Yıl 2017, Cilt 51 , Sayı 1, Sayfalar 22 - 27 2017-01-02

DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY

Elif Yıldızer KERİŞ [1] , Oğuzhan DEMİREL [2] , Melih ÖZDEDE [3] , Bülent ALTUNKAYNAK [4] , İlkay PEKER [5]


Purpose: The aim of this in vitro study was to assess the diagnostic performance of cone-beam computed tomography (CBCT) in the detection of secondary carious lesions under composite resin fillings applied to different types of cavities.

Materials and Methods: Occlusal cavities (O) (n=18), occlusal cavities with mesial or distal component (MO/DO) (n=30), and mesial–occlusal–distal cavities (MOD) (n=30) were prepared in seventy eight extracted human posterior teeth. In half of the cavities in each group, artificial secondary caries lesions were simulated. All cavities were restored by using composite resin. All specimens were embedded in silicone and they were positioned to have approximal contacts. CBCT imaging was done and data were evaluated two times with two week interval by two observers, using a five-point confidence scale. Intra- and inter-observer agreements were calculated with Kappa statistics (κ). The area under (Az) the receiver operating characteristic (ROC) curve was used to evaluate the diagnostic accuracy.

Results: Intra- (κ =0.89) and inter-observer (κ = 0.79) agreements were found to be excellent. Az values were highest for the O restorations which is followed by the MOD and DO/MO restorations. Az values for MOD and DO/MO restorations were very low and no statistically significant difference was found. Sensitivity for DO/MO restorations and specificity for MOD restorations were found to be the lowest values.

Conclusion: Diagnostic performance of CBCT was higher in O composite restorations than MOD and DO/MO restorations for secondary caries detection. The use of alternative imaging methods rather than CBCT may be useful for evaluating secondary caries under composite MOD and DO/MO restorations.
Dental caries, cone beam computed tomography; caries diagnosis; composite resin; receiver operating characteristics
  • Bianchi S, Anglesio S, Castellano S., Rizzi, L., Ragona R. Absorbed doses and risk in implant planning: Comparison between spiral ct and cone beam ct. Dentomaxillofac Radiol. 2001;30:28.
  • Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam CT. Eur J Radiol 2005;56(3):413-417.
  • Drage NA, Sivarajasingam V. The use of cone beam computed tomography in the management of isolated orbital floor fractures. Br J Oral Maxillofac Surg 2009;47(1):65-66.
  • Garrett BJ, Caruso JM, Rungcharassaeng K, Farrage JR, Kim JS, Taylor GD. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2008;134(1):8-9.
  • Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-the-art on cone beam ct imaging for preoperative planning of implant placement. Clin Oral Investig 2006;10(1):1-7.
  • Holberg C, Steinhauser S, Geis P, Rudzki-Janson I. Cone-beam computed tomography in orthodontics: Benefits and limitations. J Orofac Orthop 2005;66(6):434-444.
  • Honda K, Arai Y, Kashima M, Takano Y, Sawada K, Ejima K, Iwai K. Evaluation of the usefulness of the limited cone-beam CT (3DX) in the assessment of the thickness of the roof of the glenoid fossa of the temporomandibular joint. Dentomaxillofac Radiol 2004;33(6):391-395.
  • Misch KA, Yi ES, Sarment DP. Accuracy of cone beam computed tomography for periodontal defect measurements. J Periodontol 2006;77(7):1261-1266.
  • Kayipmaz S, Sezgin OS, Saricaoglu ST, Can G. An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries. Eur J Radiol 2011;80(2):478-482.
  • Qu X, Li G, Zhang Z, Ma X. Detection accuracy of in vitro approximal caries by cone beam computed tomography images. Eur J Radiol 2011;79(2):e24-27.
  • Senel B, Kamburoglu K, Ucok O, Yuksel SP, Ozen T, Avsever H. Diagnostic accuracy of different imaging modalities in detection of proximal caries. Dentomaxillofac Radiol 2010;39(8):501-511.
  • Tsuchida R, Araki K, Okano T. Evaluation of a limited cone-beam volumetric imaging system: Comparison with film radiography in detecting incipient proximal caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104(3):412-416.
  • Akdeniz BG, Grondahl HG, Magnusson B. Accuracy of proximal caries depth measurements: Comparison between limited cone beam computed tomography, storage phosphor and film radiography. Caries Res 2006;40(3):202-207.
  • American Dental Association Council on Scientific A. The use of cone-beam computed tomography in dentistry: An advisory statement from the american dental association council on scientific affairs. J Am Dent Assoc 2012;143(8):899-902.
  • Murat S, Kamburoglu K, Isayev A, Kursun S, Yuksel S. Visibility of artificial buccal recurrent caries under restorations using different radiographic techniques. Oper Dent 2013;38(2):197-207.
  • Farag S AM. Detection of in vitro secondary caries adjacent to restorations using cone-beam computed tomography. Egypt Dent J 2011;57:907-919.
  • Jaju PP, Jain M, Singh A, Gupta A. Artefacts in cone beam CT. Open J Stomatol 2013;3:292-297.
  • Nabha W, Hong YM, Cho JH, Hwang HS. Assessment of metal artifacts in three-dimensional dental surface models derived by cone-beam computed tomography. Korean J Orthod 2014;44(5):229-235.
  • Nair MK, Ludlow JB, May KN, Nair UP, Johnson MP, Close JM. Diagnostic accuracy of intraoral film and direct digital images for detection of simulated recurrent decay. Oper Dent 2001;26(3):223-230.
  • 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):143-150.
  • Tohnak S, Mehnert AJ, Mahoney M, Crozier S. Dental ct metal artefact reduction based on sequential substitution. Dentomaxillofac Radiol 2011;40(3):184-190.
  • White SC, Pharoah MJ. The evolution and application of dental maxillofacial imaging modalities. Dent Clin North Am 2008;52(4):689-705.
  • Espelid I, Tveit AB, Erickson RL, Keck SC, Glasspoole EA. Radiopacity of restorations and detection of secondary caries. Dent Mater 1991;7(2):114-117.
  • Emadi N, Safi Y, Akbarzadeh Bagheban A, Asgary S. Comparison of CT-number and gray scale value of different dental materials and hard tissues in CT and CBCT. Iran Endod J 2014;9(4):283-286.
Bölüm Araştırmalar / Original Articles
Yazarlar

Yazar: Elif Yıldızer KERİŞ

Yazar: Oğuzhan DEMİREL

Yazar: Melih ÖZDEDE

Yazar: Bülent ALTUNKAYNAK

Yazar: İlkay PEKER

Tarihler

Yayımlanma Tarihi : 2 Ocak 2017

Bibtex @ { jiufd438180, journal = {Journal of Istanbul University Faculty of Dentistry}, issn = {}, eissn = {2149-4592}, address = {}, publisher = {İstanbul Üniversitesi}, year = {2017}, volume = {51}, pages = {22 - 27}, doi = {10.17096/jiufd.62563}, title = {DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY}, key = {cite}, author = {Keriş, Elif Yıldızer and Demirel, Oğuzhan and Özdede, Melih and Altunkaynak, Bülent and Peker, İlkay} }
APA Keriş, E , Demirel, O , Özdede, M , Altunkaynak, B , Peker, İ . (2017). DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY . Journal of Istanbul University Faculty of Dentistry , 51 (1) , 22-27 . Retrieved from https://dergipark.org.tr/tr/pub/jiufd/issue/37933/438180
MLA Keriş, E , Demirel, O , Özdede, M , Altunkaynak, B , Peker, İ . "DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY" . Journal of Istanbul University Faculty of Dentistry 51 (2017 ): 22-27 <https://dergipark.org.tr/tr/pub/jiufd/issue/37933/438180>
Chicago Keriş, E , Demirel, O , Özdede, M , Altunkaynak, B , Peker, İ . "DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY". Journal of Istanbul University Faculty of Dentistry 51 (2017 ): 22-27
RIS TY - JOUR T1 - DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY AU - Elif Yıldızer Keriş , Oğuzhan Demirel , Melih Özdede , Bülent Altunkaynak , İlkay Peker Y1 - 2017 PY - 2017 N1 - DO - T2 - Journal of Istanbul University Faculty of Dentistry JF - Journal JO - JOR SP - 22 EP - 27 VL - 51 IS - 1 SN - -2149-4592 M3 - UR - Y2 - 2021 ER -
EndNote %0 Journal of Istanbul University Faculty of Dentistry DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY %A Elif Yıldızer Keriş , Oğuzhan Demirel , Melih Özdede , Bülent Altunkaynak , İlkay Peker %T DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY %D 2017 %J Journal of Istanbul University Faculty of Dentistry %P -2149-4592 %V 51 %N 1 %R %U
ISNAD Keriş, Elif Yıldızer , Demirel, Oğuzhan , Özdede, Melih , Altunkaynak, Bülent , Peker, İlkay . "DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY". Journal of Istanbul University Faculty of Dentistry 51 / 1 (Ocak 2017): 22-27 .
AMA Keriş E , Demirel O , Özdede M , Altunkaynak B , Peker İ . DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY. J Istanbul Univ Fac Dent. 2017; 51(1): 22-27.
Vancouver Keriş E , Demirel O , Özdede M , Altunkaynak B , Peker İ . DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY. Journal of Istanbul University Faculty of Dentistry. 2017; 51(1): 22-27.
IEEE E. Keriş , O. Demirel , M. Özdede , B. Altunkaynak ve İ. Peker , "DIAGNOSTIC ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN DETECTING SECONDARY CARIES UNDER COMPOSITE FILLINGS: AN IN VITRO STUDY", Journal of Istanbul University Faculty of Dentistry, c. 51, sayı. 1, ss. 22-27, Oca. 2017, doi:10.17096/jiufd.62563