Skip to main content

Advertisement

SpringerLink
Log in

The impact of different dental restorations on detection of proximal caries by cone beam computed tomography

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

To evaluate the effects of different types of restorations on observer ability to detect proximal caries in CBCT images.

Materials and methods

Forty human premolars and molars with artificial proximal caries were placed proximal and distal to 5 molars having different restorations (amalgam, composite, resin-modified glass ionomer cement (RMGIC) fillings, zirconia, and lithium disilicate crowns) and a non-restored molar. CBCT scans were obtained using i-CAT® Next Generation. Images were rated twice by 2 observers. The exact depth of artificial caries was histologically established. Sensitivity, specificity, and area under the receiver operating characteristic curve (Az) values were calculated.

Results

Caries detection in teeth surfaces mesial and distal to amalgam showed compromised specificity and accuracy. Moreover, caries detection in teeth surfaces mesial to zirconia crown showed low sensitivity, specificity, and accuracy. Capability of CBCT in detection of proximal caries in teeth adjacent to composite, RMGIC, and lithium disilicate was comparable to those adjacent to non-restored molar.

Conclusions

CBCT scans performed for tasks other than caries detection should be assessed for proximal caries in absence of any restorations as well as in presence of composite, RMGIC fillings, and lithium disilicate crowns. However, CBCT should not be used for proximal caries detection in teeth adjacent to amalgam and teeth surfaces mesial to zirconia crowns.

Clinical significance

It is important to investigate the influence of artifacts produced by various restorations on CBCT-based caries detection to optimize CBCT benefits, caries diagnosis and avoid unnecessary treatment of sound surfaces.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Listl S, Galloway J, Mossey PA, Marcenes W (2015) Global economic impact of dental diseases. J Dent Res 94:1355–1361

    Article  Google Scholar 

  2. Young DA, Featherstone JD (2005) Digital imaging fiber-optic trans-illumination, F-speed radiographic film and depth of approximal lesions. J Am Dent Assoc 136:1682–1687

    Article  Google Scholar 

  3. Bader JD, Shugars DA, Bonito AJ (2001) Systematic reviews of selected dental caries diagnostic and management methods. J Dent Educ 65:960–968

    Article  Google Scholar 

  4. Wenzel A, Hirsch E, Christensen J, Matzen LH, Scaf G et al (2013) Detection of cavitated approximal surfaces using cone beam CT and intraoral receptors. Dentomaxillofac Radiol 42:39458105

    Article  Google Scholar 

  5. Sansare K, Singh D, Sontakke S, Karjodkar F, Saxena V et al (2014) Should cavitation in proximal surfaces be reported in cone beam computed tomography examination? Caries Res 48:208–213

    Article  Google Scholar 

  6. Gaalaas L, Tyndall D, Mol A, Everett ET, Bangdiwala A (2016) Ex vivo evaluation of new 2D and 3D dental radiographic technology for detecting caries. Dentomaxillofac Radiol 45:20150281

    Article  Google Scholar 

  7. Kayipmaz S, Sezgin OS, Saricaoglu ST, Can G (2011) An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries. Eur J Radiol 80:478–482

    Article  Google Scholar 

  8. Senel B, Kamburoglu K, Ucok O, Yuksel SP, Ozen T et al (2010) Diagnostic accuracy of different imaging modalities in detection of proximal caries. Dentomaxillofac Radiol 39:501–511

    Article  Google Scholar 

  9. Zhang ZL, Qu XM, Li G, Zhang ZY, Ma XC (2011) The detection accuracies for proximal caries by cone-beam computerized tomography, film, and phosphor plates. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 111:103–108

    Article  Google Scholar 

  10. Krzyzostaniak J, Kulczyk T, Czarnecka B, Surdacka A (2015) A comparative study of the diagnostic accuracy of cone beam computed tomography and intraoral radiographic modalities for the detection of noncavitated caries. Clin Oral Investig 19:667–672

    Article  Google Scholar 

  11. Safi Y, Shamloo Mahmoudi N, Aghdasi MM, Eslami Manouchehri M, Rahimian R et al (2015) Diagnostic accuracy of cone beam computed tomography, conventional and digital radiographs in detecting interproximal caries. J Med Life 8:77–82

    PubMed  PubMed Central  Google Scholar 

  12. Ergucu Z, Turkun LS, Onem E, Guneri P (2010) Comparative radiopacity of six flowable resin composites. Oper Dent 35:436–440

    Article  Google Scholar 

  13. Schulze R, Heil U, Gross D, Bruellmann DD, Dranischnikow E et al (2011) Artefacts in CBCT: a review. Dentomaxillofac Radiol 40:265–273

    Article  Google Scholar 

  14. Draenert FG, Coppenrath E, Herzog P, Muller S, Mueller-Lisse UG (2007) Beam hardening artefacts occur in dental implant scans with the NewTom cone beam CT but not with the dental 4-row multidetector CT. Dentomaxillofac Radiol 36:198–203

    Article  Google Scholar 

  15. Cebe F, Aktan AM, Ozsevik AS, Ciftci ME, Surmelioglu HD (2017) The effects of different restorative materials on the detection of approximal caries in cone-beam computed tomography scans with and without metal artifact reduction mode. Oral Surgery Oral Medicine Oral Pathology Oral Radiology 123:392–400

    Article  Google Scholar 

  16. Kulczyk T, Konwinska MD, Owecka M, Krzyzostaniak J, Surdacka A (2014) The influence of amalgam fillings on the detection of approximal caries by cone beam CT: in vitro study. Dentomaxillofacial Radiology 43:6

    Article  Google Scholar 

  17. Martinez-Rus F, Garcia AM, de Aza AH, Pradies G (2011) Radiopacity of zirconia-based all-ceramic crown systems. Int J Prosthodont 24:144–146

    PubMed  Google Scholar 

  18. Murat S, Kamburoglu K, Isayev A, Kursun S, Yuksel S (2013) Visibility of artificial buccal recurrent caries under restorations using different radiographic techniques. Oper Dent 38:197–207

    Article  Google Scholar 

  19. Charuakkra A, Prapayasatok S, Janhom A, Pongsiriwet S, Verochana K et al (2011) Diagnostic performance of cone-beam computed tomography on detection of mechanically-created artificial secondary caries. Imaging Sci Dent 41:143–150

    Article  Google Scholar 

  20. Sousa Melo SL, Belem MDF, Prieto LT, Tabchoury CPM, Haiter-Neto F (2017) Comparison of cone beam computed tomography and digital intraoral radiography performance in the detection of artificially induced recurrent caries-like lesions. Oral Surg Oral Med Oral Pathol Oral Radiol 124:306–314

    Article  Google Scholar 

  21. Baltacioglu IH, Eren H, Yavuz Y, Kamburoglu K (2016) Diagnostic accuracy of different display types in detection of recurrent caries under restorations by using CBCT. Dentomaxillofac Radiol 45:20160099

    Article  Google Scholar 

  22. Aglarci OS, Bilgin MS, Erdem A, Ertas ET (2015) Is it possible to diagnose caries under fixed partial dentures with cone beam computed tomography? Oral Surg Oral Med Oral Pathol Oral Radiol 119:579–583

    Article  Google Scholar 

  23. Abu El-Ela WH, Farid MM, Mostafa MS (2016) Intraoral versus extraoral bitewing radiography in detection of enamel proximal caries: an ex vivo study. Dentomaxillofac Radiol 45:20150326

    Article  Google Scholar 

  24. Pitts NB (1984) Systems for grading approximal carious lesions and overlaps diagnosed from bitewing radiographs. Proposals for future standardization. Community Dent Oral Epidemiol 12:114–122

    Article  Google Scholar 

  25. Russell M, Pitts NB (1993) Radiovisiographic diagnosis of dental caries: initial comparison of basic mode videoprints with bitewing radiography. Caries Res 27:65–70

    Article  Google Scholar 

  26. SEDENTEXCT (2012) Guideline Development Panel. Radiation protection No 172. Cone beam CT for dental and maxillofacial radiology. Evidence based guidelines Luxembourg: European Commission Directorate-General for Energy

  27. Grossman ES, Matejka JM (1999) Histological features of artificial secondary caries adjacent to amalgam restorations. J Oral Rehabil 26:737–744

    Article  Google Scholar 

  28. Tohnak S, Mehnert AJ, Mahoney M, Crozier S (2011) Dental CT metal artefact reduction based on sequential substitution. Dentomaxillofac Radiol 40:184–190

    Article  Google Scholar 

  29. Belem MDF, Tabchoury CPM, Ferreira-Santos RI, Groppo FC, Haiter-Neto F (2013) Performance of a photostimulable storage phosphor digital system with or without the sharpen filter and cone beam CT for detecting approximal enamel subsurface demineralization. Dentomaxillofacial Radiology 42:9

    Article  Google Scholar 

  30. [3M ESPE] (2011) Filtek™ Z550 Nano Hybrid Universal Restorative, Technical Data Sheet. Retrieved from http://www.3MESPE.com.

  31. Tyndall DA, Rathore S (2008) Cone-beam CT diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am 52:825–841

    Article  Google Scholar 

  32. Rathore S, Tyndall D, Wright J, Everett E (2012) Ex vivo comparison of Galileos cone beam CT and intraoral radiographs in detecting occlusal caries. Dentomaxillofacial Radiology 41:489–493

    Article  Google Scholar 

Download references

Funding

The work was supported by the Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ain Shams University.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ain Shams University, Monazamet El Wehda El Afriqeya St, Cairo, Egypt

    Walaa Hussein Abu El-Ela, Mary Medhat Farid & Mona Abou El-Fotouh

Authors
  1. Walaa Hussein Abu El-Ela
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mary Medhat Farid
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mona Abou El-Fotouh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Walaa Hussein Abu El-Ela.

Ethics declarations

Ethics approval

This article does not contain any studies with human participants or animals performed by any of the authors. This ex vivo study was expedited from review by Ain Shams University Faculty of Dentistry Ethics Committee.

Conflict of interest

The authors declare no competing interest.

Informed consent

For this type of study, formal consent is not required.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abu El-Ela, W.H., Farid, M.M. & Abou El-Fotouh, M. The impact of different dental restorations on detection of proximal caries by cone beam computed tomography. Clin Oral Invest 26, 2413–2420 (2022). https://doi.org/10.1007/s00784-021-04207-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-021-04207-w

Keywords

Search

Navigation