Abstract
Objectives
The aim of this study was to compare the diagnostic accuracy of conventional films and direct digital radiographs (DDR), in the determination of the depth and type of simulated periodontal intrabony defects.
Materials and methods
Three types of periodontal intrabony defects (one, two, and three walled) were artificially created in dry mandibles. Standard radiographic images were taken with Ultraspeed, Ektaspeed, Insight films, and DDR. The radiographic images were evaluated by three oral radiologists to identify the type and depth of these defects on the radiographs.
Results
The average measured depth of the defects on the dry mandibles was 7.85 mm. The average depth of the type 1 defect on the radiographs was 7.19 mm, type 2 was 7.18 mm, and type 3 was 7.15 mm. The average depth of the defects via the Ultraspeed film was 7.15 mm, Ektaspeed film was 7.17 mm, Insight film was 7.19 mm, and DDR was 7.20 mm. Type 1, type 2, and type 3 defect depth measurements showed 8.9, 9.7, and 16.3 % understated, respectively (p < 0.01). The accurate estimation rates of type 1, type 2, and type 3 defects were 93.8, 53, and 25.4 %, respectively.
Conclusions
Both radiographic techniques have the same diagnostic value and display the minor destructive changes in the bone. As the number of osseous walls increases, it becomes difficult to determine the defect type and morphology. Further research is needed to monitor the intrabony defects, with less radiation exposure.
Clinical relevance
The accurate identification of defect type and depth depends on the number of walls, not the imaging methods.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Papapanou PN, Wennström JL (1991) The angular bony defect as indicator of further alveolar bone loss. J Clin Periodontol 18:317–322
White SC, Pharoah MJ (2004) Oral radiology: principles and interpretation, 5th edn. St Louis, Mosby, Elseiver
Eickholz P, Hörr T, Klein F, Hassfeld S, Kim TS (2004) Radiographic parameters for prognosis of periodontal healing of infrabony defects: two different definitions of defect depth. J Periodontol 75:399–407. doi:10.1902/jop.2004.75.3.399
Geist JR, Brand JW (2001) Sensitometric comparison of speed group E and F dental radiographic films. Dentomaxillofac Radiol 30:147–52. doi:10.1038/sj/dmfr/4600595
Bernstein DI, Clark SJ, Scheetz JP, Farman AG, Rosenson B (2003) Perceived quality of radiographic images after rapid processing of D- and F-speed direct-exposure intraoral x-ray films. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96:486–491. doi:10.1016/S1079-2104(03)00062-3
Syriopoulos K, Sanderink GC, Velders XL, van der Stelt PF (2000) Radiographic detection of approximal caries: a comparison of dental films and digital imaging systems. Dentomaxillofac Radiol 29:312–318. doi:10.1038/sj/dmfr/4600553
Pecoraro M, Azadivatanle N, Janal M, Khocht A (2005) Comparison of observer reliability in assessing alveolar bone height on direct digital and conventional radiographs. Dentomaxillofac Radiol 34:279–284. doi:10.1259/dmfr/13900561
Henriksson CH, Stermer EM, Aass AM, Sandvik L, Møystad A (2008) Comparison of the reproducibility of storage phosphor and film bitewings for assessment of alveolar bone loss. Acta Odontol Scand 66:380–384. doi:10.1080/00016350802438086
Li G, Engström PE, Welander U (2007) Measurement accuracy of marginal bone level in digital radiographs with and without color coding. Acta Odontol Scand 65:254–258. doi:10.1080/00016350701452089
Gomes-Filho IS, Sarmento VA, de Castro MS et al (2007) Radiographic features of periodontal bone defects: evaluation of digitized images. Dentomaxillofac Radiol 36:256–262. doi:10.1259/dmfr/25386411
Furkart AJ, Dove SB, McDavid WD, Nummikoski P, Matteson S (1992) Direct digital radiography for the detection of periodontal bone lesions. Oral Surg Oral Med Oral Pathol 74:652–660
Vandenberghe B, Jacobs R, Yang J (2008) Detection of periodontal bone loss using digital intraoral and cone beam computed tomography images: an in vitro assessment of bony and/or infrabony defects. Dentomaxillofac Radiol 37:252–260. doi:10.1259/dmfr/57711133
Newman MG, Takei HH, Klokkevold PR, Carranza FA (eds) (2006) Clinical periodontology, Tenthth edn. Philadelphia, Saunders, Elsevier
Ramadan AB, Mitchell DF (1962) A roentgenographic study of experimental bone destruction. Oral Surg Oral Med Oral Pathol 15: 934–943. In: Rees TD, Biggs NL, Collings CK (1971) Radiographic interpretation of periodontal osseos lesions. Oral Surg Oral Med Oral Pathol 32: 141–153
Pauls V, Tratt JR (1966) A radiological study of experimentally produced lesions in bone. Dent Pract Dent Rec 16:254–258
Nair MK, Nair UP (2001) An in-vitro evaluation of Kodak Insight and Ektaspeed Plus film with a CMOS detector for natural proximal caries: ROC analysis. Caries Res 35:354–359. doi:10.1159/000047474
Easley JR (1967) Methods of determining alveolar osseous form. J Periodontol 38:112–118
Reddy MS (1962) Radiographic methods in the evaluation of periodontal therapy. J Periodontol 63:1078–1084
Jeffcoat MK (1994) Current concepts in periodontal disease testing. J Am Dent Assoc 125:1071–1078
Eickholz P, Hausmann E (2000) Accuracy of radiographic assessment of interproximal bone loss in intrabony defects using linear measurements. Eur J Oral Sci 108:70–73. doi:10.1034/j.1600-0722.2000.00729.x
Scaf G, Sakakura CE, Kalil PF, Dearo de Morais JA, Loffredo LC, Wenzel A (2006) Comparison of simulated periodontal bone defect depth measured in digital radiographs in dedicated and non-dedicated software systems. Dentomaxillofac Radiol 35:422–425. doi:10.1259/dmfr/61300663
Papapanou PN, Wennström JL (1989) Radiographic and clinical assessments of destructive periodontal disease. J Clin Periodontol 16:609–612
Tonetti MS, Mombelli A (1999) Early-onset periodontitis. Ann Periodontol 4:39–53
Henrikson CO, Lavstedt S (1975) Precision and accuracy in intraoral roentgenological determination of proximal marginal bone loss. Acta Odontol Scand 33:50–89
Young SJ, Chaibi MS, Graves DT, Majzoub Z, Boustany F, Cochran D, Nummikoski P (1996) Quantitative analysis of periodontal defects in a skull model by subtraction radiography using a digital imaging device. J Periodontol 67:763–769
Braun X, Ritter L, Jervøe-Storm PM, Frentzen M (2014) Diagnostic accuracy of CBCT for periodontal lesions. Clin Oral Investig 18:1229–1236. doi:10.1007/s00784-013-1106-0
Acknowledgments
We hereby wish to thank Soner CANKAYA for his voluable and competent support in statistical analysis. This study was the doctorate thesis of A. Zeynep ZENGIN in Ondokuz Mayis University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology. The manuscript does not contain clinical studies or patient data.
Conflict of interest
The authors declare that there is no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zengin, A.Z., Sumer, P. & Celenk, P. Evaluation of simulated periodontal defects via various radiographic methods. Clin Oral Invest 19, 2053–2058 (2015). https://doi.org/10.1007/s00784-015-1421-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-015-1421-8