Journal of Periodontal and Implant Science

  • 제44권5호
  • /
  • Pages.222-226
  • /
  • 2014
  • /
  • 2093-2278(pISSN)
  • /
  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of alveolar crest bone loss via premolar bitewing radiographs: presentation of a new method

  • Safi, Yaser (Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Kadkhodazadeh, Mahdi (Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Safai, Pooria (Endodontics Department, Dental Branch, Islamic Azad University) ;
  • Esmaeelinejad, Mohammad (Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Shamloo, Nafiseh (Department of Oral and Maxillofacial Pathology, School of Dentistry, Shahid Beheshti University of Medical Sciences)
  • 투고 : 2014.07.22
  • 심사 : 2014.08.29
  • 발행 : 2014.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to assess the interdental bone level in premolar bitewing radiographs while retracting the cheeks. Methods: Seventy-two horizontal bone defects were created on dried mandibles and maxillae. The distance from the bone level to the cement-enamel junction of premolars was detected by a modified digital caliper (considered the gold standard). The reliability of all radiographs was assessed by intraclass correlation coefficient (ICC), and the validity was compared to the gold standard using the analysis of variance test. P-values less than 0.05 were considered statistically significant. Results: This study showed that the reliability of radiographs without a cheek simulator and with 0.16 second exposure time was significantly higher than that of the two other groups (ICC=0.96 compared to 0.93 and 0.88, respectively). The results from the radiographs without a cheek simulator and with 0.16 second exposure time were more similar to the gold standard measures than those of the two other groups, although the difference was not statistically significant. Conclusions: Retracting the buccal soft tissue plays an important role in increasing the accuracy of radiographs in detecting the interdental alveolar bone level and produces more accurate results than increasing the exposure time, although it does not have a significant role in reliability of results.

키워드

참고문헌

  1. Novak MJ. Classification of diseases and conditions affecting the periodontium. In: Newman MG, Takaei HH, Klokkevold PR, Carranza FA, editors. Carranza's clinical periodontology. 11th ed. St. Louis: Elsevier Saunders Inc.; 2012. p.34-54.
  2. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4:1-6. https://doi.org/10.1902/annals.1999.4.1.1
  3. Flemmig TF. Periodontitis. Ann Periodontol 1999;4:32-8. https://doi.org/10.1902/annals.1999.4.1.32
  4. Benn DK. A review of the reliability of radiographic measurements in estimating alveolar bone changes. J Clin Periodontol 1990;17:14-21. https://doi.org/10.1111/j.1600-051X.1990.tb01041.x
  5. Pepelassi EA, Diamanti-Kipioti A. Selection of the most accurate method of conventional radiography for the assessment of periodontal osseous destruction. J Clin Periodontol 1997;24:557-67. https://doi.org/10.1111/j.1600-051X.1997.tb00229.x
  6. Kilic AR, Efeoglu E, Yilmaz S. A new method for standardization of intraoral radiographs. Periodontal Clin Investig 1996;18:20-6.
  7. Gedik R, Marakoglu I, Demirer S. Assessment of alveolar bone levels from bitewing, periapical and panoramic radiographs in periodontitis patients. West Indian Med J 2008;57:410-3.
  8. Kim TS, Obst C, Zehaczek S, Geenen C. Detection of bone loss with different x-ray techniques in periodontal patients. J Periodontol 2008;79:1141-9. https://doi.org/10.1902/jop.2008.070578
  9. Pepelassi EA, Tsiklakis K, Diamanti-Kipioti A. Radiographic detection and assessment of the periodontal endosseous defects. J Clin Periodontol 2000;27:224-30. https://doi.org/10.1034/j.1600-051x.2000.027004224.x
  10. Vandenberghe B, Jacobs R, Yang J. Diagnostic validity (or acuity) of 2D CCD versus 3D CBCT-images for assessing periodontal breakdown. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104: 395-401. https://doi.org/10.1016/j.tripleo.2007.03.012
  11. Eickholz P, Riess T, Lenhard M, Hassfeld S, Staehle HJ. Digital radiography of interproximal bone loss; validity of different filters. J Clin Periodontol 1999;26:294-300. https://doi.org/10.1034/j.1600-051X.1999.260506.x
  12. Kim TS, Benn DK, Eickholz P. Accuracy of computer-assisted radiographic measurement of interproximal bone loss in vertical bone defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:379-87. https://doi.org/10.1067/moe.2002.126909
  13. Tihanyi D, Gera I, Eickholz P. Influence of individual brightness and contrast adjustment on accuracy of radiographic measurements of infrabony defects. Dentomaxillofac Radiol 2011;40:177-83. https://doi.org/10.1259/dmfr/56018062
  14. Horwitz J, Machtei EE, Reitmeir P, Holle R, Kim TS, Eickholz P. Radiographic parameters as prognostic indicators for healing of class II furcation defects. J Clin Periodontol 2004;31:105-11. https://doi.org/10.1111/j.0303-6979.2004.00455.x
  15. Gomes-Filho IS, Sarmento VA, de Castro MS, da Costa NP, da Cruz SS, Trindade SC, et al. Radiographic features of periodontal bone defects: evaluation of digitized images. Dentomaxillofac Radiol 2007;36:256-62. https://doi.org/10.1259/dmfr/25386411
  16. Benn DK. Frequent, low-dose, improved-contrast radiographic images with the use of narrow x-ray beams. Oral Surg Oral Med Oral Pathol 1992;74:221-9. https://doi.org/10.1016/0030-4220(92)90387-6
  17. Bohay RN. The sensitivity, specificity, and reliability of radiographic periapical diagnosis of posterior teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:639-42. https://doi.org/10.1067/moe.2000.105908
  18. Torres MG, Santos Ada S, Neves FS, Arriaga ML, Campos PS, Crusoe-Rebello I. Assessment of enamel-dentin caries lesions detection using bitewing PSP digital images. J Appl Oral Sci 2011;19: 462-8. https://doi.org/10.1590/S1678-77572011000500005
  19. Fleiss JL. The design and analysis of clinical experiments. New York: Wiley; 1986.
  20. Kay SM. Fundamentals of statistical signal processing, Volume III: practical algorithm development: Upper Saddle River, NJ: Prentice Hall; 2013.
  21. Schropp L, Alyass NS, Wenzel A, Stavropoulos A. Validity of wax and acrylic as soft-tissue simulation materials used in in vitro radiographic studies. Dentomaxillofac Radiol 2012;41:686-90. https://doi.org/10.1259/dmfr/33467269
  22. Feijo CV, Lucena JG, Kurita LM, Pereira SL. Evaluation of cone beam computed tomography in the detection of horizontal periodontal bone defects: an in vivo study. Int J Periodontics Restorative Dent 2012;32:e162-8.
  23. Zybutz M, Rapoport D, Laurell L, Persson GR. Comparisons of clinical and radiographic measurements of inter-proximal vertical defects before and 1 year after surgical treatments. J Clin Periodontol 2000;27:179-86. https://doi.org/10.1034/j.1600-051x.2000.027003179.x
  24. Albandar JM, Abbas DK, Waerhaug M, Gjermo P. Comparison between standardized periapical and bitewing radiographs in assessing alveolar bone loss. Community Dent Oral Epidemiol 1985;13:222-5. https://doi.org/10.1111/j.1600-0528.1985.tb01908.x
  25. Ordinola-Zapata R, Bramante CM, Duarte MH, Ramos Fernandes LM, Camargo EJ, de Moraes IG, et al. The influence of cone-beam computed tomography and periapical radiographic evaluation on the assessment of periapical bone destruction in dog's teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:272-9. https://doi.org/10.1016/j.tripleo.2011.01.031
  26. de Faria Vasconcelos K, Evangelista KM, Rodrigues CD, Estrela C, de Sousa TO, Silva MA. Detection of periodontal bone loss using cone beam CT and intraoral radiography. Dentomaxillofac Radiol 2012;41:64-9. https://doi.org/10.1259/dmfr/13676777
  27. Mohan R, Singh A, Gundappa M. Three-dimensional imaging in periodontal diagnosis - Utilization of cone beam computed tomography. J Indian Soc Periodontol 2011;15:11-7. https://doi.org/10.4103/0972-124X.82256
  28. Esmaeli F, Shirmohammadi A, Faramarzie M, Abolfazli N, Rasouli H, Fallahi S. Determination of vertical interproximal bone loss topography: correlation between indirect digital radiographic measurement and clinical measurement. Iran J Radiol 2012;9:83-7. https://doi.org/10.5812/iranjradiol.7732
  29. Henriksson CH, Stermer EM, Aass AM, Sandvik L, Moystad A. Comparison of the reproducibility of storage phosphor and film bitewings for assessment of alveolar bone loss. Acta Odontol Scand 2008;66:380-4. https://doi.org/10.1080/00016350802438086
  30. Wolf B, von Bethlenfalvy E, Hassfeld S, Staehle HJ, Eickholz P. Reliability of assessing interproximal bone loss by digital radiography: intrabony defects. J Clin Periodontol 2001;28:869-78. https://doi.org/10.1034/j.1600-051x.2001.028009869.x