Comparison of Diagnostic Accuracy of 2 Cone Beam Computed Tomography System (Newtom &Planmeca) for Detection of External Root Resorption in Vitro

M. Bolbolian, M. Esfehani, N. Hajihassani, Z. Khalili, M. Mobini, M. Tofangchiha
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Abstract

Introduction: External root resorption is a clinical problem that is difficult to diagnose, therefore radiographic examination is important for diagnose. The purpose of this study was comparing the diagnostic accuracy of 2 Cone Beam Computed Tomography in detecting of external root resorption, in vitro.Materials & Methods: This study was done on 48 single-rooted teeth. Cavities of 0.3, 0.2 and 0.15 mm in depth with round bur 0.3 mm were drilled on buccal and lingual surfaces in the cervical, middle and apical thirds of some of roots. Then CBCT were taken and 4 observers assessed the scans. Sensitivity, specificity and Kappa value were determined. The statistical analysis was performed with the Z-test (p value < 0.05).Results: In comparison of the accuracy, sensitivity and specificity of the two devices, there was no significant difference. In the apical, middle and cervical as well as at various depths there was no significant difference between the two devices, but in the numerical point of view, the sensitivity for both devices in the midsection, was in the highest amount. The highest value for the specificity is related to the apical region. For both devices, the sensitivity level GBJ, by increasing the depth. The lowest agreement between observers was 0.61. The highest agreement rate was in the middle section and the least amount of agreement was related to the apical region.Conclusion: CBCT brand type is not effective factor in the detection of external root resorption. The location and depth of external root resorption can be effective factors in diagnostic accuracy.
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2锥束计算机断层扫描系统(Newtom &Planmeca)体外检测外根吸收诊断准确性的比较
外根吸收是一个临床诊断困难的问题,因此影像学检查对诊断很重要。本研究的目的是比较2锥束计算机断层扫描在体外检测外根吸收的诊断准确性。材料与方法:以48颗单根牙为研究对象。在部分根颈、根中、根尖三分之一的颊面、舌面钻孔0.3、0.2、0.15 mm深的圆孔,圆孔0.3 mm。然后进行CBCT扫描,4名观察员评估扫描结果。测定敏感性、特异性和Kappa值。采用z检验进行统计学分析(p值< 0.05)。结果:两种仪器的准确度、灵敏度和特异度比较,无显著差异。在根尖、中段和颈椎以及不同深度,两种装置之间没有显著差异,但从数值上看,两种装置在中段的灵敏度最高。特异性最高的值与根尖区域有关。对于这两种器件,灵敏度等级GBJ,通过增加深度。观察者之间的最低一致性为0.61。一致性率最高的是中部区域,一致性最少的是首都区域。结论:CBCT品牌类型不是检测外牙根吸收的有效因素。外根吸收的位置和深度是影响诊断准确性的重要因素。
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