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Comparison of periapical radiography, panoramic radiography, and CBCT in the evaluation of trabecular bone structure using fractal analysis

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A Correction to this article was published on 12 April 2024

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Abstract

Objectives

The aim of this study is to compare imaging techniques to evaluate trabecular bone structure using Fractal Analysis (FA).

Methods

Fifteen sheep hemimandibles were used for this study. Digital images were obtained using periapical radiography, panoramic radiography, and cone-beam computed tomography (CBCT). CBCT imaging was performed in standard (STD) and high-resolution (HR) modes. FA was conducted using ImageJ 1.3 software with the box-counting method on the images. The fractal dimension (FD) values were analyzed by the statistical software Jamovi 1.6.23. Statistical significance was accepted as p < 0.05.

Results

The highest mean FD value was the FD on digital periapical radiographs (PaFD) (1.28 ± 0.04), and the lowest mean FD value was the FD on standard resolution cone-beam computed tomography images (STD-CBCTFD) (1.12 ± 0.10). Although there was no statistically significant difference between the PaFD and the FD on digital panoramic radiographs (PanFD) (p = 0.485), the PaFD was found to be significantly higher than STD-CBCTFD (p < 0.001), and the FD on high-resolution cone-beam computed tomography images (HR-CBCTFD) (p = 0.007). The PanFD was found to be significantly higher than the STD-CBCTFD (p = 0.004).

Conclusion

According to our results, in the evaluation of trabecular bone structure using FA, periapical radiographs and panoramic radiographs have similar image quality for assessment of the FD. On the other hand, CBCT results did not correlate with results from any of the other techniques in this study.

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Data availability

The datasets used and analyzed in the present study are available from the corresponding author upon reasonable request.

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Acknowledgements

We would like to thank Lauren Penniman and Alize Dreyer for improving the use of English in the manuscript. We confirm that this work is original, it is not currently under consideration for publication elsewhere.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Correspondence to Esra Yavuz.

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Ethical approval was exempt for the present study by the Local Animal Ethics Committees at Akdeniz University.

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The original online version of this article was revised: In the sentence beginning ‘The FD (FD), which measures this complexity,..’ in this article, the term ‘FD (FD)’ should have read ‘fractal dimension (FD)’.

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Yavuz, E., Yardimci, S. Comparison of periapical radiography, panoramic radiography, and CBCT in the evaluation of trabecular bone structure using fractal analysis. Oral Radiol (2024). https://doi.org/10.1007/s11282-024-00743-9

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