Assessment of alveolar bone level and furcation involvement in periodontal diseases using dental cone-beam computed tomography (CBCT): a systematic review

Authors

DOI:

https://doi.org/10.14295/bds.2020.v23i3.1927

Abstract

The advent of CBCT has contributed significantly to dental imaging. In the field of periodontics, CBCT provides a multiplanar view to assess the alveolar bone in three dimensions. This helps the dentist to make measurements at any location that could significantly improve periodontal diagnosis. Objective- The aim of this systematic review is to evaluate the accuracy of using CBCT in the assessment of alveolar bone level and furcation involvement in periodontal diseases. Materials and Methods- PubMed and Google Scholar databases were searched for literature related to the application of CBCT in periodontal diseases.  Keywords used for the search were CBCT, furcation involvement, measurement and their synonyms. Results-Fifteen full-text English language research papers were eligible for the systematic review using the PRISMA guidelines. Conclusion- From the results of the systematic review it can be conclude that cone-beam computed tomography imaging technique offers significantly reliable images of the furcation involvement and height of the alveolar bone.

Keywords

Cone Beam Computed tomography, furcation defects, alveolar bone loss

 

References

Langen HJ, Fuhrmann R, Diedrich P, Günther RW. Diagnosis of infra-alveolar bony lesions in the dentate alveolar process with high-resolution computed tomography: experimental results. Invest Radiol. 1995;30(7): 421-6.

Leung CC, Palomo L, Griffith R, Hans MG (2010) Accuracy and reliability of cone-beam computed tomography formeasuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop 137, S109-119.

Armitage GC.The complete periodontal examination. Periodontology2000.2004; 34:22–33

Bragger U. Radiographic parameters: biological significance and clinical use. Periodontology 2000. 2005; 39:73–90.

Bayat S, Talaeipour AR, Sarlati F. Detection of simulated periodontal defects using cone-beam CT and digital intraoral radiography. DentomaxillofacRadiol 2016; 45, 20160030.

Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. DentomaxillofacRadiol 1999; 28: 245-8.

Ludlow JB, Davies¬Ludlow LE, Brooks SL. Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and Orthophos Plus DS panoramic unit. DentomaxillofacRadiol 2003; 32: 229¬34.

Mah JK, Danforth RA, Bumann A, Hatcher D. Radiation absorbed in maxillofacial imaging with a new dental computed tomography device. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2003; 96: 508¬13.

Aljehani YA. Diagnostic applications of cone¬beam CT for periodontal diseases. Int J Dent 2014; 2014: 865079.

Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. Reprint-preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Phys Ther 2009; 89:

–80.

Anter E, Zayet MF, El-Dessouky SH. Accuracy and precision of cone beam computed tomography in periodontal defects measurement (systematic review). J Indian Soc Periodontol. 2016; 20(3): 235–243.

Pour DG, Romoozi E, Shayesteh YS. Accuracy of Cone Beam Computed Tomography for Detection of Bone Loss. J Dent TUMS 2015; 12(7) 513-523.

Qiao J, Wang S, Duan J, Zhang Y, Qiu Y, Sun C, Liu D. The accuracy of conebeam computed tomography in assessing maxillary molar furcation involvement. J Clin Periodontol 2014; 41: 269–274.

Cimbaljevic MM, Spin-Neto RR, Miletic VJ, Jankovic SM, Aleksic ZM, Nikolic-Jakoba NS. Clinical and CBCT-based diagnosis of furcation involvement in patients with severe periodontitis. Quintessence Int 2015;46:863–870

Kranti K, Mani R, Tervankar AR. Accuracy of Cone Beam Computed Tomography as a Pre-operative Tool to Assess Maxillary Molar Furcation Involvement. Int J Dent & Oral Heal. 2015;1(1):1-6.

Guo Y-J, Ge Z-p, Ma R-h, Hou J-x, Li G. A six-site method for the evaluation of periodontal bone loss in cone-beam CT images. DentomaxillofacRadiol 2016; 45: 20150265.

Zhu J, Ouyang XY .Assessing Maxillary Molar Furcation Involvement by Cone Beam Computed Tomograph. Chin J Dent Res 2016;19(3):145–151.

Pajnigara N, Kolte A, Kolte R, PajnigaraN,Lathiya V. Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects. J Indian Soc Periodontol. 2016 ; 20(4): 386–390.

Padmanabhan S, Dommy A, Guru SR, Joseph A. Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects. Contemp Clin Dent. 2017; 8(3): 439–445.

Aghanashini S, Jayachandran C, Mundinamane DB, Nadiger S, Bhat D, Andavarapu S. Comparison of the Furcation Involvement by ClinicalProbing and Cone Beam Computed Tomography withTrue Level of Involvement during Flap Surgery. World J Dent,2017;8(4):267-272.

Zhang W , Keagan Foss K, Wang BY. A retrospective study on molar furcationassessment via clinical detection, intraoralradiography and cone beam computedtomography. BMC Oral Health 2018; 18:75

Parvez MF, Manjunath N, Kini R. Comparative assesment of accuracy of Iopa and Cbct for maxillary molar furcation involvement: a clinical and radiological study. Int J Res Med Sci 2018;6:1765-9.

Patil SR, Al-Zoubi IA, Gudipaneni R, Alenazi KK, Yadav N. A comparative study of cone-beam computed tomography andintrasurgical measurements of intrabony periodontal defects. Int J Oral Health Sci 2018;8:81-5.

Yang J, Li X, Duan1 D,, Bai L, Lei Zhao L, Yi Xu Y. Cone-beam computed tomography performancein measuring periodontal bone loss. J Oral Sci 2019;61(1): 61-66.

Sreih R, Ghosn N, Chakar C, Mokbel M, Naamn NB. Clinical and radiographic periodontal parameters: Comparison with software generated CBCT measurements.Int Arab J Dent 2019;10(1):10-18.

Nayyar AS. Cone beam computed tomography and detection of periodontal bone defects in patients with advanced periodontal disease indicated for periodontal surgeries. Int J Head Neck Pathol2018;1:12-20.

Haas LF, Zimmermann GS, De Luca Canto G, Flores-Mir C, Corrêa M. Precision of cone beam CT to assess periodontal bone defects: a systematic review and meta-analysis. DentomaxillofacRadiol 2018; 47: 20170084

Choi IG, Cortes AR, Emiko Saito Arita ES, Georgetti MA Comparison of conventional imaging techniques and CBCT for periodontal evaluation: A systematic review. Imag Sci Dent 2018; 48: 79-86.

Mol A, Balasundaram A (2008) In vitro cone beam computed tomography imaging of periodontal bone. DentomaxillofacRadiol 2008; 37: 319-324.

Sun Z, Smith T, Kortam S, Kim DG, Tee BC, Fields H.Effect of bone thickness on alveolar bone-height measurements from cone-beam computed tomography images. Am J Orthod Dentofacial Orthop 2011; 139, e117-127.

Feijo CV, Lucena JG, Kurita LM, Pereira SL (2012) Evaluation of cone beam computed tomography in the detection ofhorizontal periodontal bone defects: an in vivo study. Int J Periodontics Restorative Dent 2012; 32: e162-168.

Roberts JA, Drage NA, Davies J, Thomas DW. Effective dose from cone beam CT examinations in dentistry. Br JRadiol 2009; 82: 35-40.

Walter C, Weiger R, Dietrich T, Lang NP, Zitzmann NU. Does three-dimensionalimaging offer a financial benefit fortreating maxillary molars with furcationinvolvement? A pilot clinical case series. Clin Oral Imp Res. 2011; 23: 351–358.

CimbaljevicM, Jankovic JM,Nikolic-Jakoba N. The Use of Cone-Beam Computed Tomography inFurcation Defects Diagnosis. Balk J Dent Med, 2016; 20:143-148

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Published

2020-06-30