In Vivo Detection of External Apical Root Resorption Induced by Apical Periodontitis Using Periapical Radiography and Cone-Beam Computed Tomography
| Autor: | Maya Fernanda Manfrin Arnez, Léa Assed Bezerra da Silva, Fernanda Maria Machado Pereira Cabral de Oliveira, Francisco Wanderley Garcia Paula-Silva, Stephanie Díaz Huamán, Andiara De Rossi |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Periodontitis
Diagnostic Imaging Cone beam computed tomography genetic structures business.industry Periapical radiography Tooth Resorption medicine.disease behavioral disciplines and activities In vivo Pediatrics Perinatology and Child Health medicine Radiography Dental business Nuclear medicine Apical root resorption General Dentistry psychological phenomena and processes |
| Zdroj: | Pesquisa Brasileira em Odontopediatria e Clínica Integrada, Volume: 22, Article number: e210163, Published: 18 JUL 2022 |
| Popis: | Objectives: To investigate sensitivity, specificity, predictive values and accuracy of periapical radiography (PR) and Cone beam computed tomography (CBCT) for detection of external apical root resorption (EARR).Materials and Methods: Dog’s teeth with experimentally induced root resorption underwent or not root canal treatment (n = 62 roots). True positives (TP), false positives (FP), true negatives (TN) and false negatives (FN) in PR and CBCT diagnoses were determined using histopathologic findings as gold standard. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy (TP + TN) in the diagnosis of EARR were calculated. Data was compared using chi-squared test (⍺= 0.05).Results: We found that PR detected EARR in 35% of roots and CBCT, in 47%. EARR was microscopically diagnosed in 50% (p = 0.03 comparison between PR and microscopy; p = 0.67 comparison between CBCT and microscopy). Overall, CBCT produced more accurate diagnoses than PR (0.93 for CBCT versus 0.70 for PR; p = 0.008). Interestingly, when data was stratified into small and large resorptions, PR and CBCT allowed identification of large resorption in 100% of the cases and showed the same accuracy. However, for small resorptions, PR showed an accuracy of 0.83, whereas CBCT showed an accuracy of 0.96 (p = 0.003).Conclusions: We demonstrated that CBCT showed higher accuracy to detect EARR. These findings shed light on the use of CBCT for detection of initial root resorption.Clinical relevance: Early identification of resorption allows a prompt treatment and reduces the risk of dental structure loss. |
| Databáze: | OpenAIRE |
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