Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts

Introduction: The study evaluated the effectiveness of different tube voltages of the cone-beam computed tomography (CBCT) device on the diagnosis of vertical root fractures in teeth with single root canals and posts. Materials and methods: Sixty single-canal and single-rooted extracted human mandib...

Full description

Bibliographic Details
Main Authors: Hoorieh BashizadehFakhar, Behnam Bolhari, Ahmad Reza Shamshiri, Shirin Amini, Paniz Ranji
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Dental Hypotheses
Subjects:
Online Access:http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2021;volume=12;issue=3;spage=132;epage=138;aulast=BashizadehFakhar
_version_ 1818824534657073152
author Hoorieh BashizadehFakhar
Behnam Bolhari
Ahmad Reza Shamshiri
Shirin Amini
Paniz Ranji
author_facet Hoorieh BashizadehFakhar
Behnam Bolhari
Ahmad Reza Shamshiri
Shirin Amini
Paniz Ranji
author_sort Hoorieh BashizadehFakhar
collection DOAJ
description Introduction: The study evaluated the effectiveness of different tube voltages of the cone-beam computed tomography (CBCT) device on the diagnosis of vertical root fractures in teeth with single root canals and posts. Materials and methods: Sixty single-canal and single-rooted extracted human mandibular premolars were selected, all of which were intact and contained no fractures. After disinfection, teeth crowns were sectioned and teeth canals were prepped and obturated by a method similar to the rotary technique. Root fractures were created in half of the teeth by applying controlled buccolingual force. Prefabricated metal posts were subsequently placed in all teeth using AH26 sealer. All teeth, both intact and fractured, were mounted in bovine ribs and X-rayed randomly using a CBCT device (Planmeca Romexis, Helsinki, Finland) with three tube voltages (min = 66 kVp, mid = 80 kVp, and max = 92 kVp). Three experienced maxillofacial radiologists observed and commented on the images. Research data were analyzed using SPSS-25 software. Results: Images taken by kVp min were removed from further statistical analysis due to a lack of diagnostic information. For mid (80) and max kVp (92), the sensitivity values were 86.6% and 60 % (P = 0.04), and the specificity values were 33.3% and 30%, respectively (P = 0.45). Overall, observers’ opinions were more alike concerning images taken with kVp mid than kVp max. Conclusion: Apparently, images taken by a tube voltage of 80 kVp are more efficient in the diagnosis of root fractures.
first_indexed 2024-12-18T23:57:24Z
format Article
id doaj.art-0e9aea87748547229bae18311e08ea84
institution Directory Open Access Journal
issn 2155-8213
language English
last_indexed 2024-12-18T23:57:24Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Dental Hypotheses
spelling doaj.art-0e9aea87748547229bae18311e08ea842022-12-21T20:46:37ZengWolters Kluwer Medknow PublicationsDental Hypotheses2155-82132021-01-0112313213810.4103/denthyp.denthyp_107_21Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic PostsHoorieh BashizadehFakharBehnam BolhariAhmad Reza ShamshiriShirin AminiPaniz RanjiIntroduction: The study evaluated the effectiveness of different tube voltages of the cone-beam computed tomography (CBCT) device on the diagnosis of vertical root fractures in teeth with single root canals and posts. Materials and methods: Sixty single-canal and single-rooted extracted human mandibular premolars were selected, all of which were intact and contained no fractures. After disinfection, teeth crowns were sectioned and teeth canals were prepped and obturated by a method similar to the rotary technique. Root fractures were created in half of the teeth by applying controlled buccolingual force. Prefabricated metal posts were subsequently placed in all teeth using AH26 sealer. All teeth, both intact and fractured, were mounted in bovine ribs and X-rayed randomly using a CBCT device (Planmeca Romexis, Helsinki, Finland) with three tube voltages (min = 66 kVp, mid = 80 kVp, and max = 92 kVp). Three experienced maxillofacial radiologists observed and commented on the images. Research data were analyzed using SPSS-25 software. Results: Images taken by kVp min were removed from further statistical analysis due to a lack of diagnostic information. For mid (80) and max kVp (92), the sensitivity values were 86.6% and 60 % (P = 0.04), and the specificity values were 33.3% and 30%, respectively (P = 0.45). Overall, observers’ opinions were more alike concerning images taken with kVp mid than kVp max. Conclusion: Apparently, images taken by a tube voltage of 80 kVp are more efficient in the diagnosis of root fractures.http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2021;volume=12;issue=3;spage=132;epage=138;aulast=BashizadehFakharcone-beam computed tomographydiagnostic imagingnonvitaltoothtooth fractures
spellingShingle Hoorieh BashizadehFakhar
Behnam Bolhari
Ahmad Reza Shamshiri
Shirin Amini
Paniz Ranji
Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
Dental Hypotheses
cone-beam computed tomography
diagnostic imaging
nonvital
tooth
tooth fractures
title Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
title_full Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
title_fullStr Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
title_full_unstemmed Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
title_short Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth with Metallic Posts
title_sort diagnostic accuracy of cone beam computed tomography at different tube voltages for vertical root fractures in endodontically treated teeth with metallic posts
topic cone-beam computed tomography
diagnostic imaging
nonvital
tooth
tooth fractures
url http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2021;volume=12;issue=3;spage=132;epage=138;aulast=BashizadehFakhar
work_keys_str_mv AT hooriehbashizadehfakhar diagnosticaccuracyofconebeamcomputedtomographyatdifferenttubevoltagesforverticalrootfracturesinendodonticallytreatedteethwithmetallicposts
AT behnambolhari diagnosticaccuracyofconebeamcomputedtomographyatdifferenttubevoltagesforverticalrootfracturesinendodonticallytreatedteethwithmetallicposts
AT ahmadrezashamshiri diagnosticaccuracyofconebeamcomputedtomographyatdifferenttubevoltagesforverticalrootfracturesinendodonticallytreatedteethwithmetallicposts
AT shirinamini diagnosticaccuracyofconebeamcomputedtomographyatdifferenttubevoltagesforverticalrootfracturesinendodonticallytreatedteethwithmetallicposts
AT panizranji diagnosticaccuracyofconebeamcomputedtomographyatdifferenttubevoltagesforverticalrootfracturesinendodonticallytreatedteethwithmetallicposts