree of bone loss in vertical direction (BL-V) and width of the furcation entrance (FW). Measurements were compared to the intra-surgical measurements and results were statistically analysed. RESULTS: There was no significant difference between measurements taken using CBCT and measurements taken intra-surgically giving a p value of 0.101, 0.201 and 0.910 for FW, BL-V and BL-H respectively. CONCLUSIONS: CBCT is an accurate way in assessing mandibular molar furcation defects
Bascones-Martínez A, Figuero-Ruiz E. Periodontal diseases as bacterial infection. Med Oral Patol Oral Cir Bucal 2004; 9 Suppl: 101-7, 92-100.
Sánchez-Pérez A, Moya-Villaescusa M. Periodontal disease affecting tooth furcations. A review of the treatments available. Med Oral Patol Oral Cir Bucal 2009 Oct 1; 14 (10):554-7.
Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 1978; 49: 225–237.
McFall WT. Tooth loss in 100 treated patients with periodontal disease. A long-term study. J Periodontol 1982; 53: 539–549.
McClain PK, Schallhorn RG. Focus on furcation defectsguided tissue regeneration in combination with bone grafting. Periodontol 2000; 22:190-212.
Nordland P, Garrett S, et al., The effect of plaque control and root debridement in molar teeth. J Clin Periodontol 1987;14(4), 231-6.
Loos, B, Nylund K, et al. Clinical effects of root debridement in molar and non-molar teeth. A 2-year followup. J Clin Periodontol 1989;16(8), 498-504.
DeSanctis M, Murphy KG. The role of resective periodontal surgery in the treatment of furcation defects. Periodontol 2000; 22:154-68.
Ramadan AB, Mitchell DF. A roentgenographic study of experimental bone destruction. Oral Surg Oral Med Oral Pathol. 1962;15:934–43
Theilade J. An evaluation of the reliability of radiographs in the measurement of bone loss in periodontal disease. J Periodontol. 1960;31:143–53.
Gupta, A., Devi, P., Srivastava, R., & Jyoti, B. (2014). Intra oral periapical radiography-basics yet intrigue: A review. Bangladesh Journal of Dental Research & Education, 4(2), 83-87.
Theilade J. An evaluation of the reliability of radiographs in the measurement of bone loss in periodontal disease. J Periodontol. 1960;31:143-53.
Prichard J. Interpretation of radiographs in periodontics. Int J Periodontics Restorative Dent. 1983;3(1):8-39
Ramachandran GN, Lakshminarayanan AV. Three dimensional reconstruction from radiographs and electron micrographs: Application convolutions instead of Fourier Transforms. Proc Natl Acad Sci.1971;68:2236–40.
Monsour PA, Dudhia R. Implant radiography and radiology. Aust Dent J. 2008 Jun; 53 Suppl 1:11-25.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006; 72:75-80.
Suomalainen A, Pakbaznejad Esmaeili E, Robinson S. Dentomaxillofacial imaging with panoramic views and cone beam CT. Insights Imaging. 2015 Feb;6(1):1-16.
Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose Cone Beam CT. European Journal of Radiology. 2005;56(3):413-7.
Danforth RA. Cone beam volume tomography: a new digital imaging option for dentistry. J Calif Dent Assoc. 2003 Nov; 31(11):814-5.
Palomo, J.M., Rao, P.S. & Hans, M.G.Influence of CBCT exposure conditions on radiation dose. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology & Endodontics 2008;105: 773–782.
Hatcher DC. Operational principles for cone-beam computed tomography. Journal of the American Dental Association.October 2010;141 (Suppl 3): 3S–6S.
Orth RC, Wallace MJ, Kuo MD. C-arm cone-beam CT: general principles and technical considerations for use in interventional radiology. Journal of Vascular and Interventional Radiology. June 2008;19 (6): 814–20.
Ramachandran GN, Lakshminarayanan AV. Three dimensional reconstruction [6] from radiographs and electron micrographs: Application convolutions instead of Fourier Transforms. Proc Natl Acad Sci. 1971;68:2236-40.
Daniel W. Biostatistics. A foundation for analysis in the health science. 6th edition, NY: John Wiley and sons, Inc; 1995.
Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth. Results after 5 years. J ClinPeriodontol1975;2:126-135.
Kasaj A, Willershausen B. Digital volume tomography for diagnostics in periodontology. Int J Comput Dent 2007;10:155-68.
Svärdström G, Wennström JL. Prevalence of furcation involvements in patients referred for periodontal treatment. J Clin Periodontol. 1996;
Walter C, Weiger R, Zitzmann NU. Accuracy of threedimensional imaging in assessing maxillary molar furcation involvement. J Clin Periodontol 2010; 37: 463- 441.
Walter C, Kaner D, Berndt DC, Weiger R, Zitzmann NU. Three-dimensional imaging as a pre-operative tool in decision making for furcation surgery. J Clin Periodontol 2009;36:250–257.
Milena M. Cimbaljevic, DDS1/Rubens R. Spin-Neto, DDS, MSc, PhD2/Vesna J. Miletic, BDS, MSc, PhD3/Sasa M.Jankovic, DDS, MSc, PhD4/Zoran M. Aleksic, DDS, MSc, PhD4/Natasa S. Nikolic-Jakoba, DDS, MSc, PhD5 Clinical and CBCT-based diagnosis of furcation involvement in patients with severe periodontitis Quintessence Int 2015;46:863–870
Santana RB1, Uzel MI, Gusman H, Gunaydin Y, Jones JA, Leone CW. Morphometric analysis of the furcation anatomy of mandibular molars. J Periodontol. 2004 Jun;75(6):824-9.
Feijo CV, Lucena JG, Kurita LM, Pereira SL. Evaluation of cone beam computed tomography in the detection of horizontal periodontal bone defects: an in vivo study. Int J Periodontics Restorative Dent. 2012;32(5):e162-68.
Grimard BA, Hoidal MJ, Mills MP, Mellonig JT, Nummikoski PV, Mealey BL. Comparison of clinical, periapical radiograph, and cone-beam volume tomography measurement techniques for assessing bone level changes following regenerative periodontal therapy. J Periodontol 2009;80:48–55.
Umetsubo OS, Gaia BF, Costa FF, Cavalcanti MG. Detection of simulated incipient furcation involvement by CBCT: an in vitro study using pig mandibles. Braz Oral Res. 2012;26:341–347.
Qiao J, Wang S, Duan J, Zhang Y, Qiu Y, Sun C, Liu D. The accuracy of conebeam computed tomography in assessing maxillary molar furcation involvement. J Clin Periodontol 2014; 41: 269–274
Otavio Shoiti Umetsubo; Bruno Felipe Gaia; Felipe Ferreira Costa; Marcelo Gusmão Paraiso Cavalcanti. Detection of simulated incipient furcation involvement by CBCT: an in vitro study using pig mandibles Braz. oral res. vol.26 no.4 São Paulo July/Aug. 2012
WALTER, Clemens, et al. Cone beam computed tomography (CBCT) for diagnosis and treatment planning in periodontology: A systematic review. Quintessence Int, 2016, 47.1: 25-3.