Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification

Abstract This study aimed at evaluating the validity of cone-beam computed tomography (CBCT) for assessing mandibular bone quality using the Klemetti classification. The morphology of the endosteal mandibular cortex of 30 (60 hemi-mandibles) postmenopausal women between the ages of 45 and 80 years w...

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Main Authors: Maria Beatriz Carrazzone Cal ALONSO, Taruska Ventorini VASCONCELOS, Luciana Jácome LOPES, Plauto Christopher Aranha WATANABE, Deborah Queiroz FREITAS
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2016-01-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100263&lng=en&tlng=en
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author Maria Beatriz Carrazzone Cal ALONSO
Taruska Ventorini VASCONCELOS
Luciana Jácome LOPES
Plauto Christopher Aranha WATANABE
Deborah Queiroz FREITAS
author_facet Maria Beatriz Carrazzone Cal ALONSO
Taruska Ventorini VASCONCELOS
Luciana Jácome LOPES
Plauto Christopher Aranha WATANABE
Deborah Queiroz FREITAS
author_sort Maria Beatriz Carrazzone Cal ALONSO
collection DOAJ
description Abstract This study aimed at evaluating the validity of cone-beam computed tomography (CBCT) for assessing mandibular bone quality using the Klemetti classification. The morphology of the endosteal mandibular cortex of 30 (60 hemi-mandibles) postmenopausal women between the ages of 45 and 80 years was evaluated based on the Klemetti classification in panoramic radiographs used as reference images. Afterwards, panoramic reconstruction and cross-sectional slices of CBCT examinations of these patients were analyzed and categorized according to the same classification. All the images were assessed by two oral radiologists. The McNemar-Bowker test compared the agreement between the CBCT images and the reference images. No differences were found between the diagnostic results based on panoramic radiography and panoramic reconstruction. However, the mean scores for the cross-sectional evaluation were higher, and the results, statistically different from the others. Based on the disagreement found between the panoramic radiographs and the CBCT cross-sectional slices, the Klemetti classification is not an adequate means of assessing bone quality with CBCT. On the other hand, the higher values found for the cross-sectional slices could be associated with better visibility on the CBCT images.
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spelling doaj.art-325b67e4a7ca4abfbb7c04b6276b581a2022-12-22T03:12:10ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072016-01-0130110.1590/1807-3107BOR-2016.vol30.0073S1806-83242016000100263Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classificationMaria Beatriz Carrazzone Cal ALONSOTaruska Ventorini VASCONCELOSLuciana Jácome LOPESPlauto Christopher Aranha WATANABEDeborah Queiroz FREITASAbstract This study aimed at evaluating the validity of cone-beam computed tomography (CBCT) for assessing mandibular bone quality using the Klemetti classification. The morphology of the endosteal mandibular cortex of 30 (60 hemi-mandibles) postmenopausal women between the ages of 45 and 80 years was evaluated based on the Klemetti classification in panoramic radiographs used as reference images. Afterwards, panoramic reconstruction and cross-sectional slices of CBCT examinations of these patients were analyzed and categorized according to the same classification. All the images were assessed by two oral radiologists. The McNemar-Bowker test compared the agreement between the CBCT images and the reference images. No differences were found between the diagnostic results based on panoramic radiography and panoramic reconstruction. However, the mean scores for the cross-sectional evaluation were higher, and the results, statistically different from the others. Based on the disagreement found between the panoramic radiographs and the CBCT cross-sectional slices, the Klemetti classification is not an adequate means of assessing bone quality with CBCT. On the other hand, the higher values found for the cross-sectional slices could be associated with better visibility on the CBCT images.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100263&lng=en&tlng=enCone-Beam Computed TomographyOsteoporosisBone and BonesRadiographyPanoramic
spellingShingle Maria Beatriz Carrazzone Cal ALONSO
Taruska Ventorini VASCONCELOS
Luciana Jácome LOPES
Plauto Christopher Aranha WATANABE
Deborah Queiroz FREITAS
Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
Brazilian Oral Research
Cone-Beam Computed Tomography
Osteoporosis
Bone and Bones
Radiography
Panoramic
title Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
title_full Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
title_fullStr Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
title_full_unstemmed Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
title_short Validation of cone-beam computed tomography as a predictor of osteoporosis using the Klemetti classification
title_sort validation of cone beam computed tomography as a predictor of osteoporosis using the klemetti classification
topic Cone-Beam Computed Tomography
Osteoporosis
Bone and Bones
Radiography
Panoramic
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100263&lng=en&tlng=en
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