Diagnostic Accuracy of CBCT for Aggressive Periodontitis
Identifieur interne : 000185 ( Pmc/Curation ); précédent : 000184; suivant : 000186Diagnostic Accuracy of CBCT for Aggressive Periodontitis
Auteurs : Ranjana Mohan [Inde] ; Ruhi Mark [Inde] ; Ipsa Sing [Inde] ; Ankita Jain [Inde]Source :
- Journal of Clinical Imaging Science [ 2156-7514 ] ; 2014.
Abstract
Cone beam computed tomography (CBCT) is an indispensable diagnostic imaging tool for dento-alveolar examination. CBCT scanning has become a valuable imaging modality in the field of Periodontology for the detection of very small osseous defects. A patient reported to the department of Periodontology with a complaint of loose teeth. Clinical and direct digital radiographic (DDR) examination revealed advanced periodontal destruction, but failed to diagnose the morphology of generalized osseous defects, around all the surfaces of each tooth. CBCT images were obtained for detailed examination of each and every osseous defect around all the teeth. Patient was then diagnosed with generalized aggressive periodontitis. Flap surgery was performed in order to eliminate the periodontal pockets, exposing and degranulating the osseous defects. Actual measurements of surgically exposed osseous defects were compared with that seen in CBCT images and found to be exactly identical. CBCT has proved to be as accurate in measuring osseous defects as direct measurements with a periodontal probe. Buccal and lingual periodontal defects that could not be diagnosed by conventional radiography can be identified with CBCT.
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DOI: 10.4103/2156-7514.133258
PubMed: 25191628
PubMed Central: 4141417
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<front><div type="abstract" xml:lang="en"><p>Cone beam computed tomography (CBCT) is an indispensable diagnostic imaging tool for dento-alveolar examination. CBCT scanning has become a valuable imaging modality in the field of Periodontology for the detection of very small osseous defects. A patient reported to the department of Periodontology with a complaint of loose teeth. Clinical and direct digital radiographic (DDR) examination revealed advanced periodontal destruction, but failed to diagnose the morphology of generalized osseous defects, around all the surfaces of each tooth. CBCT images were obtained for detailed examination of each and every osseous defect around all the teeth. Patient was then diagnosed with generalized aggressive periodontitis. Flap surgery was performed in order to eliminate the periodontal pockets, exposing and degranulating the osseous defects. Actual measurements of surgically exposed osseous defects were compared with that seen in CBCT images and found to be exactly identical. CBCT has proved to be as accurate in measuring osseous defects as direct measurements with a periodontal probe. Buccal and lingual periodontal defects that could not be diagnosed by conventional radiography can be identified with CBCT.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Imaging Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Imaging Sci</journal-id>
<journal-id journal-id-type="publisher-id">JCIS</journal-id>
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<article-id pub-id-type="doi">10.4103/2156-7514.133258</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dental Article</subject>
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<title-group><article-title>Diagnostic Accuracy of CBCT for Aggressive Periodontitis</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Mohan</surname>
<given-names>Ranjana</given-names>
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<contrib contrib-type="author"><name><surname>Mark</surname>
<given-names>Ruhi</given-names>
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<contrib contrib-type="author"><name><surname>Sing</surname>
<given-names>Ipsa</given-names>
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<xref ref-type="aff" rid="aff2">1</xref>
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<given-names>Ankita</given-names>
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<aff id="aff1">Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Utter Pradesh, India</aff>
<aff id="aff2"><label>1</label>
Department of Oral Medicine and Radiology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Utter Pradesh, India</aff>
<aff id="aff3"><label>2</label>
Department of Public Health Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Utter Pradesh, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Ranjana Mohan, Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad - 244 001, Utter Pradesh, India. E-mail: <email xlink:href="ranjanamohan162@gmail.com">ranjanamohan162@gmail.com</email>
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<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>27</day>
<month>5</month>
<year>2014</year>
</pub-date>
<volume>4</volume>
<issue>Suppl 2</issue>
<issue-title>Dental Suppl</issue-title>
<elocation-id>2</elocation-id>
<history><date date-type="received"><day>10</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>04</day>
<month>3</month>
<year>2014</year>
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<permissions><copyright-statement>Copyright: © 2014 Mohan R.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
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<abstract><p>Cone beam computed tomography (CBCT) is an indispensable diagnostic imaging tool for dento-alveolar examination. CBCT scanning has become a valuable imaging modality in the field of Periodontology for the detection of very small osseous defects. A patient reported to the department of Periodontology with a complaint of loose teeth. Clinical and direct digital radiographic (DDR) examination revealed advanced periodontal destruction, but failed to diagnose the morphology of generalized osseous defects, around all the surfaces of each tooth. CBCT images were obtained for detailed examination of each and every osseous defect around all the teeth. Patient was then diagnosed with generalized aggressive periodontitis. Flap surgery was performed in order to eliminate the periodontal pockets, exposing and degranulating the osseous defects. Actual measurements of surgically exposed osseous defects were compared with that seen in CBCT images and found to be exactly identical. CBCT has proved to be as accurate in measuring osseous defects as direct measurements with a periodontal probe. Buccal and lingual periodontal defects that could not be diagnosed by conventional radiography can be identified with CBCT.</p>
</abstract>
<kwd-group><kwd>Aggressive periodontitis</kwd>
<kwd>cone beam computed tomography</kwd>
<kwd>direct digital radiography</kwd>
<kwd>periodontal osseous defects</kwd>
</kwd-group>
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