Imaging Sci Dent.  2013 Sep;43(3):171-177. 10.5624/isd.2013.43.3.171.

Comparison of high-resolution and standard zoom imaging modes in cone beam computed tomography for detection of longitudinal root fracture: An in vitro study

• Taramsari
• Kajan ZD
• Bashirzadeh P
• Salamat F

• KMID: 2167454
• DOI: http://doi.org/10.5624/isd.2013.43.3.171

Abstract

PURPOSE
The purpose of this study was to compare the efficacy of two imaging modes in a cone beam computed tomography (CBCT) system in detecting root fracture in endodontically-treated teeth with fiber posts or screw posts by selecting two fields of view.
MATERIALS AND METHODS
In this study, 78 endodontically-treated single canal premolars were included. A post space was created in all of them. Then the teeth were randomly set in one of 6 artificial dental arches. In 39 of the 78 teeth set in the 6 dental arches, a root fracture was intentionally created. Next, a fiber post and a screw post were cemented into 26 teeth having equal the root fractures. High resolution (HiRes) and standard zoom images were provided by a CBCT device. Upon considering the reconstructed images, two observers in agreement with each other confirmed the presence or absence of root fracture. A McNemar test was used for comparing the results of the two modes.
RESULTS
The frequency of making a correct diagnosis using the HiRes zoom imaging mode was 71.8% and in standard zoom was 59%. The overall sensitivity and specificity in diagnosing root fracture in the HiRes mode were 71.79% and 46.15% and in the standard zoom modes were 58.97% and 33.33%, respectively.
CONCLUSION
There were no significant differences between the diagnostic values of the two imaging modes used in the diagnosis of root fracture or in the presence of root canal restorations. In both modes, the most true-positive results were reported in the post space group.

Keyword

Tooth Fractures; Cone-Beam Computed Tomography; Diagnosis

MeSH Terms

Bicuspid
Cone-Beam Computed Tomography
Dental Arch
Dental Pulp Cavity
Intention
Nerve Fibers, Myelinated
Sensitivity and Specificity
Tooth
Tooth Fractures
Tooth, Nonvital

Figure

• 

  Fig. 1 The axial images of high resolution (A) and standard (B) zoom modes of CBCT images show several root fractures (arrows). The teeth with a fiber post and root fracture (Group A; G.A), with a screw post and root fracture (Group C; G.C), and with a post space and root fracture (Group E; G.E) are seen in each arch set.

• 

  Fig. 2 The axial and cross-sectional images of high resolution (A) and standard (B) zoom modes show the direction of root fracture in a tooth with a screw post and root fracture (arrows).

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