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Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study

BACKGROUND: Early detection of peri-implant bone defects is highly important because these defects eventually lead to gingival recession, bone loss and implant failure. OBJECTIVE: This study aimed to assess and compare the efficacy of periapical radiography and three CBCT systems for the detection o...

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Autores principales: V., Akheshteh, A., Eskandarloo, S., Saati, M. R., Jamalpour, Gholi Mezerji N., Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753257/
https://www.ncbi.nlm.nih.gov/pubmed/33364213
http://dx.doi.org/10.31661/jbpe.v0i0.2008-1162
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author V., Akheshteh
A., Eskandarloo
S., Saati
M. R., Jamalpour
Gholi Mezerji N., Mohammad
author_facet V., Akheshteh
A., Eskandarloo
S., Saati
M. R., Jamalpour
Gholi Mezerji N., Mohammad
author_sort V., Akheshteh
collection PubMed
description BACKGROUND: Early detection of peri-implant bone defects is highly important because these defects eventually lead to gingival recession, bone loss and implant failure. OBJECTIVE: This study aimed to assess and compare the efficacy of periapical radiography and three CBCT systems for the detection of peri-implant dehiscence defects. MATERIAL AND METHODS: In this vitro study, 124 titanium implants were placed in bovine ribs. The bone pieces were then mounted in boxes in the form of mandible and red dental wax was used to simulate the soft tissue. Crestal bone defects with 2, 3, and 4 mm depth were created in the ribs using a round bur. Periapical and CBCT images were then obtained. Images were investigated by two oral and maxillofacial radiologists twice with a two-week interval. The results were analyzed using chi-square, Kappa coefficient, Cochrane’s Q and McNemar tests as well as the receiver operating characteristic (ROC) curve. RESULTS: The two observers showed good agreement in detection of sound and defective samples on periapical radiographs and CBCT scans. The level of agreement was low in detection of two samples with 2 mm defects on CBCT scans taken with Planmeca and NewTom 3G systems at the time of second assessment. NewTom 3G had the highest sensitivity (68.9%, 74.2% and 86.3%, respectively) and specificity (100% for all three) compared to other systems for detection of 2, 3 and 4 mm crestal bone defects. CONCLUSION: The inter-observer agreement increased with increase in depth of defects. NewTom 3G had the highest accuracy for detection of crestal bone defects.
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spelling pubmed-77532572020-12-23 Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study V., Akheshteh A., Eskandarloo S., Saati M. R., Jamalpour Gholi Mezerji N., Mohammad J Biomed Phys Eng Original Article BACKGROUND: Early detection of peri-implant bone defects is highly important because these defects eventually lead to gingival recession, bone loss and implant failure. OBJECTIVE: This study aimed to assess and compare the efficacy of periapical radiography and three CBCT systems for the detection of peri-implant dehiscence defects. MATERIAL AND METHODS: In this vitro study, 124 titanium implants were placed in bovine ribs. The bone pieces were then mounted in boxes in the form of mandible and red dental wax was used to simulate the soft tissue. Crestal bone defects with 2, 3, and 4 mm depth were created in the ribs using a round bur. Periapical and CBCT images were then obtained. Images were investigated by two oral and maxillofacial radiologists twice with a two-week interval. The results were analyzed using chi-square, Kappa coefficient, Cochrane’s Q and McNemar tests as well as the receiver operating characteristic (ROC) curve. RESULTS: The two observers showed good agreement in detection of sound and defective samples on periapical radiographs and CBCT scans. The level of agreement was low in detection of two samples with 2 mm defects on CBCT scans taken with Planmeca and NewTom 3G systems at the time of second assessment. NewTom 3G had the highest sensitivity (68.9%, 74.2% and 86.3%, respectively) and specificity (100% for all three) compared to other systems for detection of 2, 3 and 4 mm crestal bone defects. CONCLUSION: The inter-observer agreement increased with increase in depth of defects. NewTom 3G had the highest accuracy for detection of crestal bone defects. Shiraz University of Medical Sciences 2020-12-01 /pmc/articles/PMC7753257/ /pubmed/33364213 http://dx.doi.org/10.31661/jbpe.v0i0.2008-1162 Text en Copyright: © Journal of Biomedical Physics and Engineering http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 Unported License, ( http://creativecommons.org/licenses/by-nc/4.0/ ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
V., Akheshteh
A., Eskandarloo
S., Saati
M. R., Jamalpour
Gholi Mezerji N., Mohammad
Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title_full Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title_fullStr Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title_full_unstemmed Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title_short Efficacy of Periapical Radiography and Three Cone-Beam Computed Tomography Systems for Detection of Peri-Implant Dehiscence Defects: An in- Vitro Study
title_sort efficacy of periapical radiography and three cone-beam computed tomography systems for detection of peri-implant dehiscence defects: an in- vitro study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753257/
https://www.ncbi.nlm.nih.gov/pubmed/33364213
http://dx.doi.org/10.31661/jbpe.v0i0.2008-1162
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