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Comparison of accuracy cone-beam computed tomography and digital bitewing radiography for detection of recurrent caries under various restorative materials: in vitro study

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Abstract

Objective

The aim of this study was to compare and evaluate diagnostic accuracy of two different CBCT scan modes and digital bitewing radiography for detection of recurrent caries under five different restorative materials, and determine the relationship between the types of restorative materials.

Materials and methods

In this in vitro study, 200 caries-free upper and lower premolars and molars were selected. A standard deep Class II cavities was created in the middle of the mesial surface of all teeth. In 100 teeth of the experimental and control groups, secondary caries was artificially demineralized. All teeth were filled with five types of restorative material including two types of conventional composite resins, flow composite resin, glass ionomer and amalgam. The teeth were imaged with high resolution (HIRes) and standard CBCT scan modes and digital bitewing. The AUC, sensitivity, specificity and areas under the ROC curve were calculated and verified through SPSS.

Results

CBCT technique was the best option in diagnosing recurrent caries. The diagnostic accuracy and specificity of HIRes CBCT scan mode was significantly higher than standard mode (P = 0.031) and bitewing (P = 0.029) for detection of recurrent caries, especially under composite group. There were no significant differences in accuracy value of bitewing and standard CBCT scan mode.

Conclusion

CBCT showed higher accuracy and specificity on the detection of recurrent caries which was more accurate than bitewing radiography. The HIRes CBCT scan mode achieved the highest accuracy and performed the best in recurrent caries detection.

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Data Availability

Data will be available on request.

References

  1. Mjör IA, Toffentti F. Secondary caries: a literature review with case reports. Quintessence Int. 2000;31(3):165–179.

  2. Anbiaee N, Mohassel AR, Imanimoghaddam M, Moazzami SM. A comparison of the accuracy of digital and conventional radiography in the diagnosis of recurrent caries. J Contemp Dent Pract. 2010;11(6):E025-032.

    Article  PubMed  Google Scholar 

  3. Moreira PL, Messora MR, Pereira SM. Almeida SMd, Cruz ADd: diagnosis of secondary caries in esthetic restorations: influence of the incidence vertical angle of the X-ray beam. Braz Dent J. 2011;22:129–33.

    Article  PubMed  Google Scholar 

  4. Kasraei S, Shokri A, Poorolajal J, Khajeh S, Rahmani H. Comparison of cone-beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations. Braz Dent J. 2017;28:85–91.

    Article  PubMed  Google Scholar 

  5. Kamburoğlu K, Ilker Cebeci A, Gröndahl HG. Effectiveness of limited cone-beam computed tomography in the detection of horizontal root fracture. Dent Traumatol. 2009;25(3):256–61.

    Article  PubMed  Google Scholar 

  6. Charuakkra A, Prapayasatok S, Janhom A, Pongsiriwet S, Verochana K, Mahasantipiya P. Diagnostic performance of cone-beam computed tomography on detection of mechanically-created artificial secondary caries. Imaging Sci Dent. 2011;41(4):143–50.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Melo SLS, Belem MDF, Prieto LT, Tabchoury CPM, Haiter-Neto F. 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. 2017;124(3):306–14.

    Article  Google Scholar 

  8. Baltacıoĝlu İH, Eren H, Yavuz Y, Kamburoğlu K. Diagnostic accuracy of different display types in detection of recurrent caries under restorations by using CBCT. Dentomaxillofacial Radiol. 2016;45(6):20160099.

    Article  Google Scholar 

  9. Kamburoğlu K, Murat S, Yüksel SP, Cebeci ARİ, Paksoy CS. Occlusal caries detection by using a cone-beam CT with different voxel resolutions and a digital intraoral sensor. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2010;109(5):e63–9.

    Article  Google Scholar 

  10. Van Daatselaar A, Tyndall D, Van der Stelt P. Detection of caries with local CT. Dentomaxillofacial Radiol. 2003;32(4):235–41.

    Article  Google Scholar 

  11. Van Daatselaar A, Van der Stelt P, Weenen J. Effect of number of projections on image quality of local CT. Dentomaxillofacial Radiol. 2004;33(6):361–9.

    Article  Google Scholar 

  12. Ertas ET, Küçükyılmaz E, Ertaş H, Savaş S, Atıcı MY. A comparative study of different radiographic methods for detecting occlusal caries lesions. Caries Res. 2014;48(6):566–74.

    Article  PubMed  Google Scholar 

  13. Şenel B, Kamburoğlu K, Üçok Ö, Yüksel S, Özen T, Avsever H. Diagnostic accuracy of different imaging modalities in detection of proximal caries. Dentomaxillofacial Radiol. 2010;39(8):501–11.

    Article  Google Scholar 

  14. Young S, Lee J, Hodges R, Chang T, Elashoff D, White S. A comparative study of high-resolution cone beam computed tomography and charge-coupled device sensors for detecting caries. Dentomaxillofacial Radiol. 2009;38(7):445–51.

    Article  Google Scholar 

  15. Belém M, Tabchoury C, Ferreira-Santos R, Groppo F, Haiter-Neto F. 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 Radiol. 2013;42(5):20120313.

    Article  Google Scholar 

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

    Article  Google Scholar 

  17. Murat S, Kamburoğlu K, Isayev A, Kurşun S, Yüksel S. Visibility of artificial buccal recurrent caries under restorations using different radiographic techniques. Oper Dent. 2013;38(2):197–207.

    Article  PubMed  Google Scholar 

  18. Valizadeh S, Tavakkoli MA, Vasigh HK, Azizi Z, Zarrabian T. Evaluation of cone beam computed tomography (CBCT) system: comparison with intraoral periapical radiography in proximal caries detection. J Dent Res Dent Clin Dent Prospects. 2012;6(1):1.

    PubMed  PubMed Central  Google Scholar 

  19. Cheng J-G, Zhang Z-L, Wang X-Y, Zhang Z-Y, Ma X-C, Li G. Detection accuracy of proximal caries by phosphor plate and cone-beam computerized tomography images scanned with different resolutions. Clin Oral Invest. 2012;16(4):1015–21.

    Article  Google Scholar 

  20. McIntyre J, Featherstone J, Fu J. Studies of dental root surface caries. 1: comparison of natural and artificial root caries lesions. Aust Dent J. 2000;45(1):24–30.

    Article  PubMed  Google Scholar 

  21. Cebe F, Aktan AM, Ozsevik AS, Ciftci ME, Surmelioglu HD. 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 Surg Oral Med Oral Pathol Oral Radiol. 2017;123(3):392–400.

    Article  PubMed  Google Scholar 

  22. Abesi F, Mirshekar A, Moudi E, Seyedmajidi M, Haghanifar S, Haghighat N, Bijani A. Diagnostic accuracy of digital and conventional radiography in the detection of non-cavitated approximal dental caries. Iran J Radiol. 2012;9(1):17.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.

    Article  PubMed  Google Scholar 

  24. Tyndall DA, Rathore S. Cone-beam CT diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am. 2008;52(4):825–41.

    Article  PubMed  Google Scholar 

  25. Park Y-S, Ahn J-S, Kwon H-B, Lee S-P. Current status of dental caries diagnosis using cone beam computed tomography. Imaging Sci Dent. 2011;41(2):43–51.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Felemban OM, Loo CY, Ramesh A. Accuracy of cone-beam computed tomography and extraoral bitewings compared to intraoral bitewings in detection of interproximal caries. J Contemp Dent Pract. 2020;21(12):1361–7.

    PubMed  Google Scholar 

  27. Wenzel A, Haiter-Neto F, Frydenberg M, Kirkevang L-L. Variable-resolution cone-beam computerized tomography with enhancement filtration compared with intraoral photostimulable phosphor radiography in detection of transverse root fractures in an in vitro model. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2009;108(6):939–45.

    Article  Google Scholar 

  28. Berkey CS, Douglass CW, Valachovie RW, Chauncey HH, McNeil BJ. Statistical methods for comparing dental diagnostic procedures. Commun Dent Oral Epidemiol. 1990;18(4):169–76.

    Article  Google Scholar 

  29. White SC, Pharoah M. Oral radiology: principles and interpretation, vol. 6. St. Louis: Mosby Elsevier; 2009. p. 70–3.

    Google Scholar 

  30. Abdolrahim D, Fatemeh EA, Alireza D, Maliheh M, Monireh S. Evaluate the influence of combined composite restorations radiopacity in deep class II cavities with three imaging systems: conventional film, digital system and cone beam computed tomography. J Res Med Dent Sci. 2018;6(6):225–31.

    Google Scholar 

  31. Matteson SR, Phillips C, Kantor ML, Leinedecker T. The effect of lesion size, restorative material, and film speed on the detection of recurrent caries. Oral Surg Oral Med Oral Pathol. 1989;68(2):232–7.

    Article  PubMed  Google Scholar 

  32. Ludlow JB, Davies-Ludlow L, Brooks S, Howerton W. Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. Dentomaxillofacial Radiol. 2006;35(4):219–26.

    Article  Google Scholar 

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Acknowledgements

We are grateful to Dr. Hakimeh Ghorbani for their help in CBCT and bitewing images observation. In addition, we would like to express our special thanks to the personals of Dr. Farida Abesi radiology for supplying CBCT and bitewing images.

Funding

The financial and funding provided by Babol University of Medical Sciences.

Author information

Authors and Affiliations

  1. Research Committee, Babol University of Medical Sciences, Babol, Iran

    Fatemehzahra Talachi

  2. Dental Materials Research Center, Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

    Farida Abesi

  3. Department of Restorative Dentistry, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

    Fariba Ezoji

  4. Department of Clinical Biochemistry, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

    Soleiman Mahjoub

  5. Oral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

    Hakimeh Ghorbani

  6. Social Determinants of Health Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

    Ali Bijani

Authors
  1. Fatemehzahra Talachi
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  2. Farida Abesi
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  4. Soleiman Mahjoub
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  5. Hakimeh Ghorbani
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Contributions

FT contributed to guarantor of integrity of the entire study, literature research, data analysis, statistical analysis and manuscript preparation. FA contributed to study concepts and design, clinical studies, data analysis and manuscript editing. FE contributed to guarantor of integrity of the entire study, clinical studies, experimental studies, manuscript editing and supervision. SM contributed to study design and methodology. HG contributed to data analysis. AB contributed to statistical analysis.

Corresponding authors

Correspondence to Farida Abesi or Fariba Ezoji.

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Conflict of interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Ethical approval

Research permission was granted by the Research Ethics Committee of Babol University of Medical Sciences (approval code: IR.MUBABOL.REC.1399.377).

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Not Applicable. No informed consent is required of this type of study.

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Talachi, F., Abesi, F., Ezoji, F. et al. Comparison of accuracy cone-beam computed tomography and digital bitewing radiography for detection of recurrent caries under various restorative materials: in vitro study. Oral Radiol 39, 722–730 (2023). https://doi.org/10.1007/s11282-023-00690-x

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  • DOI: https://doi.org/10.1007/s11282-023-00690-x

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