Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography
Background: Conventional radiographs are not an efficient diagnostic imaging modality to detect vertical root fracture. Cone-beam computed tomography (CBCT) is a three-dimensional imaging modality that overcomes the limitations of conventional radiography in the detection of vertical root fractures...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Saudi Endodontic Journal |
| Subjects: | |
| Online Access: | http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2019;volume=9;issue=1;spage=51;epage=55;aulast=Shaker |
| _version_ | 1819143267349954560 |
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| author | Islam Shawky Shaker Nashwa Salah Mohamed Ahmed Mohamed Abdelsamad |
| author_facet | Islam Shawky Shaker Nashwa Salah Mohamed Ahmed Mohamed Abdelsamad |
| author_sort | Islam Shawky Shaker |
| collection | DOAJ |
| description | Background: Conventional radiographs are not an efficient diagnostic imaging modality to detect vertical root fracture. Cone-beam computed tomography (CBCT) is a three-dimensional imaging modality that overcomes the limitations of conventional radiography in the detection of vertical root fractures (VRFS), although metallic structures produce artifacts in the produced images and since most of the teeth with VRF are endodontically treated and have metallic posts in root canal so fracture detection may be difficult.
Aim: This study aimed to determine the diagnostic accuracy of CBCT using metal artifact reduction algorithm in detection of VRF of teeth with metallic posts compared to digital intraoral radiography.
Materials and Methods: One hundred and twenty single-rooted extracted human teeth were endodontically treated then placed in an acrylic block and metallic posts were inserted. The teeth roots were divided into two groups; one with induced VRF and the other having intact roots. Then, each tooth was coded and imaged three times using CBCT with and without metal artifact reduction algorithm and digital periapical radiography. Data were collected and statistically analyzed.
Results: Digital periapical radiography showed statistically significantly lower diagnostic accuracy than CBCT modalities (P ≤ 0.05). The use of metal artifact reduction algorithm improved the diagnostic accuracy from CBCT1 to CBCT2 but with no statistically significant difference (P ≥ 0.05).
Conclusion: From the study, we can conclude that in case of presence of metallic posts, CBCT with metal artifact reduction algorithm can improve detection of VRF. |
| first_indexed | 2024-12-22T12:23:31Z |
| format | Article |
| id | doaj.art-d8540ec5e6a44ca2af57d2252a8fc6e9 |
| institution | Directory Open Access Journal |
| issn | 2320-1495 |
| language | English |
| last_indexed | 2024-12-22T12:23:31Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Endodontic Journal |
| spelling | doaj.art-d8540ec5e6a44ca2af57d2252a8fc6e92022-12-21T18:25:55ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952019-01-0191515510.4103/sej.sej_56_18Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiographyIslam Shawky ShakerNashwa Salah MohamedAhmed Mohamed AbdelsamadBackground: Conventional radiographs are not an efficient diagnostic imaging modality to detect vertical root fracture. Cone-beam computed tomography (CBCT) is a three-dimensional imaging modality that overcomes the limitations of conventional radiography in the detection of vertical root fractures (VRFS), although metallic structures produce artifacts in the produced images and since most of the teeth with VRF are endodontically treated and have metallic posts in root canal so fracture detection may be difficult. Aim: This study aimed to determine the diagnostic accuracy of CBCT using metal artifact reduction algorithm in detection of VRF of teeth with metallic posts compared to digital intraoral radiography. Materials and Methods: One hundred and twenty single-rooted extracted human teeth were endodontically treated then placed in an acrylic block and metallic posts were inserted. The teeth roots were divided into two groups; one with induced VRF and the other having intact roots. Then, each tooth was coded and imaged three times using CBCT with and without metal artifact reduction algorithm and digital periapical radiography. Data were collected and statistically analyzed. Results: Digital periapical radiography showed statistically significantly lower diagnostic accuracy than CBCT modalities (P ≤ 0.05). The use of metal artifact reduction algorithm improved the diagnostic accuracy from CBCT1 to CBCT2 but with no statistically significant difference (P ≥ 0.05). Conclusion: From the study, we can conclude that in case of presence of metallic posts, CBCT with metal artifact reduction algorithm can improve detection of VRF.http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2019;volume=9;issue=1;spage=51;epage=55;aulast=ShakerCone-beam computed tomographymetal artifactmetallic postperiapical radiographyvertical root fracture |
| spellingShingle | Islam Shawky Shaker Nashwa Salah Mohamed Ahmed Mohamed Abdelsamad Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography Saudi Endodontic Journal Cone-beam computed tomography metal artifact metallic post periapical radiography vertical root fracture |
| title | Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| title_full | Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| title_fullStr | Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| title_full_unstemmed | Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| title_short | Effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| title_sort | effect of applying metal artifact reduction algorithm in cone beam computed tomography in detection of vertical root fractures of teeth with metallic post versus digital intraoral radiography |
| topic | Cone-beam computed tomography metal artifact metallic post periapical radiography vertical root fracture |
| url | http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2019;volume=9;issue=1;spage=51;epage=55;aulast=Shaker |
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