Detection of vertical root fracture using cone-beam computerized tomography: an in vitro assessment. 2010

Kivanç Kamburoğlu, and Sema Murat, and Selcen Pehlivan Yüksel, and Ali Riza Ilker Cebeci, and Sinan Horasan
Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey. dtkivo@yahoo.com

OBJECTIVE This study aimed to compare 2 cone-beam CT units [NewTom 3G (small FOV), Iluma (ultra/low resolution)] and an intraoral CCD sensor in the detection of vertical root fracture (VRF). METHODS The VRFs were created in 30 teeth, and 30 intact teeth served as control samples. All images were evaluated twice by 4 observers. Kappa coefficients were calculated to assess intra- and interobserver agreement, and t tests were used to compare Az values (alpha = 0.05). RESULTS Both intra- and interobserver agreement values were higher for the ultra-resolution Iluma and NewTom 3G images compared with the low-resolution Iluma and intraoral CCD images. Az values for the ultra-resolution Iluma and NewTom 3G images were also higher than for the Iluma low-resolution and intraoral CCD images. No significant differences (P > .05) in diagnostic accuracy were found between the Iluma ultra-resolution and NewTom 3G images, with the exception of the second reading of observer 2 (P = .036), and no significant differences (P > .05) were found between the intraoral digital and low-resolution Iluma images. CONCLUSIONS Both ultra-resolution Iluma and NewTom 3G images performed better than low-resolution Iluma and intraoral CCD images in the detection of VRF.

UI MeSH Term Description Entries
D011829 Radiation Dosage The amount of radiation energy that is deposited in a unit mass of material, such as tissues of plants or animal. In RADIOTHERAPY, radiation dosage is expressed in gray units (Gy). In RADIOLOGIC HEALTH, the dosage is expressed by the product of absorbed dose (Gy) and quality factor (a function of linear energy transfer), and is called radiation dose equivalent in sievert units (Sv). Sievert Units,Dosage, Radiation,Gray Units,Gy Radiation,Sv Radiation Dose Equivalent,Dosages, Radiation,Radiation Dosages,Units, Gray,Units, Sievert
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001641 Bicuspid One of the eight permanent teeth, two on either side in each jaw, between the canines (CUSPID) and the molars (MOLAR), serving for grinding and crushing food. The upper have two cusps (bicuspid) but the lower have one to three. (Jablonski, Dictionary of Dentistry, 1992, p822) Premolar,Bicuspids,Premolars
D012372 ROC Curve A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli. ROC Analysis,Receiver Operating Characteristic,Analysis, ROC,Analyses, ROC,Characteristic, Receiver Operating,Characteristics, Receiver Operating,Curve, ROC,Curves, ROC,ROC Analyses,ROC Curves,Receiver Operating Characteristics
D014082 Tooth Fractures Break or rupture of a tooth or tooth root. Fracture, Tooth,Fractures, Tooth,Tooth Fracture
D014092 Tooth Root The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690) Root, Tooth,Roots, Tooth,Tooth Roots
D015588 Observer Variation The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material). Bias, Observer,Interobserver Variation,Intraobserver Variation,Observer Bias,Inter-Observer Variability,Inter-Observer Variation,Interobserver Variability,Intra-Observer Variability,Intra-Observer Variation,Intraobserver Variability,Inter Observer Variability,Inter Observer Variation,Inter-Observer Variabilities,Inter-Observer Variations,Interobserver Variabilities,Interobserver Variations,Intra Observer Variability,Intra Observer Variation,Intra-Observer Variabilities,Intra-Observer Variations,Intraobserver Variabilities,Intraobserver Variations,Observer Variations,Variabilities, Inter-Observer,Variabilities, Interobserver,Variabilities, Intra-Observer,Variabilities, Intraobserver,Variability, Inter-Observer,Variability, Interobserver,Variability, Intra-Observer,Variability, Intraobserver,Variation, Inter-Observer,Variation, Interobserver,Variation, Intra-Observer,Variation, Intraobserver,Variation, Observer,Variations, Inter-Observer,Variations, Interobserver,Variations, Intra-Observer,Variations, Intraobserver,Variations, Observer
D015898 Tomography Scanners, X-Ray Computed X-ray image-detecting devices that make a focused image of body structures lying in a predetermined plane from which more complex images are computed. CAT Scanners, X-Ray,CT Scanner, X-Ray,Computed Tomography Scanners, X-Ray,Tomography, Computed, Scanners,Tomography, X-Ray Computed, Scanners,CAT Scanner, X-Ray,Computed Tomography Scanner, X-Ray,Tomography, X-Ray Computed, Scanner,X-Ray Computed Tomography Scanner,X-Ray Computed Tomography Scanners,CAT Scanner, X Ray,CAT Scanners, X Ray,CT Scanner, X Ray,CT Scanners, X-Ray,Computed Tomography Scanner, X Ray,Computed Tomography Scanners, X Ray,Scanner, X-Ray CAT,Scanner, X-Ray CT,Scanners, X-Ray CAT,Scanners, X-Ray CT,Tomography Scanners, X Ray Computed,X Ray Computed Tomography Scanner,X Ray Computed Tomography Scanners,X-Ray CAT Scanner,X-Ray CAT Scanners,X-Ray CT Scanner,X-Ray CT Scanners
D054893 Cone-Beam Computed Tomography Computed tomography modalities which use a cone or pyramid-shaped beam of radiation. CAT Scan, Cone-Beam,Cone-Beam CT,Tomography, Cone-Beam Computed,Tomography, Volume Computed,CT Scan, Cone-Beam,Cone-Beam Computer-Assisted Tomography,Cone-Beam Computerized Tomography,Volume CT,Volume Computed Tomography,Volumetric CT,Volumetric Computed Tomography,CAT Scan, Cone Beam,CAT Scans, Cone-Beam,CT Scan, Cone Beam,CT Scans, Cone-Beam,CT, Cone-Beam,CT, Volume,CT, Volumetric,Computed Tomography, Cone-Beam,Computed Tomography, Volume,Computed Tomography, Volumetric,Computer-Assisted Tomography, Cone-Beam,Computerized Tomography, Cone-Beam,Cone Beam CT,Cone Beam Computed Tomography,Cone Beam Computer Assisted Tomography,Cone Beam Computerized Tomography,Cone-Beam CAT Scan,Cone-Beam CAT Scans,Cone-Beam CT Scan,Cone-Beam CT Scans,Scan, Cone-Beam CAT,Scan, Cone-Beam CT,Scans, Cone-Beam CAT,Scans, Cone-Beam CT,Tomography, Cone Beam Computed,Tomography, Cone-Beam Computer-Assisted,Tomography, Cone-Beam Computerized,Tomography, Volumetric Computed
D019252 Radiography, Dental, Digital A rapid, low-dose, digital imaging system using a small intraoral sensor instead of radiographic film, an intensifying screen, and a charge-coupled device. It presents the possibility of reduced patient exposure and minimal distortion, although resolution and latitude are inferior to standard dental radiography. A receiver is placed in the mouth, routing signals to a computer which images the signals on a screen or in print. It includes digitizing from x-ray film or any other detector. (From MEDLINE abstracts; personal communication from Dr. Charles Berthold, NIDR) Dental Digital Radiography,Digital Dental Radiography, Direct,Digital Radiography, Dental,Dental Radiovisiography,Digora,Radiovisiography, Dental,Scanora,Sens-A-Ray,Visualix,Digoras,Radiography, Dental Digital,Scanoras,Sens A Ray,SensARay,Visualices

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