Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors

Objective:This study aims to quantitatively compare cephalogram and cone-beam computed tomography (CBCT) when evaluating maxillary central incisor alveolar bone thickness.Methods:We used 30 sets of lateral cephalograms and CBCT images that were recorded at the same time. Labial, buccal, and overall...

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Main Authors: Diyang Wei, Lingyun Zhang, Weiran Li, Yilin Jia
Format: Article
Language:English
Published: Galenos Yayinevi 2020-06-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/quantitative-comparison-of-cephalogram-and-cone-be/53375
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author Diyang Wei
Lingyun Zhang
Weiran Li
Yilin Jia
author_facet Diyang Wei
Lingyun Zhang
Weiran Li
Yilin Jia
author_sort Diyang Wei
collection DOAJ
description Objective:This study aims to quantitatively compare cephalogram and cone-beam computed tomography (CBCT) when evaluating maxillary central incisor alveolar bone thickness.Methods:We used 30 sets of lateral cephalograms and CBCT images that were recorded at the same time. Labial, buccal, and overall alveolar bone thicknesses were measured on three measurement lines of the forward-most incisor in lateral cephalograms and four maxillary incisors in CBCT images. Paired t-test, interclass correlation coefficient analysis, one-way analysis of variance (ANOVA), and Bland–Altman analysis were used to assess cephalometrically measured alveolar bone thickness of maxillary incisors and compare these measurements with those made using CBCT images.Results:Significant differences were observed between cephalometric and CBCT-based measurements of maxillary incisor alveolar bone thickness; most values showed mild or moderate correlation between the two methods. In most cases, cephalometric measurements were greater than CBCT-based measurements. Bland–Altman plots and ANOVA revealed that measurement bias increased when measurement lines moved apically. Alveolar bone thickness was always overestimated on cephalograms.Conclusion:Maxillary incisor alveolar bone thickness is always overestimated on cephalograms compared with CBCT-based measurements, with the overestimations ranging from 0.3 to 1.3 mm. Cephalometric measurement bias increases when measurement lines move apically. Thus, CBCT should be recommended when the accurate evaluation of alveolar bone thickness is warranted.
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spelling doaj.art-e7f71dca0e834ef681e300957d3d9b322023-08-01T11:03:23ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052020-06-01332859110.5152/TurkJOrthod.2020.1909713049054Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary IncisorsDiyang Wei0Lingyun Zhang1Weiran Li2Yilin Jia3 Department of Orthodontics, Peking University School of Stomatology, Peking, China Department of Orthodontics, Peking University School of Stomatology, Peking, China Department of Orthodontics, Peking University School of Stomatology, Peking, China Department of Orthodontics, Peking University School of Stomatology, Peking, China Objective:This study aims to quantitatively compare cephalogram and cone-beam computed tomography (CBCT) when evaluating maxillary central incisor alveolar bone thickness.Methods:We used 30 sets of lateral cephalograms and CBCT images that were recorded at the same time. Labial, buccal, and overall alveolar bone thicknesses were measured on three measurement lines of the forward-most incisor in lateral cephalograms and four maxillary incisors in CBCT images. Paired t-test, interclass correlation coefficient analysis, one-way analysis of variance (ANOVA), and Bland–Altman analysis were used to assess cephalometrically measured alveolar bone thickness of maxillary incisors and compare these measurements with those made using CBCT images.Results:Significant differences were observed between cephalometric and CBCT-based measurements of maxillary incisor alveolar bone thickness; most values showed mild or moderate correlation between the two methods. In most cases, cephalometric measurements were greater than CBCT-based measurements. Bland–Altman plots and ANOVA revealed that measurement bias increased when measurement lines moved apically. Alveolar bone thickness was always overestimated on cephalograms.Conclusion:Maxillary incisor alveolar bone thickness is always overestimated on cephalograms compared with CBCT-based measurements, with the overestimations ranging from 0.3 to 1.3 mm. Cephalometric measurement bias increases when measurement lines move apically. Thus, CBCT should be recommended when the accurate evaluation of alveolar bone thickness is warranted. http://www.turkjorthod.org/archives/archive-detail/article-preview/quantitative-comparison-of-cephalogram-and-cone-be/53375 alveolar bone thicknesscephalogramcone-beam computed tomographymaxillary incisororthodontic diagnosis
spellingShingle Diyang Wei
Lingyun Zhang
Weiran Li
Yilin Jia
Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
Turkish Journal of Orthodontics
alveolar bone thickness
cephalogram
cone-beam computed tomography
maxillary incisor
orthodontic diagnosis
title Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
title_full Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
title_fullStr Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
title_full_unstemmed Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
title_short Quantitative Comparison of Cephalogram and Cone-Beam Computed Tomography in the Evaluation of Alveolar Bone Thickness of Maxillary Incisors
title_sort quantitative comparison of cephalogram and cone beam computed tomography in the evaluation of alveolar bone thickness of maxillary incisors
topic alveolar bone thickness
cephalogram
cone-beam computed tomography
maxillary incisor
orthodontic diagnosis
url http://www.turkjorthod.org/archives/archive-detail/article-preview/quantitative-comparison-of-cephalogram-and-cone-be/53375
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AT weiranli quantitativecomparisonofcephalogramandconebeamcomputedtomographyintheevaluationofalveolarbonethicknessofmaxillaryincisors
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