Evaluation of the CBCT imaging accuracy in the volumetric assessment of unilateral alveolar cleft
| Autor: | Bijan Movahedian Attar, Mojdeh Mehdizadeh, Golnaz Tajmiri, Milad Etemadi Sh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Cleft Lip
Radiography Clinical study 03 medical and health sciences 0302 clinical medicine Alveolar Process Humans Medicine 030223 otorhinolaryngology Orthodontics business.industry Significant difference Reproducibility of Results Spiral Cone-Beam Computed Tomography 030206 dentistry Cone-Beam Computed Tomography respiratory system Bone defect Volumetric measurement Cbct imaging Skull medicine.anatomical_structure Otorhinolaryngology Surgery Oral Surgery Alveolar bone grafting business |
| Zdroj: | Journal of Stomatology, Oral and Maxillofacial Surgery. 122:e1-e5 |
| ISSN: | 2468-7855 |
| DOI: | 10.1016/j.jormas.2021.06.006 |
| Popis: | Introduction Appropriate radiographic evaluation is a fundamental step for determining the topography of the defect before the surgical intervention for alveolar bone grafting. Evaluation of cleft volume by CBCT has been done in dry skull samples in previous studies and it was recommended as an effective tool in the volumetric evaluation of the bone defect prior to the surgery. The purpose of this study was to evaluate the accuracy of preoperative clinical use of CBCT 2 imaging in determining the alveolar cleft volume. Material and methods We performed a clinical study. 20 patients with unilateral alveolar cleft underwent preoperative radiographic evaluation using CBCT scan. Volumetric measurement was performed by an oral and maxillofacial radiologist using 0.5, 1, and 2 mm slices and an oral and maxillofacial surgeon using 2 mm slices. After the closure of the nasal floor and palatal mucosa, the alveolar defect was clinically measured with putty impression material. Descriptive and bivariate statistics were computed and the p-value was set at 0.05. Results This study showed that there is a statistically significant difference between CBCT-estimated and clinical volumes of the alveolar cleft (paired T-test, p-value Conclusion Considering the significant difference between clinical and CBCT-estimated volumes of the alveolar cleft, CBCT imaging is not considered an accurate tool for pre-operative volumetric assessment of the alveolar cleft. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect