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Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology

Artikel i vetenskaplig tidskrift
Författare Sara Lofthag-Hansen
S Huumonen
Kerstin Gröndahl
Hans-Göran Gröndahl
Publicerad i Oral Surg Oral Med Oral Pathol Oral Radiol Endod
Volym 103
Nummer/häfte 1
Sidor 114-119
Publiceringsår 2007
Publicerad vid Institutionen för odontologi
Sidor 114-119
Språk en
Ämneskategorier Radiologisk forskning

Sammanfattning

Objective To compare intraoral periapical radiography with 3D images for the diagnosis of periapical pathology. Study design Maxillary molars and premolars and mandibular molars with endodontic problems and examined with periapical radiographs and a 3D technique (3D Accuitomo) were retrospectively selected and evaluated by 3 oral radiologists. Numbers of roots and root canals, presence and location of periapical lesions, and their relation to neighboring structures were studied. Results Among 46 teeth, both techniques demonstrated lesions in 32 teeth, and an additional 10 teeth were found in the Accuitomo images. As regards individual roots, 53 lesions were found in both techniques, and 33 more roots were found to have lesions in Accuitomo images. Artefacts were sometimes a problem in Accuitomo images. In 32 of the 46 cases, all observers agreed that additional clinically relevant information was obtained with Accuitomo images. Conclusions A high-resolution 3D technique can be of value for diagnosis of periapical problems.

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