A new periapical index based on cone beam computed tomography.

Abstract:

:The purpose of this study was to evaluate a new periapical index based on cone beam computed tomography (CBCT) for identification of apical periodontitis (AP). The periapical index proposed in this study (CBCTPAI) was developed on the basis of criteria established from measurements corresponding to periapical radiolucency interpreted on CBCT scans. Radiolucent images suggestive of periapical lesions were measured by using the working tools of Planimp software on CBCT scans in 3 dimensions: buccopalatal, mesiodistal, and diagonal. The CBCTPAI was determined by the largest lesion extension. A 6-point (0-5) scoring system was used with 2 additional variables, expansion of cortical bone and destruction of cortical bone. A total of 1014 images (periapical radiographs and CBCT scans) originally taken from 596 patients were evaluated by 3 observers by using the CBCTPAI criteria. AP was identified in 39.5% and 60.9% of cases by radiography and CBCT, respectively (P < .01). The CBCTPAI offers an accurate diagnostic method for use with high-resolution images, which can reduce the incidence of false-negative diagnosis, minimize observer interference, and increase the reliability of epidemiologic studies, especially those referring to AP prevalence and severity.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Estrela C,Bueno MR,Azevedo BC,Azevedo JR,Pécora JD

doi

10.1016/j.joen.2008.08.013

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1325-1331

issue

11

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(08)00733-4

journal_volume

34

pub_type

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