Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography

This study was conducted to investigate how well cone-beam computed tomography (CBCT) can detect simulated cavitary defects in condyles, and to test the influence of the reconstruction protocols. Defects were created with spherical diamond burs (numbers 1013, 1016, 3017) in superior and/or posterior...

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Main Authors: Luana Costa Bastos, Paulo Sergio Flores Campos, Flavia Maria de Moraes Ramos-Perez, Andrea dos Anjos Pontual, Solange Maria Almeida
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2013-12-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000600503&lng=en&tlng=en
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author Luana Costa Bastos
Paulo Sergio Flores Campos
Flavia Maria de Moraes Ramos-Perez
Andrea dos Anjos Pontual
Solange Maria Almeida
author_facet Luana Costa Bastos
Paulo Sergio Flores Campos
Flavia Maria de Moraes Ramos-Perez
Andrea dos Anjos Pontual
Solange Maria Almeida
author_sort Luana Costa Bastos
collection DOAJ
description This study was conducted to investigate how well cone-beam computed tomography (CBCT) can detect simulated cavitary defects in condyles, and to test the influence of the reconstruction protocols. Defects were created with spherical diamond burs (numbers 1013, 1016, 3017) in superior and/or posterior surfaces of twenty condyles. The condyles were scanned, and cross-sectional reconstructions were performed with nine different protocols, based on slice thickness (0.2, 0.6, 1.0 mm) and on the filters (original image, Sharpen Mild, S9) used. Two observers evaluated the defects, determining their presence and location. Statistical analysis was carried out using simple Kappa coefficient and McNemar's test to check inter- and intra-rater reliability. The chi-square test was used to compare the rater accuracy. Analysis of variance (Tukey's test) assessed the effect of the protocols used. Kappa values for inter- and intra-rater reliability demonstrate almost perfect agreement. The proportion of correct answers was significantly higher than that of errors for cavitary defects on both condyle surfaces (p < 0.01). Only in identifying the defects located on the posterior surface was it possible to observe the influence of the 1.0 mm protocol thickness and no filter, which showed a significantly lower value. Based on the results of the current study, the technique used was valid for identifying the existence of cavities in the condyle surface. However, the protocol of a 1.0 mm-thick slice and no filter proved to be the worst method for identifying the defects on the posterior surface.
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spelling doaj.art-cef92e85a43c43008c88a8906c7921aa2022-12-22T01:48:01ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072013-12-0127650350910.1590/S1806-83242013000600010S1806-83242013000600503Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomographyLuana Costa BastosPaulo Sergio Flores CamposFlavia Maria de Moraes Ramos-PerezAndrea dos Anjos PontualSolange Maria AlmeidaThis study was conducted to investigate how well cone-beam computed tomography (CBCT) can detect simulated cavitary defects in condyles, and to test the influence of the reconstruction protocols. Defects were created with spherical diamond burs (numbers 1013, 1016, 3017) in superior and/or posterior surfaces of twenty condyles. The condyles were scanned, and cross-sectional reconstructions were performed with nine different protocols, based on slice thickness (0.2, 0.6, 1.0 mm) and on the filters (original image, Sharpen Mild, S9) used. Two observers evaluated the defects, determining their presence and location. Statistical analysis was carried out using simple Kappa coefficient and McNemar's test to check inter- and intra-rater reliability. The chi-square test was used to compare the rater accuracy. Analysis of variance (Tukey's test) assessed the effect of the protocols used. Kappa values for inter- and intra-rater reliability demonstrate almost perfect agreement. The proportion of correct answers was significantly higher than that of errors for cavitary defects on both condyle surfaces (p < 0.01). Only in identifying the defects located on the posterior surface was it possible to observe the influence of the 1.0 mm protocol thickness and no filter, which showed a significantly lower value. Based on the results of the current study, the technique used was valid for identifying the existence of cavities in the condyle surface. However, the protocol of a 1.0 mm-thick slice and no filter proved to be the worst method for identifying the defects on the posterior surface.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000600503&lng=en&tlng=enMandibular CondyleBone DiseasesCone-Beam Computed TomographyImage Enhancement
spellingShingle Luana Costa Bastos
Paulo Sergio Flores Campos
Flavia Maria de Moraes Ramos-Perez
Andrea dos Anjos Pontual
Solange Maria Almeida
Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
Brazilian Oral Research
Mandibular Condyle
Bone Diseases
Cone-Beam Computed Tomography
Image Enhancement
title Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
title_full Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
title_fullStr Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
title_full_unstemmed Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
title_short Evaluation of condyle defects using different reconstruction protocols of cone-beam computed tomography
title_sort evaluation of condyle defects using different reconstruction protocols of cone beam computed tomography
topic Mandibular Condyle
Bone Diseases
Cone-Beam Computed Tomography
Image Enhancement
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000600503&lng=en&tlng=en
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AT paulosergioflorescampos evaluationofcondyledefectsusingdifferentreconstructionprotocolsofconebeamcomputedtomography
AT flaviamariademoraesramosperez evaluationofcondyledefectsusingdifferentreconstructionprotocolsofconebeamcomputedtomography
AT andreadosanjospontual evaluationofcondyledefectsusingdifferentreconstructionprotocolsofconebeamcomputedtomography
AT solangemariaalmeida evaluationofcondyledefectsusingdifferentreconstructionprotocolsofconebeamcomputedtomography