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Oral Radiology

, Volume 34, Issue 3, pp 208–218 | Cite as

Comparison of periodontal evaluation by cone-beam computed tomography, and clinical and intraoral radiographic examinations

  • Wenjian Zhang
  • Shazia Rajani
  • Bing-Yan Wang
Original Article

Abstract

Objectives

Cone-beam computed tomography (CBCT) has been widely used in many fields of dentistry. However, little is known about the accuracy of CBCT for evaluation of periodontal status. The objective of this study was to compare and correlate periodontal assessments among CBCT, clinical attachment loss (CAL) measurement, and periapical (PA)/bitewing (BW) radiography.

Methods

Eighty patients (28 males, 52 females; age range, 19–84 years) from the University of Texas School of Dentistry at Houston were evaluated retrospectively. Measurements were taken on the central incisors, canines, and first molars of the right maxilla and left mandible. CAL was extracted from periodontal charts. The radiographic distance from the cementum–enamel junction (CEJ) to the alveolar crest was measured for tooth mesial and distal sites on PA/BW and CBCT images using MiPacs software and Anatomage Invivo software, respectively. One-way ANOVA and Pearson analysis were performed for statistical analyses.

Results

The CEJ–crest distances for CBCT, PA/BW, and CAL were 2.56 ± 0.12, 2.04 ± 0.12, and 2.08 ± 0.17 mm (mean ± SD), respectively. CBCT exhibited larger values than the other two methods (p < 0.05). There were highly significant positive correlations among CBCT, PA/BW, and CAL measurements at all examined sites (p < 0.001). The Pearson correlation coefficient was higher for CBCT with CAL relative to PA/BW with CAL, but the difference was not significant (r = 0.64 and r = 0.55, respectively, p > 0.05).

Conclusions

This study validates the suitability of CBCT for periodontal assessment. Further studies are necessary to optimize the measurement methodology with CBCT.

Keywords

Cone-beam computed tomography Clinical attachment loss Intraoral radiography Periodontal assessment 

Notes

Compliance with ethical standards

Conflict of interest

Wenjian Zhang, Shazia Rajani, and Bing-Yan Wang declare that they have no conflict of interest.

Human rights statement

All procedures followed were in accordance with the ethical standards of the responsible national and institutional committees on human experimentation and with the Helsinki Declaration of 1964 and later versions. The Institutional Review Board (IRB) of the University of Texas Health Science Center at Houston approval was granted prior to the start of the study (HSC-DB-16-0398).

Informed consent

The study was a retrospective chart review, and the requirement for informed consent was waived under IRB approval.

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Copyright information

© Japanese Society for Oral and Maxillofacial Radiology and Springer Japan KK 2017

Authors and Affiliations

  1. 1.Department of Diagnostic and Biomedical Sciences, School of DentistryUniversity of Texas Health Science Center at HoustonHoustonUSA
  2. 2.Dental Hygiene Program, School of DentistryUniversity of Texas Health Science Center at HoustonHoustonUSA
  3. 3.Department of Periodontics and Dental Hygiene, School of DentistryUniversity of Texas Health Science Center at HoustonHoustonUSA

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