AI Article Synopsis
- This study looked at how well different types of dental X-rays, called panoramic and peri-apical radiographs, can find problems in multi-rooted teeth, especially furcation involvement.
- It used data from patients with gum disease and compared these X-rays against a special imaging method called CBCT, which is really accurate.
- Results showed that both X-ray types had a low ability to correctly identify problems, but they were good at confirming when there wasn't an issue, meaning they could catch advanced furcation involvement fairly well.
Article Abstract
Background: The aims of this study were (1) to determine the accuracy, sensitivity, and specificity of panoramic and peri-apical radiographs in diagnosing furcation involvement, as well as (2) to evaluate the possible impact of clinical experience on these diagnostic parameters.
Methods: An existing radiographic dataset of periodontitis patients requiring implant surgery was retrospectively examined for furcation involvement. Criteria for inclusion were the presence of a CBCT, panoramic and peri-apical radiograph of the site of interest within a one-year time frame. All furcation sites were classified using the CBCT, which was considered as the gold standard, according to Hamp's index (1975). Ten experienced examiners and 10 trainees were asked to assess furcation involvement for the same defects using only the corresponding panoramic and peri-apical radiographs. Absolute agreement, Cohen's weighted kappa, sensitivity, specificity and ROC-curves were analyzed.
Results: The study sample included 60 furcation sites in 29 multi-rooted teeth from 17 patients. On average, 20/60 furcations were correctly classified according to the panoramic radiographs, corresponding to a weighted kappa score of 0.209, indicating slight agreement. Similarly, an average of 19/60 furcations were correctly classified according to the peri-apical radiographs, corresponding to a weighted kappa score of 0.211, also indicating slight agreement. No significant difference between panoramic and peri-apical radiography was found (P = 0.903). When recategorizing FI Grades into 'no to limited FI' (FI Grade 0 and I) and 'advanced FI' (FI Grade II and III), the panoramic and peri-apical radiography showed low sensitivity (0.558 and 0.441, respectively), yet high specificity (0.791 and 0.790, respectively) for identifying advanced FI. The ROC-curves for the panoramic and peri-apical radiographs were 0.79 and 0.69 respectively. No significant difference was found between experienced periodontists and trainees (P = 0.257 versus P = 0.880).
Conclusion: Panoramic and peri-apical radiography are relevant tools in the diagnosis of FI and provide high specificity. Ideally, they are best used in combination with furcation probing, which shows high sensitivity. Furthermore, clinical experience does not seem to improve the accuracy of a radiological diagnosis of furcation sites.
Trial Registration: Patient radiographic datasets were retrospectively analyzed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7953617 | PMC |
| http://dx.doi.org/10.1186/s12903-021-01460-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Evaluation of Position of Mental Foramen in Dentulous Population by Digital Panoramic Radiography.
J Pharm Bioallied Sci
July 2023
Department of Periodontology, Vananchal Dental College and Hospital, Garhwa, Jharkhand, India.
Need For The Study: The mental branch of the trigeminal nerve, which supplies sensation to the lower lip, originates in the mandibular canal, making it an essential anatomical structure for dentists and oral surgeons to access. It is not well known that there is a spectrum of normal that includes variants in which there may be more than one nerve entry site, which means that if the mental foramen is not protected, normal feeling in the lower lip may be lost permanently. The diagnostic value of global radiographic landmarks like the mandibular trench and the dental foramen in identifying skeletal problems has been investigated.
View Article and Find Full Text PDFDeep learning for caries detection: A systematic review.
J Dent
July 2022
Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Germany; Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany. Electronic address:
Article Synopsis
- The study looked at how deep learning models can help dentists find cavities more accurately using different types of dental images.
- Researchers reviewed 42 studies, focusing on different types of deep learning methods, and found that the accuracy of these models varied quite a bit, from 68% to 99%.
- Despite many studies being done, the results were too different from each other to combine them into one big summary, but there is a growing interest in using technology to detect cavities.
Forensic dental identification in complicated fractured skull conditions: case report with adapted algorithm for image comparison.
J Forensic Odontostomatol
August 2021
Department of Surgical Dentistry, Maxillofacial Surgery and Oncostomatology, Uzhhorod National University, Uzhhorod, Ukraine.
Objective: To analyze the perspective of using an adapted algorithm for digital images comparison while providing forensic dental identification in complicated fractured skull conditions by ante-mortem and post-mortem radiographical data sets.
Materials And Methods: Ante-mortem orthopantomogram and post-mortem peri-apical X-ray images were converted in *.jpeg format with their further import into GIMP 2.
The correlation of different methods for the assessment of bone quality in vivo: an observational study.
Int J Oral Maxillofac Surg
March 2022
Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil. Electronic address:
Different methods for the assessment of bone quality were evaluated in this study. Sixty alveolar bone areas were investigated. Peri-apical and panoramic radiographs were obtained with an aluminium scale to assess optical density.
View Article and Find Full Text PDFA controlled study on the diagnostic accuracy of panoramic and peri-apical radiography for detecting furcation involvement.
BMC Oral Health
March 2021
Oral Health Sciences, Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Article Synopsis
- This study looked at how well different types of dental X-rays, called panoramic and peri-apical radiographs, can find problems in multi-rooted teeth, especially furcation involvement.
- It used data from patients with gum disease and compared these X-rays against a special imaging method called CBCT, which is really accurate.
- Results showed that both X-ray types had a low ability to correctly identify problems, but they were good at confirming when there wasn't an issue, meaning they could catch advanced furcation involvement fairly well.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!