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Is cone-beam comput...
Is cone-beam computed tomography (CBCT) an alternative to plain radiography in assessments of dental disease? A study of method agreement in a medically compromised patient population
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- Lindfors, Ninita (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Inst Postgrad Dent Educ, Jonkoping, Sweden.;Univ Gothenburg, Dept Oral & Maxillofacial Radiol, Inst Odontol, Sahlgrenska Acad, POB 450, S-40530 Gothenburg, Sweden.
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- Ekestubbe, Annika, 1953 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Univ Gothenburg, Dept Oral & Maxillofacial Radiol, Inst Odontol, Sahlgrenska Acad, POB 450, S-40530 Gothenburg, Sweden.
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- Frisk, Fredrik, 1971 (författare)
- Jönköping University,Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,HHJ, Avdelningen för klinisk diagnostik,Inst Postgrad Dent Educ, Jonkoping, Sweden.;Univ Gothenburg, Inst Odontol, Sahlgrenska Acad, Dept Endodontol, Gothenburg, Sweden.;Jonkoping Univ, Sch Hlth & Welf, Jonkoping, Sweden.
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- Lund, Henrik, 1975 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Univ Gothenburg, Dept Oral & Maxillofacial Radiol, Inst Odontol, Sahlgrenska Acad, POB 450, S-40530 Gothenburg, Sweden.
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- Springer, 2024
- 2024
- Engelska.
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Ingår i: CLINICAL ORAL INVESTIGATIONS. - : Springer. - 1432-6981 .- 1436-3771. ; 28:2
- Relaterad länk:
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- ObjectivesPoor oral health and dental infections can jeopardize medical treatment and be life-threatening. Due to this, patients with head and neck malignancies, generalized tumor spread, organ transplant, or severe infection are referred for a clinical oral and radiographic examination. The aim of this study was to compare the diagnostic agreement of three radiographic modalities: intraoral radiographs (IO), panoramic radiographs (PX), and cone beam computed tomography (CBCT) for diagnosis of dental diseases.Materials and methodsThree hundred patients were examined with IO, PX, and CBCT. Periapical lesions, marginal bone level, and caries lesions were diagnosed separately by four oral radiologists. All observers also assessed six teeth in 30 randomly selected patients at two different occasions. Kappa values and percent agreement were calculated.ResultsThe highest Kappa value and percent agreement were for diagnosing periapical lesions (0.76, 97.7%), and for the assessment of marginal bone level, it varied between 0.58 and 0.60 (87.8-89.3%). In CBCT, only 44.4% of all teeth were assessable for caries (Kappa 0.68, 93.4%). The intra-observer agreement, for all modalities and diagnoses, showed Kappa values between 0.5 and 0.93 and inter-observer agreement varied from 0.51 to 0.87.ConclusionsCBCT was an alternative to IO in diagnosing periapical lesions. Both modalities found the same healthy teeth in 93.8%. All modalities were performed equally regarding marginal bone level. In caries diagnosis, artifacts were the major cause of fallout for CBCT.Clinical relevanceIntraoral radiography is the first-hand choice for diagnosing dental disease. For some rare cases where intraoral imaging is not possible, a dedicated panoramic image and/or CBCT examination is an alternative.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Nyckelord
- Cone-beam computed tomography
- Panoramic radiography
- Dental radiography
- Dental diseases
- Cone-beam computed tomography
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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