锥形束CT在根尖周病诊断中的临床价值研究

Abstract

Abstract: Abstract: Objective To assess the diagnostic accuracy of cone beam computed tomography in comparison with radiography in detecting periapical lesions. Methods 35 patients (41 teeth) diagnosed with periapical lesions were selected. Digital radiographs and CBCT images were used to scan the teeth, and the diagnostic accuracy was judged afterwards. Results The overall accuracy for detecting periapical lesions was higher for CBCT compared with the digital radiographs. According to the CBCT images, 37 teeth showed periapical shadows, while only 27 teeth showed periapical shadows by digital radiographs. Conclusions The CBCT technique has higher accuracy than digital radiographs, which can help diagnose intractable cases in clinic.

Key words: CBCT , digital radiographs, periapical lesions

CLC Number:

R781.34

References

[1]Cheng L ，Zhang R，Y u X，et al.A comparative analysis of periapical radiography and cone-beam computerized tomography for the evaluation of endodontic obturation length[ J][J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,112(14):383-389
[2] 马绪臣．口腔颌面锥形束CT的临床应用[ M].北京：人民卫生出版社,2011:1
[3]杨臣杰，钱玉芬，陈振琦.锥形束CT域的应用[ J ][J].代口腔医学杂志,2010,24(3):224-227
[4]Young GR.Comtemporary management of lateral rootperforation diagnosed with the aidofdental computed tomography[J].AusEndod J,2007,33(3):112-118
[5]Stavropoulos A,Wenzel A.Accuracy of cone beam CT,intraoral digital and conbentional film radiography for the detection of periapical lesionsAn ex vivo stydy in pig jaws[J]..Clin Oral Investig,2007,11(6):101-106
[6]李颖超，刘荣森，石校伟.老年人下颌磨牙牙根及根管的锥形束CT研究[J].中华老年口腔医学杂志,2009,7(4):206-209
[7]Matheme RP,Angelopoulous C,Kulild JC.Use of cone-beam computed tomography to identify root canal systems in vitro[J].J Endod,2008,34(1):87-89
[8]Patel S,Horner K.The use of cone beam computed tomography in dendodontics[J].Int Endod J,2009,42(9):755-756
[9]Cheng L,Zhang R，Yu X，et al.A comparative analysis of periapical radiography and conebeam computerized tomography for the evaluation of endodontic obturation length[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,112(14):383-389
[10]Pope O,Sathorn C and parashos P.A Comparative investigation of Conebeam computed Tomography and Periapical Radiography in the Diagnosis of a Healthy Periapex[J].J Endod,2014,40(3):360-365
[11] 马绪臣．口腔颌面锥形束CT的临床应用［ M］.北京：人民卫生出版社,2011:1
[12]Liu DG,Zhang WL,Zhang ZY,et al.Localization of impacted maxillary canines and obserbation of adjacent incisor resorption with conebeam computed tomography[J].Oral Surg Oral Pathol Oral Radiol Endod,2008,105(1):91-98
[13]杨臣杰，钱玉芬，陈振琦.锥形束CT在口腔领域的应用[J].现代口腔医学杂志,2010,24(3):224-227
[14]Young GR.Comtemporary management of lateral rootperforation diagnosed with the aidofdental computed tomography[J].AusEndod J,2007,33(3):112-118
[15]Stavropoulos A,Wenzel A.Accuracy of cone beam CT,intraoral digital and conbentional film radiography for the detection of periapical lesionsAn ex vivo stydy in pig jaws[J]..Clin Oral Investig,2007,11(6):101-106
[16]李颖超，刘荣森，石校伟.老年人下颌磨牙牙根及根管的锥形束CT研究[J].中华老年口腔医学杂志,2009,7(4):206-209
[17]LofthagHansen S,Huumonen S,Grndahl K,et al.Limited conebeam CT and intraoral radiography for the diagnosis of periapical pathology[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2007,103(1):114-119
[18]Estrela C,Bueno MR,Leles CR,et al.Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis[J].J Endod,2008,34(3):273-279
[19]Garcia de PaulaSilva FW,Hassan B,Bezerra da Silva LA,et al.Outcome of root canal treatment in dogs determined by periapical radiography and conebeam computed tomography scans[J].J Endod,2009,35(5):723-726
[20]de PaulaSilva FWG,Wu MK,Leonardo MR,et al.Accuracy of periapical radiography and conebeam computed tomography scans in diagnosing apical periodontitis using histopathological ?ndings as a gold standard[J].J Endod,2009,35(7):1009-1012
[21]Bornstein MM,Lauber R,Sendi P,et al.Comparison of periapical radiography and limited conebeam computed tomography in mandibular molars for analysis of anatomical landmarks before apical surgery[J].J Endod,2011,37(2):151-157
[22]Liang YH,Li G,Wesselink PR,et al.Endodontic outcome predictors identified with periapical radiographs and conebeam computed tomography scans[J].J Endod,2011,37(3):326-331
[23]Sogur E,Grondahl HG,Baksi BG,et al.Does a combination of two radiographs increase accuracy in detecting acidinduced periapical lesions and does it approach the accuracy of conebeam computed tomography scanning[J].J Endod,2012,38(2):131-136
[24]Tsai P,Torabinejad M,Rice D,et al.Accuracy of conebeam computed tom raphy and periapical radiography in detecting small periapical lesions[J].J Endod,2012,38(7):965-970
[25]Abella F,Patel S,Duran-Sindreu F,et al.Evaluating the periapical status of teeth irreversible pulpitis by using cone-beam computed tomography scanning and periapical radiographs[J].J Endod,2012,38(12):1588-1591
[26]Domark JD,Hatton JF,Benison RP,et al.An ex vivo comparison of digital radiography and conebeam and micro computed tomography in the detection of the number of canals in the mesiobuccal roots of maxillary molars[J].J Endod,2013,39(7):901-905
[27]Kaya S,Yavuz I,Uysal I,et al.Measuring bone density in healing periapical lesions by using cone beam computed tomography: a clinical investigation[J].J Endod,2012,38(1):28-31
[28]Joint Position Statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology.Use of conebeam computed tomography in endodontics[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,111(2):234-237
[29]Matheme RP,Angelopoulous C,Kulild JC.Use of conebeam computed tomography to identify root canal systems in vitro[J].J Endod,2008,34(1):87-89

The clinical value of cone beam computed tomography in detecting periapical lesions

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	XU Hai-Yang. A CBCT study of the alveolar bone in the maxillary central incisor root apex of the skeletal class II adults [J]. , 2019, 39(6): 510-513.
[2]	. The CBCT analysis of intruding maxillary molars of the adult by implanting miniscrew as anchorage [J]. , 2019, 39(5): 436-438.
[3]	. An Analysis of the pathological influence of periapical disease of maxillary posterior teeth to the maxillary sinus floor using cone beam computed tomography [J]. , 2019, 39(1): 35-39.
[4]	. Morphological study of the Hans’ bifid mandibular canal in Southwest China based on CBCT [J]. , 2018, 38(8): 713-716.
[5]	. The radiography analysis of 210 root canal treatment failure cases [J]. , 2018, 38(6): 533-536.
[6]	. Effect observation of microscopic ultrasonic technique combined with CBCT in treatment of complex root canals of premolars [J]. , 2018, 38(12): 1092-1095.
[7]	. CBCT study of the placement of micro implants in the posterior teeth of the maxillary protrusion [J]. , 2018, 38(12): 1110-1113.
[8]	. Clinical analysis of 46 cases of ectopic mandibular third molar and its associated disease [J]. , 2018, 38(11): 995-998.
[9]	. The comparsion study on TMJ for skeletal Ⅲ class malocclusion and individual normal occlusion by CBCT [J]. , 2017, 37(8): 707-711.
[10]	Shan Wang. A study on the midsagittal reference plane of CBCT three-dimensional cephalometry [J]. , 2017, 37(7): 621-624.
[11]	. To analyze the correlative factors of the gingival biotype of the maxillary central incisor [J]. , 2017, 37(7): 615-620.
[12]	. Application of CBCT in evaluation of alveolar bone changes before and after periodontal therapy in chronic periodontitis [J]. , 2017, 37(5): 444-448.
[13]	. Three-dimensional finite element analysis of Advansync functional appliance used in advancing mandible in the condition of three different jaw positions [J]. , 2017, 37(5): 439-443.
[14]	. Impaction of Adult Pharyngeal in Different sagittal skeletal facial Malocclusion in CBCT [J]. , 2017, 37(2): 144-148.
[15]	. Evaluation of facial asymmetry using cone-beam computed tomography [J]. , 2017, 37(12): 1090-1094.