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

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2016
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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
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

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URI
http://smile.stomf.bg.ac.rs/handle/123456789/2164
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Stomatološki fakultet

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