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A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones

PURPOSE: The aim of this study was to compare cone-beam computed tomography (CBCT) and digital panoramic radiography (DPR) for the detection of pulp stones. MATERIALS AND METHODS: DPR and CBCT images of 202 patients were randomly selected from the database of our department. All teeth were evaluated...

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Autores principales: Tassoker, Melek, Magat, Guldane, Sener, Sevgi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Oral and Maxillofacial Radiology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148041/
https://www.ncbi.nlm.nih.gov/pubmed/30276157
http://dx.doi.org/10.5624/isd.2018.48.3.201
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author Tassoker, Melek
Magat, Guldane
Sener, Sevgi
author_facet Tassoker, Melek
Magat, Guldane
Sener, Sevgi
author_sort Tassoker, Melek
collection PubMed
description PURPOSE: The aim of this study was to compare cone-beam computed tomography (CBCT) and digital panoramic radiography (DPR) for the detection of pulp stones. MATERIALS AND METHODS: DPR and CBCT images of 202 patients were randomly selected from the database of our department. All teeth were evaluated in sagittal, axial, and coronal sections in CBCT images. The systemic condition of patients, the presence of pulp stones, the location of the tooth, the group of teeth, and the presence and depth of caries and restorations were recorded. The presence of pulp stones in molar teeth was compared between DPR and CBCT images. RESULTS: Pulp stones were identified in 105 (52.0%) of the 202 subjects and in 434 (7.7%) of the 5,656 teeth examined. The prevalence of pulp stones was similar between the sexes and across various tooth locations and groups of teeth (P>.05). A positive correlation was observed between age and the number of pulp stones (ρ=0.277, P<.01). Pulp stones were found significantly more often in restored or carious teeth (P<.001). CBCT and DPR showed a significant difference in the detection of pulp stones (P<.001), which were seen more often on DPR than on CBCT. CONCLUSION: DPR, as a 2D imaging system, has inherent limitations leading to the misinterpretation of pulp stones. Restored and carious teeth should be carefully examined for the presence of pulp stones. CBCT imaging is recommended for a definitive assessment in cases where there is a suspicion of a pulp stone on DPR.
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spelling pubmed-61480412018-10-01 A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones Tassoker, Melek Magat, Guldane Sener, Sevgi Imaging Sci Dent Original Article PURPOSE: The aim of this study was to compare cone-beam computed tomography (CBCT) and digital panoramic radiography (DPR) for the detection of pulp stones. MATERIALS AND METHODS: DPR and CBCT images of 202 patients were randomly selected from the database of our department. All teeth were evaluated in sagittal, axial, and coronal sections in CBCT images. The systemic condition of patients, the presence of pulp stones, the location of the tooth, the group of teeth, and the presence and depth of caries and restorations were recorded. The presence of pulp stones in molar teeth was compared between DPR and CBCT images. RESULTS: Pulp stones were identified in 105 (52.0%) of the 202 subjects and in 434 (7.7%) of the 5,656 teeth examined. The prevalence of pulp stones was similar between the sexes and across various tooth locations and groups of teeth (P>.05). A positive correlation was observed between age and the number of pulp stones (ρ=0.277, P<.01). Pulp stones were found significantly more often in restored or carious teeth (P<.001). CBCT and DPR showed a significant difference in the detection of pulp stones (P<.001), which were seen more often on DPR than on CBCT. CONCLUSION: DPR, as a 2D imaging system, has inherent limitations leading to the misinterpretation of pulp stones. Restored and carious teeth should be carefully examined for the presence of pulp stones. CBCT imaging is recommended for a definitive assessment in cases where there is a suspicion of a pulp stone on DPR. Korean Academy of Oral and Maxillofacial Radiology 2018-09 2018-09-18 /pmc/articles/PMC6148041/ /pubmed/30276157 http://dx.doi.org/10.5624/isd.2018.48.3.201 Text en Copyright © 2018 by Korean Academy of Oral and Maxillofacial Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tassoker, Melek
Magat, Guldane
Sener, Sevgi
A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title_full A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title_fullStr A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title_full_unstemmed A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title_short A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
title_sort comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148041/
https://www.ncbi.nlm.nih.gov/pubmed/30276157
http://dx.doi.org/10.5624/isd.2018.48.3.201
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