Browse > Article
http://dx.doi.org/10.5624/isd.2011.41.4.143

Diagnostic performance of cone-beam computed tomography on detection of mechanically-created artificial secondary caries  

Charuakkra, Arnon (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Prapayasatok, Sangsom (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Janhom, Apirum (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Pongsiriwet, Surawut (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Verochana, Karune (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Mahasantipiya, Phattaranant (Division of Oral and Maxillofacial Radiology, Department of Oral Biology and Diagnostic Sciences, Faculty of Dentistry, Chiang Mai University)
Publication Information
Imaging Science in Dentistry / v.41, no.4, 2011 , pp. 143-150 More about this Journal
Abstract
Purpose : The aim of this study was to compare the diagnostic accuracy of cone-beam computed tomography (CBCT) images and bitewing images in detection of secondary caries. Materials and Methods : One hundred and twenty proximal slots of Class II cavities were randomly prepared on human premolar and molar teeth, and restored with amalgam (n=60) and composite resin (n=60). Then, artificial secondary caries lesions were randomly created using round steel No. 4 bur. The teeth were radiographed with a conventional bitewing technique and two CBCT systems; Pax-500ECT and Promax 3D. All images were evaluated by five observers. The area under the receiver operating characteristic (ROC) curve ($A_z$) was used to evaluate the diagnostic accuracy. Significant difference was tested using the Friedman test (p value<0.05). Results : The mean $A_z$ values for bitewing, Pax-500ECT, and Promax 3D imaging systems were 0.882, 0.995, and 0.978, respectively. Significant differences were found between the two CBCT systems and film (p=0.007). For CBCT systems, the axial plane showed the greatest $A_z$ value. Conclusion : Based on the design of this study, CBCT images were better than bitewing radiographs in detection of secondary caries.
Keywords
Dental Caries; Cone Beam CT; Radiography; Bitewing; Diagnosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Scarfe WC, Farman AG. Cone-beam computed tomography. In: White SC, Pharoah MJ. Oral radiology: principle and interpretation. 6th ed. St. Louis: Mosby; 2009. p. 225-42.
2 Akdeniz B, Grondahl H, Magnusson B. Accuracy of proximal caries depth measurements: comparison between limited cone beam computed tomography, storage phosphor and film radiography. Caries Res 2006; 40: 202-7.   DOI   ScienceOn
3 Tsuchida R, Araki K, Okano T. Evaluation of a limited conebeam volumetric imaging system: comparison with film radiography in detecting incipient proximal caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 412-6.   DOI   ScienceOn
4 Haiter-Neto F, Wenzel A, Gotfredsen E. Diagnostic accuracy of cone beam computed tomography scans compared with intraoral image modalities for detection of caries lesions. Dentomaxillofac Radiol 2008; 37: 18-22.   DOI   ScienceOn
5 Young SM, Lee JT, Hodges RJ, Chang TL, Elashoff DA, White SC. A comparative study of high-resolution cone beam computed tomography and charge-coupled device sensors for detecting caries. Dentomaxillofac Radiol 2009; 38: 445-51.   DOI   ScienceOn
6 Nair M, Tyndall D, Ludlow J, May K, Ye F. The effects of restorative material and location on the detection of simulated recurrent caries. A comparison of dental film, direct digital radiography and tuned aperture computed tomography. Dentomaxillofac Radiol 1998; 27: 80-4.   DOI   ScienceOn
7 Grossman ES, Matejka JM. Histological features of artificial secondary caries adjacent to amalgam restorations. J Oral Rehabil 1999; 26: 737-44.   DOI
8 Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink PR. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod 2009; 35: 719-22.   DOI   ScienceOn
9 Sanders MA, Hoyjberg C, Chu CB, Leggitt VL, Kim JS. Common orthodontic appliances cause artifacts that degrade the diagnostic quality of CBCT Images. J Calif Dent Assoc 2007; 35: 850-7.
10 Cevidanes LH, Tucker S, Styner M, Kim H, Chapuis J, Reyes M, et al. Three-dimensional surgical simulation. Am J Orthod Dentofacial Orthop 2010; 138: 361-71.   DOI   ScienceOn
11 Razavi T, Palmer RM, Davies J, Wilson R, Palmer PJ. Accuracy of measuring the cortical bone thickness adjacent to dental implants using cone beam computed tomography. Clin Oral Implants Res 2010; 21: 718-25.   DOI   ScienceOn
12 Zhang Y, Zhang L, Zhu X, Lee A, Chambers M, Dong L. Reducing metal artifacts in cone-beam CT images by preprocessing projection data. Int J Radiat Oncol Biol Phys 2007; 67: 924-32.   DOI   ScienceOn
13 SEDENTEXCT Project [Internet]. Radiation protection: cone beam CT for dental and maxillofacial radiology. Evidence based guidelines 2011 [cited 2011 Oct 24]. Available from: http://www.sedentexct.eu/files/guidelines_final.pdf.
14 Qu X, Li G, Zhang Z, Ma X. Detection accuracy of in vitro approximal caries by cone beam computed tomography images. Eur J Radiol 2011; 79: e24-7.   DOI   ScienceOn
15 Kayipmaz S, Sezgin OS, Saricaoglu ST, Can G. An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries. Eur J Radiol 2011; 80: 478-82.   DOI   ScienceOn
16 Zhang ZL, Qu XM, Li G, Zhang ZY, Ma XC. The detection accuracies for proximal caries by cone-beam computerized tomography, film, and phosphor plates. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 103-8.   DOI   ScienceOn
17 Imperiano MT, Khoury HJ, Pontual ML, Montes MA, Silveira MM. Comparative radiopacity of four low-viscosity composites. Braz J Oral Sci 2007; 6: 1278-82.
18 Kamburoglu K, Murat S, Yüksel SP, Cebeci AR, Paksoy CS. Occlusal caries detection by using a cone-beam CT with different voxel resolutions and a digital intraoral sensor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e63-9.
19 Kidd EA. Diagnosis of secondary caries. J Dent Educ 2001; 65: 997-1000.
20 Mjor IA, Toffenetti F. Secondary caries: a literature review with case reports. Quintessence Int 2000; 31: 165-79.
21 Nair MK, Tyndall DA, Ludlow JB, May K. Tuned aperture computed tomography and detection of recurrent caries. Caries Res 1998; 32: 23-30.   DOI   ScienceOn
22 Espelid I, Tveit AB, Erickson RL, Keck SC, Glasspoole EA. Radiopacity of restorations and detection of secondary caries. Dent Mater 1991; 7: 114-7.   DOI   ScienceOn
23 Espelid I, Tveit AB. Diagnosis of secondary caries and crevices adjacent to amalgam. Int Dent J 1991; 41: 359-64.
24 Matteson SR, Phillips C, Kantor ML, Leinedecker T. The effect of lesion size, restorative material, and film speed on the detection of recurrent caries. Oral Surg Oral Med Oral Pathol 1989; 68: 232-7.   DOI   ScienceOn
25 Kang B-C, Farman AG, Scarfe WC, Goldsmith LJ. Mechanical defects in dental enamel vs. natural dental caries: observer differentiation using Ektaspeed Plus film. Caries Res 1996; 30: 156-62.   DOI   ScienceOn