scholarly journals Measurements of the gingival papillae architecture using cone-beam computed tomography in young Chinese adults

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10006
Author(s):  
Gang Yang ◽  
Jie Cao ◽  
Wenjie Hu ◽  
Kwok-Hung Chung

Background The aim of this study was to measure the morphology of interdental papillae (IP) in maxillary anterior teeth using cone-beam computed tomography (CBCT). Methods Twenty-seven periodontally healthy subjects with 135 IP were evaluated by means of periodontal examination and a CBCT scan with an elastomeric matrix containing radiopaque material in position. According to the status of tooth contact and presence of IP, subjects were categorized into three groups: open contact point, complete papillae, and deficient papillae group. The papillae height (PH), facial-lingual thickness (FLT), and interdental distance (IDD) were measured. Data was analyzed with the significance level at α = 0.05. Results The mean PH values were 4.17 ± 0.51 mm, 3.99 ± 0.61 mm, and 3.99 ± 0.62 mm, for the open contact group, complete papilla, and deficient papilla group, respectively. The PH values of the recorded sites among central incisors, lateral incisors, and canine were 4.13 ± 0.56 mm, 3.87 ± 0. 63 mm, and 4.07 ± 0.58 mm, respectively. No statistically significant differences of the PH values were determined between the above three tested groups as well as between the different sites (p > 0.05). The IDD values obtained from the complete papilla group were significantly lower than the other tested groups (p < 0.05). Conclusion The contact point condition of upper anterior sextants may not influence the presence and dimension of the IP in periodontally healthy subjects.

2009 ◽  
Vol 20 (5) ◽  
pp. 370-375 ◽  
Author(s):  
Carlos Estrela ◽  
Mike Reis Bueno ◽  
Olavo César Lyra Porto ◽  
Cleomar Donizeth Rodrigues ◽  
Jesus Djalma Pécora

The determination of the success of endodontic treatment has been often discussed based on outcome obtained by periapical radiography. The aim of this study was to verify the influence of intracanal post on apical periodontitis detected by cone-beam computed tomography (CBCT). A consecutive sample of 1020 images (periapical radiographs and CBCT scans) taken from 619 patients (245 men; mean age, 50.1 years) between February 2008 and September 2009 were used in this study. Presence and intracanal post length (short, medium and long) were associated with apical periodontitis (AP). Chi-square test was used for statistical analyses. Significance level was set at p<0.01. The kappa value was used to assess examiner variability. From a total of 591 intracanal posts, AP was observed in 15.06%, 18.78% and 7.95% using periapical radiographs, into the different lengths, short, medium and long, respectively (p=0.466). Considering the same posts length it was verified AP in 24.20%, 26.40% and 11.84% observed by CBCT scans, respectively (p=0.154). From a total of 1,020 teeth used in this study, AP was detected in 397 (38.92%) by periapical radiography and in 614 (60.19%) by CBCT scans (p<0.001). The distribution of intracanal posts in different dental groups showed higher prevalence in maxillary anterior teeth (54.79%). Intracanal posts lengths did not influenced AP. AP was detected more frequently when CBCT method was used.


2018 ◽  
Vol 23 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Pimchanok Foosiri ◽  
Korapin Mahatumarat ◽  
Soontra Panmekiate

ABSTRACT Objective: To determine the relationship between symphysis dimensions and alveolar bone thickness (ABT) of the mandibular anterior teeth. Methods: Cone-beam computed tomography images of 51 patients were collected and measured. The buccal and lingual ABT of the mandibular anterior teeth was measured at 3 and 6 mm apical to the cemento-enamel junction (CEJ) and at the root apices. The symphysis height and width were measured. The symphysis ratio was the ratio of symphysis height to symphysis width. Kendall’s tau correlation coefficient was used to determine the relationships between the variables at a 0.05 significance level. Results: The mandibular anterior teeth lingual and apical ABT positively correlated with symphysis width (p<0.05). Moreover, these thicknesses negatively correlated with the symphysis ratio (p<0.05). Symphysis widths and ratios showed higher correlation coefficients with total and buccal apical ABT, compared with lingual ABT. Buccal ABT at 3 and 6 mm apical to the CEJ was not significantly correlated with most symphysis dimensions. The mean thickness of the buccal alveolar bone at the upper root half was only 0.2-0.6 mm, which was very thin, when compared with other regions. Conclusion: For mandibular anterior teeth, the apical alveolar bone and lingual alveolar bone tended to be thicker in patients with a wide and short symphysis, compared to those with a narrow and long symphysis. Buccal alveolar bone was, in general, very thin and did not show a significant relationship with most symphysis dimensions.


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Atefeh Khavid ◽  
Mojgan Sametzadeh ◽  
Mostafa Godiny ◽  
Mohammad Mehdi Moarrefpour

Background and objective: In recent years, cone-beam computed tomography (CBCT) has become a key diagnostic tool in dentistry. CBCT can provide 3D images of the maxillofacial area to help dental practitioners in diagnosis and treatment, especially implant placement and treatment of pathogenic lesions. This study aimed to compare the Hounsfield Unit (HU) values obtained from CBCT images for bones of different densities with the corresponding HU values from MDCT images. Materials and methods: cube-shaped bone blocks of identical size were cut from the middle section of the cow ribs and femur area such that they had a layer of cortical bone in their buccal, lingual, and top surfaces and trabecular bone in the middle. MDCT scans were performed using a Somatom Sensation Ct Scanner. After determining HU from the results of these scans, nine suitable specimens from different ranges of HU were chosen for comparison. HU of the CBCT images was computed by the dedicated software of the CBCT machine. Finally, HU values obtained from MDCT and CBCT were compared. Data analysis was performed using SPSS version 25 at the 0.05 significance level. Results: The results showed a statistically significant difference between the mean HU from MDCT images and the mean HU from CBCT images (P<0.05). For similar specimens, CBCT produced higher mean HU values than MDCT. The Pearson correlation test detected a significant direct relationship between the HU values of specimens in MDCT and CBCT (P<0.05). Conclusion: For the tools and software used in this study, there was no significant difference between the HU values obtained from MDCT and CBCT, but the mean HU obtained from CBCT was higher than that from MDCT.


2016 ◽  
Vol 17 (8) ◽  
pp. 623-629 ◽  
Author(s):  
Ana CCF Conti ◽  
Fernando K Rhoden ◽  
Liliana Á Maltagliati ◽  
Renata R Almeida-Pedrin ◽  
Leopoldino C Filho ◽  
...  

ABSTRACT Aim The objective of this study was to evaluate the anterior teeth position changes obtained by passive self-ligating brackets using cone beam computed tomography (CBCT). Materials and methods Twenty patients with a mean age of 16.5 years, class I malocclusion, constricted maxillary arch, and teeth crowding above 5 mm were enrolled in this study, and treated by passive orthodontic self-ligating brackets. A sequence of stainless steel thermoset wire was implemented with ending wire of 0.019” × 0.025”. The CBCT and dental casts were obtained prior to the installation of orthodontic appliances (T1), and 30 days after rectangular steel wire 0.019” × 0.025” installation (T2). The measurements in CBCT were performed with the Anatomage software, and the dental casts were evaluated with a digital caliper rule with an accuracy of 0.01 mm. Results The CBCT data demonstrated mean buccal inclination of the upper and lower central incisors ranging from 6.55° to 7.24° respectively. The upper and lower lateral incisors ranged from 4.90° to 8.72° respectively. The lower canines showed an average increase of 3.88° in the buccal inclination and 1.96 mm in the transverse intercuspal distance. The upper canines showed a negative inclination with mean average of −0.36°, and an average increase of 0.82 mm in the transverse distance, with negative correlation with the initial crowding. Conclusion Treatment with passive self-ligating brackets without obtaining spaces increases buccal inclination of the upper and lower incisors with no correlation with the amount of initial teeth crowding. The intercanine distance tends to a small increase showing different inclinations between the arches. Clinical significance When taking into account the selfligating brackets, the amount of initial dental crowding is not a limitation factor that could increase the buccal inclination of the anterior teeth. How to cite this article Rhoden FK, Maltagliati LÁ, de Castro Ferreira Conti AC, Almeida-Pedrin RR, Filho LC, de Almeida Cardoso M. Cone Beam Computed Tomography-based Evaluation of the Anterior Teeth Position Changes obtained by Passive Selfligating Brackets. J Contemp Dent Pract 2016;17(8):623-629.


2019 ◽  
Vol 64 (2) ◽  
pp. 161-166
Author(s):  
LL Dantas ◽  
PP Ferreira ◽  
LSAF Oliveira ◽  
FS Neves ◽  
PSF Campos ◽  
...  

2014 ◽  
Vol 08 (03) ◽  
pp. 302-306 ◽  
Author(s):  
Mustafa Altunsoy ◽  
Evren Ok ◽  
Bilge Gulsum Nur ◽  
Osman Sami Aglarci ◽  
Enes Gungor ◽  
...  

ABSTRACT Objective: The aim of this study was to determine the root and canal morphology of the maxillary and mandibular anterior teeth in a Turkish population by analyzing cone-beam computed tomography (CBCT) images. Materials and Methods: CBCT images of 417 females and 410 males with a mean age of ranging from 14 to 70 years were examined in this study. A total of 1453 maxillary central incisors, 1504 maxillary lateral incisors, 1523 maxillary canines, 1582 mandibular central incisors, 1603 mandibular lateral incisors, and 1604 mandibular canines were analyzed. The number of root canals and the canal configurations were investigated and then were classified according to Vertucci's classification. The data were analyzed with the Pearson Chi-square test. Results: The Type 1 canal configuration was most prevalent in the maxillary anterior teeth (96.8-99.7%). The Types 2, 3, 4, and 5 canal configurations were observed within the range of 0-1.3%, 0-0.8%, 0-0.7%, and 0-1.8%, respectively. In the mandibular anterior teeth, the Type 1 canal configuration was most prevalent (77-95%). The Types 2, 3, 4, and 5 canal configurations were observed within a range of 0.2-2.7%, 0.2-1.6%, 0.9-5.9%, and 1.8-14.4%, respectively. The prevalence of two canals was higher in males than in females both in the maxillary and mandibular anterior teeth (P < 0.05). Conclusions: Type 1 was the most prevalent canal configuration of maxillary and mandibular anterior teeth in the Turkish population. Type 5 was the most frequently observed canal configuration of the two canalled teeth. The incidence of root canal numbers and configurations differed with sex.


2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
Vijay Shekhar ◽  
K. Shashikala

The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.


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