Diagnosis of simulated condylar bone defects using panoramic radiography, spiral tomography and cone-beam computed tomography: a comparison study
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Salemi, Fatemeh; Shokri, Abbas; Mortazavi, Hamed; Baharvand, Maryam
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Aquest document és un/a article, creat/da en: 2015
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Objectives: Radiographic examination is one of the most important parts of the clinical assessment routine for
temporomandibular disorders. The aim of this study was to compare the diagnostic accuracy of cone-beam computed tomography(CBCT) with panoramic radiography and spiral computed tomography for the detection of the
simulated mandibular condyle bone lesions.
Study Design: The sample consisted of 10 TMJs from 5 dried human skulls. Simulated erosive and osteophytic lesions were created in 3 different sizes using round diamond bur and bone chips, respectively. Panoramic radiography, spiral tomography and cone-beam computed tomography were used in defect detection. Data were statistically
analyzed with the Mann-Whitney test. The reliability and degrees of agreement between two observers were also
determined by the mean of Cohen's Kappa analysis.
Results: CBCT had a statistically significant superiority than other studied techniques in detection of both erosive
and osteophytic lesions with different sizes. There were significant differences between tomography and panoramic
in correct detection of both erosive and osteophytic lesions with 1mm and 1.5 mm in size. However, there were no
significant differences between Tomography and Panoramic in correct detection of both erosive and osteophytic
lesions with 0.5 mm in size.
Conclusions: CBCT images provide a greater diagnostic accuracy than spiral tomography and panoramic radiography in the detection of condylar bone erosions and osteophytes.
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