Can the method of CBCT interpretation influence endodontic diagnosis?

Authors

  • Alessandra Mendonça dos Santos Universidade Federal do Rio Grande do Sul, Departamento de Cirurgia e Ortopedia, Divisão de Radiologia Odontológica e Imaginologia, Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-6682-0779
  • Francisco Montagner Universidade Federal do Rio Grande do Sul, Departamento de Odontologia Conservadora, Divisão de Endodontia, Porto Alegre, Rio Grande do Sul, Brasil. https://orcid.org/0000-0002-7850-0107
  • Ana Márcia Viana Wanzeler Escola Superior da Amazônia, Departamento de Diagnóstico Bucal, Belém, Pará, Brasil https://orcid.org/0000-0002-8468-407X
  • Heraldo Luis Dias da Silveira Universidade Federal do Rio Grande do Sul, Departamento de Cirurgia e Ortopedia, Divisão de Radiologia Odontológica e Imaginologia, Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-3456-7043
  • Nádia Assein Arús Universidade Federal do Rio Grande do Sul, Departamento de Cirurgia e Ortopedia, Divisão de Radiologia Odontológica e Imaginologia, Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0001-7517-5188
  • Mariana Boessio Vizzotto Universidade Federal do Rio Grande do Sul, Departamento de Cirurgia e Ortopedia, Divisão de Radiologia Odontológica e Imaginologia, Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0003-3149-7913

DOI:

https://doi.org/10.22456/2177-0018.117538

Keywords:

Cone-beam computed tomography, Diagnosis, Endodontics

Abstract

Aim: This study evaluated the influence of the method used for visualization and analysis of cone-beam computed tomography (CBCT) on the diagnosis of endodontic conditions. Materials and methods: Twenty clinical cases containing twelve different endodontic conditions were analyzed by two specialists in dental radiology and one specialist in endodontics. Initially, the evaluators viewed the cases in Portable Document Format (PDF) containing a selection of digital images and, by consensus, described their diagnostic hypotheses for each case. One week later, the evaluators reassessed the cases, this time using multiplanar reconstructions with a Digital Imaging and Communications in Medicine (DICOM) format image viewer. Once more, by consensus, they recorded their diagnostic hypotheses. Results: In 10% of the cases there was a discrepancy between the diagnoses made using preselected digital images in PDFs and by viewing multiplanar reconstructions. The visualization of the PDF images obtained a sensitivity of 0.714, specificity of 0.966, and 90% accuracy. Discussion: In the majority of these cases, endodontic conditions identified using the DICOM image viewer (multiplanar reconstruction) were not detected using the PDFs of preselected images. Conclusion: Although more studies are needed, the authors reiterate that using multiplanar reconstructions should always be preferred to other forms of analysis for CBCT, so that the maximum diagnostic potential of the imaging exam can be achieved.

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References

Accorsi-Mendonça T. Uso da tomografia computadorizada por feixe cônico na endodontia. Int J Sci Dent. 2013 Jun;1(37):39-42. doi: https://doi.org/10.22409/ijosd.v1i37.114.

Nouroloyouni A, Lotfi M, Milani AS, Nouroloyouni S. Endodontic management of a two-rooted mandibular first premolar with five root canals with cone-beam computed tomography: a case report. J Dent (Shiraz). 2021 Sep;22(3):225-8. doi: https://doi.org/10.30476/DENTJODS.2020.83376.1049.

Nair MK, Nair UP. Digital and advanced imaging in endodontics: a review. J Endod. 2007 Jan;33(1):1-6. doi: https://doi.org/10.1016/j.joen.2006.08.013.

Sankar A, Ramesh S. 2D Vs 3D imaging in endodontics: a review. Annals of RSBC. 2021 May;25(6):1541-9.

Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone-beam computed tomography in Endodontics: a review. Int Endod J. 2015 Jan;48(1):3-15. doi: https://doi.org/10.1111/iej.12270.

Brown J, Jacobs R, Levring Jäghagen E, Lindh C, Baksi G, Schulze D, et al. Basic training requirements for the use of dental CBCT by dentists: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology. Dentomaxillofac Radiol. 2014 Jan;43(1):1-7. doi: https://doi.org/10.1259/dmfr.20130291.

Liang Z, Du X, Guo X, Rong D, Kang R, Mao G, et al. Comparison of dry laser printer versus paper printer in full-field digital mammography. Acta Radiol. 2010;51(3):235-9. doi: https://doi.org/10.3109/02841850903485755.

Scarfe WC, Farman AG. What is cone-beam CT and how does it work?. Dent Clin North Am. 2008;52(4):707-30. doi: https://doi.org/10.1016/j.cden.2008.05.005.

Patel S. New dimensions in endodontic imaging: Part 2. Cone-beam computed tomography. Int Endod J. 2009 Jun;42:463-75. doi: https://doi.org/10.1111/j.1365-2591.2008.01531.x.

Rosado LPL, Crusoé-Rebello I, Oliveira ML, Freitas DQ, Neves FS. Dental teleradiology: a powerful strategy to overcome the impact of COVID-19. Acad Radiol. 2020 Oct;27(10):1492-3. doi: https://doi.org/10.1016/j.acra.2020.07.034.

Harvey S. CBCT scans: teleradiology services. Br Dent J. 2018 Oct;225(8):684‐5. doi: https://doi.org/10.1038/sj.bdj.2018.937.

Viana Wanzeler AM, Montagner F, Vieira HT, Dias da Silveira HL, Arús NA, Vizzotto MB. Can cone-beam computed tomography change endodontists’ level of confidence in diagnosis and treatment planning? A before and after study. J Endod. 2020 Feb;46(2):283-8. doi: https://doi.org/10.1016/j.joen.2019.10.021.

Schwartz A. Diagnostic test calculator [Internet]. Diagnostic test calculator. Available from: http://araw.mede.uic.edu/cgi-bin/testcalc.pl.

Scarfe WC, Li Z, Aboelmaaty W, Scott SA, Farman AG. Maxillofacial cone-beam computed tomography: essence, elements and steps to interpretation. Aust Dent J. 2012;57(s1):46-60. doi: https://doi.org/10.1111/j.1834-7819.2011.01657.x.

SEDENTEXCT guidelines. Safety and efficacy of a new and emerging dental X-ray modality: radiation protection no. 172—cone-beam CT for dental and maxillofacial radiology. In: Evidence based guidelines. Geneva, Switzerland: European Commission; 2012. Available at: http://www.sedentexct.eu/files/radiation_protection_172.pdf.

Caglayan F, Tozoglu U. Incidental findings in maxillofacial region detected by cone-beam computed tomography. Diagn Interv Radiol. 2012 Mar; 18(2):159-63. doi: https://doi.org/10.4261/1305-3825.DIR.4341-11.2.

Beacham JT, Geist JR, Yu Q, Himel VT, Sabey KA. Accuracy of cone-beam computed tomographic image interpretation by endodontists and endodontic residents. J Endod. 2018 Apr;44(4):571-5. doi: https://doi.org/10.1016/j.joen.2017.12.012.

Silveira HLD, Liedke GS, Rybu BR, Dalla-Bona RR, Silveira HED. Panorama do uso da cefalometria por especialistas em ortodontia no estado do Rio Grande do Sul. Rev Fac Odontol Porto Alegre. 2009 Apr 14;50(2):5-7.

Silveira HLD, Silveira HED, Dalla-Bona RR, Marques ALG. Avaliação cefalométrica de medidas envolvendo os incisivos por diferentes examinadores e sua relação com o tratamento ortodôntico. R Odonto Ci. 2004 Apr;19(44):152-6.

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Published

2022-09-15

How to Cite

Mendonça dos Santos, A., Montagner, F., Viana Wanzeler, A. M., Dias da Silveira, H. L., Assein Arús, N., & Boessio Vizzotto, M. (2022). Can the method of CBCT interpretation influence endodontic diagnosis?. Revista Da Faculdade De Odontologia De Porto Alegre, 63(1), 47–52. https://doi.org/10.22456/2177-0018.117538

Issue

Vol. 63 No. 1 (2022)

Section

Original articles

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Copyright (c) 2022 Alessandra Mendonça dos Santos, Francisco Montagner, Ana Márcia Viana Wanzeler, Heraldo Luis Dias da Silveira, Nádia Assein Arús, Mariana Boessio Vizzotto

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