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The use of cone-beam computed tomography in furcation defects diagnosis

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2016
2159.pdf (685.0Kb)
Authors
Cimbaljević, Milena
Misić, J.
Janković, Saša
Nikolić-Jakoba, Nataša
Article (Published version)
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Abstract
Background: The use of cone-beam computed tomography (CBCT), as an additional diagnostic tool in daily dental practice, has expanded rapidly in recent years. Since CBCT allows assessment of dento-maxillofacial structures in three-dimensional manner, its use may be very tempting in alveolar bone furcation defects (FDs) diagnosis. Aim: The aim of this study was to determine the impact of clinical experience and experience with CBCT on FD detection in patients with periodontitis. Material and Methods: Fifteen patients with chronic generalized severe periodontitis were included in the study. In total, 168 furcation sites were analyzed on CBCT images by a previously trained senior year undergraduate student (O1) and a PhD student with three years of CBCT experience (O2), and compared to clinical findings (probing). CBCT images were analyzed on two separate occasions, within a 7-day interval. FDs were assessed both clinically and on CBCT images, using a dichotomous scale (present/absent). In...traobserver agreement for each observer was calculated by using Kappa coefficient (k). Interobserver agreement and agreement between CBCT and clinical findings for both observers were calculated. Results: Kappa coefficient value for both observers indicated a high intraobserver agreement (k1=0.75; k2=0.94). Interobserver agreement of CBCT image analyses was present in 72.6% (73.0% in maxilla, 71.7% in mandible). Agreement between CBCT image analyses and clinical findings for O1 was 48.8% and 51.2% for O2. Conclusion: It can be assumed that clinical experience and CBCT proficiency do not have an impact on FD detection on CBCT images, if an appropriate training was previously performed.

Keywords:
CBCT / Furcation defect / Furcation involvement / Periodontitis
Source:
Balkan Journal of Dental Medicine, 2016, 20, 3, 143-148
Publisher:
  • Udruženje stomatologa Balkana
Funding / projects:
  • Interraction of etiopathogenetic mechanisms of periodontal disease and periimplantitis with the systemic disorders of the present day (RS-41008)

DOI: 10.1515/bjdm-2016-0023

ISSN: 2335-0245

[ Google Scholar ]
URI
https://smile.stomf.bg.ac.rs/handle/123456789/2164
Collections
  • Radovi istraživača
Institution/Community
Stomatološki fakultet
TY  - JOUR
AU  - Cimbaljević, Milena
AU  - Misić, J.
AU  - Janković, Saša
AU  - Nikolić-Jakoba, Nataša
PY  - 2016
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2164
AB  - Background: The use of cone-beam computed tomography (CBCT), as an additional diagnostic tool in daily dental practice, has expanded rapidly in recent years. Since CBCT allows assessment of dento-maxillofacial structures in three-dimensional manner, its use may be very tempting in alveolar bone furcation defects (FDs) diagnosis. Aim: The aim of this study was to determine the impact of clinical experience and experience with CBCT on FD detection in patients with periodontitis. Material and Methods: Fifteen patients with chronic generalized severe periodontitis were included in the study. In total, 168 furcation sites were analyzed on CBCT images by a previously trained senior year undergraduate student (O1) and a PhD student with three years of CBCT experience (O2), and compared to clinical findings (probing). CBCT images were analyzed on two separate occasions, within a 7-day interval. FDs were assessed both clinically and on CBCT images, using a dichotomous scale (present/absent). Intraobserver agreement for each observer was calculated by using Kappa coefficient (k). Interobserver agreement and agreement between CBCT and clinical findings for both observers were calculated. Results: Kappa coefficient value for both observers indicated a high intraobserver agreement (k1=0.75; k2=0.94). Interobserver agreement of CBCT image analyses was present in 72.6% (73.0% in maxilla, 71.7% in mandible). Agreement between CBCT image analyses and clinical findings for O1 was 48.8% and 51.2% for O2. Conclusion: It can be assumed that clinical experience and CBCT proficiency do not have an impact on FD detection on CBCT images, if an appropriate training was previously performed.
PB  - Udruženje stomatologa Balkana
T2  - Balkan Journal of Dental Medicine
T1  - The use of cone-beam computed tomography in furcation defects diagnosis
VL  - 20
IS  - 3
SP  - 143
EP  - 148
DO  - 10.1515/bjdm-2016-0023
ER  - 
@article{
author = "Cimbaljević, Milena and Misić, J. and Janković, Saša and Nikolić-Jakoba, Nataša",
year = "2016",
abstract = "Background: The use of cone-beam computed tomography (CBCT), as an additional diagnostic tool in daily dental practice, has expanded rapidly in recent years. Since CBCT allows assessment of dento-maxillofacial structures in three-dimensional manner, its use may be very tempting in alveolar bone furcation defects (FDs) diagnosis. Aim: The aim of this study was to determine the impact of clinical experience and experience with CBCT on FD detection in patients with periodontitis. Material and Methods: Fifteen patients with chronic generalized severe periodontitis were included in the study. In total, 168 furcation sites were analyzed on CBCT images by a previously trained senior year undergraduate student (O1) and a PhD student with three years of CBCT experience (O2), and compared to clinical findings (probing). CBCT images were analyzed on two separate occasions, within a 7-day interval. FDs were assessed both clinically and on CBCT images, using a dichotomous scale (present/absent). Intraobserver agreement for each observer was calculated by using Kappa coefficient (k). Interobserver agreement and agreement between CBCT and clinical findings for both observers were calculated. Results: Kappa coefficient value for both observers indicated a high intraobserver agreement (k1=0.75; k2=0.94). Interobserver agreement of CBCT image analyses was present in 72.6% (73.0% in maxilla, 71.7% in mandible). Agreement between CBCT image analyses and clinical findings for O1 was 48.8% and 51.2% for O2. Conclusion: It can be assumed that clinical experience and CBCT proficiency do not have an impact on FD detection on CBCT images, if an appropriate training was previously performed.",
publisher = "Udruženje stomatologa Balkana",
journal = "Balkan Journal of Dental Medicine",
title = "The use of cone-beam computed tomography in furcation defects diagnosis",
volume = "20",
number = "3",
pages = "143-148",
doi = "10.1515/bjdm-2016-0023"
}
Cimbaljević, M., Misić, J., Janković, S.,& Nikolić-Jakoba, N.. (2016). The use of cone-beam computed tomography in furcation defects diagnosis. in Balkan Journal of Dental Medicine
Udruženje stomatologa Balkana., 20(3), 143-148.
https://doi.org/10.1515/bjdm-2016-0023
Cimbaljević M, Misić J, Janković S, Nikolić-Jakoba N. The use of cone-beam computed tomography in furcation defects diagnosis. in Balkan Journal of Dental Medicine. 2016;20(3):143-148.
doi:10.1515/bjdm-2016-0023 .
Cimbaljević, Milena, Misić, J., Janković, Saša, Nikolić-Jakoba, Nataša, "The use of cone-beam computed tomography in furcation defects diagnosis" in Balkan Journal of Dental Medicine, 20, no. 3 (2016):143-148,
https://doi.org/10.1515/bjdm-2016-0023 . .

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