Cargando…

A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis

OBJECTIVE: The aim of this study was to compare clinical, intra-surgical, 2D (panoramic) and 3D (CBCT)-based parameters in assessing molar furcation involvement (FI). MATERIALS AND METHODS: Six patients with generalized periodontitis Stage II to IV, Grade B and C who were scheduled for the periodont...

Descripción completa

Detalles Bibliográficos
Autores principales: Komšić, Sanja, Plančak, Darije, Kašaj, Adrian, Puhar, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993470/
https://www.ncbi.nlm.nih.gov/pubmed/32099258
http://dx.doi.org/10.15644/asc53/4/3
_version_ 1783493041542135808
author Komšić, Sanja
Plančak, Darije
Kašaj, Adrian
Puhar, Ivan
author_facet Komšić, Sanja
Plančak, Darije
Kašaj, Adrian
Puhar, Ivan
author_sort Komšić, Sanja
collection PubMed
description OBJECTIVE: The aim of this study was to compare clinical, intra-surgical, 2D (panoramic) and 3D (CBCT)-based parameters in assessing molar furcation involvement (FI). MATERIALS AND METHODS: Six patients with generalized periodontitis Stage II to IV, Grade B and C who were scheduled for the periodontal flap surgical treatment were recruited in the study. In total, 38 molar teeth with 93 furcation sites were analysed. All subjects had comprehensive periodontal examination, which included an assessment of molar FI using Naber’s probe according to modified Glickman’s classification. Periodontal surgery was performed in patients with at least one maxillary molar with probing depth of ≥6 mm. This probing demonstrated lower grade of FI compared with intra-surgical findings. RESULTS: Periodontal probing, intra-surgical measurement and measurements based on CBCT significantly correlated with each other regarding the assessment of FI, with r values ranging between 0.81 to 1.00 (p<0.01). The correlation of panoramic radiograph with periodontal probing is 0.49, with CBCT 0.39 and with intra-surgical measurements 0.36. The results showed an excellent agreement and higher accuracy between intra-surgical measurements and CBCT (0.96), in contrast to clinical examination and panoramic radiography- 0.87 and 0.63 respectively. Different clinical and radiological modalities showed a correlation among each other. They are accurate and have their own benefits, which makes (renders) them useful in establishing periodontal diagnosis and treatment planning. CONCLUSION: However, CBCT offers significant advantages including excellent agreement and higher accuracy and can be used as justified as excellent diagnostic tool in detecting and locating FI to provide a more reliable diagnosis and basis for treatment decisions.
format Online
Article
Text
id pubmed-6993470
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association
record_format MEDLINE/PubMed
spelling pubmed-69934702020-02-25 A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis Komšić, Sanja Plančak, Darije Kašaj, Adrian Puhar, Ivan Acta Stomatol Croat Original Scientific Papers OBJECTIVE: The aim of this study was to compare clinical, intra-surgical, 2D (panoramic) and 3D (CBCT)-based parameters in assessing molar furcation involvement (FI). MATERIALS AND METHODS: Six patients with generalized periodontitis Stage II to IV, Grade B and C who were scheduled for the periodontal flap surgical treatment were recruited in the study. In total, 38 molar teeth with 93 furcation sites were analysed. All subjects had comprehensive periodontal examination, which included an assessment of molar FI using Naber’s probe according to modified Glickman’s classification. Periodontal surgery was performed in patients with at least one maxillary molar with probing depth of ≥6 mm. This probing demonstrated lower grade of FI compared with intra-surgical findings. RESULTS: Periodontal probing, intra-surgical measurement and measurements based on CBCT significantly correlated with each other regarding the assessment of FI, with r values ranging between 0.81 to 1.00 (p<0.01). The correlation of panoramic radiograph with periodontal probing is 0.49, with CBCT 0.39 and with intra-surgical measurements 0.36. The results showed an excellent agreement and higher accuracy between intra-surgical measurements and CBCT (0.96), in contrast to clinical examination and panoramic radiography- 0.87 and 0.63 respectively. Different clinical and radiological modalities showed a correlation among each other. They are accurate and have their own benefits, which makes (renders) them useful in establishing periodontal diagnosis and treatment planning. CONCLUSION: However, CBCT offers significant advantages including excellent agreement and higher accuracy and can be used as justified as excellent diagnostic tool in detecting and locating FI to provide a more reliable diagnosis and basis for treatment decisions. University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association 2019-12 /pmc/articles/PMC6993470/ /pubmed/32099258 http://dx.doi.org/10.15644/asc53/4/3 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.
spellingShingle Original Scientific Papers
Komšić, Sanja
Plančak, Darije
Kašaj, Adrian
Puhar, Ivan
A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title_full A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title_fullStr A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title_full_unstemmed A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title_short A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis
title_sort comparison of clinical and radiological parameters in the evaluation of molar furcation involvement in periodontitis
topic Original Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993470/
https://www.ncbi.nlm.nih.gov/pubmed/32099258
http://dx.doi.org/10.15644/asc53/4/3
work_keys_str_mv AT komsicsanja acomparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT plancakdarije acomparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT kasajadrian acomparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT puharivan acomparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT komsicsanja comparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT plancakdarije comparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT kasajadrian comparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis
AT puharivan comparisonofclinicalandradiologicalparametersintheevaluationofmolarfurcationinvolvementinperiodontitis