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Is periapical surgery follow-up with only two-dimensional radiographs reliable? A retrospective cohort type sensitivity study

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Is periapical surgery follow-up with only two-dimensional radiographs reliable? A retrospective cohort type sensitivity study

dc.contributor.author	Ramis-Alario, Amparo	es
dc.contributor.author	Tarazona Álvarez, Beatriz	es
dc.contributor.author	Peñarrocha Diago, Miguel	es
dc.contributor.author	Soto Penaloza, David	es
dc.contributor.author	Peñarrocha Diago, María	es
dc.contributor.author	Peñarrocha Oltra, David	es
dc.date.accessioned	2023-06-16T08:36:44Z
dc.date.available	2023-06-16T08:36:44Z
dc.date.issued	2021	es
dc.identifier.citation	Ramis-Alario, A., Tarazona-Álvarez, B., Peñarrocha-Diago, M., Soto-Peñaloza, D., Peñarrocha-Diago, M., & Peñarrocha-Oltra, D. (2021). Is periapical surgery follow-up with only two-dimensional radiographs reliable? A retrospective cohort type sensitivity study. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e711-e718). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24447	es
dc.identifier.uri	https://hdl.handle.net/10550/88078
dc.description.abstract	Two-dimensional (2D) radiographic techniques are commonly used for assessing lesion prognosis after endodontic surgery. The present retrospective cohort study analyzes the sensitivity and ability of different radiographic techniques in obtaining area and volume measurements of periapical lesions. Preoperative and follow-up (6-48 months) periapical and panoramic radiographs (index test) and cone-beam computed tomography (CBCT) images (reference standard) were selected from an endodontic microsurgery database. Sensitivity was analyzed independently by two examiners. The areas of the 2D radiographic images and CBCT volumes were studied using Itk-Snap software and Romexis viewer. The sample comprised 105 patients and 105 teeth, with a mean follow-up of 21 months (range 6-48). Preoperatively, CBCT detected all the periapical areas, periapical radiography detected 67, and panoramic radiography detected 60. Postoperatively, of the 52 cases in which CBCT detected remains of the periapical area, periapical radiography detected 22, and panoramic radiography detected 17. The measurements of the areas obtained by the 2D methods, and the volumes obtained by CBCT, had to be transformed into linear measures for comparison purposes. The measurements were found to be significantly different in both the preoperative and the follow-up images. Periapical radiography showed greater sensitivity than panoramic radiography, both preoperatively and at follow-up. The lesions measured with CBCT were larger, with significant differences than as evidenced by the periapical and panoramic radiographs.	es
dc.subject	bubr1	es
dc.subject	mad2	es
dc.subject	spindly	es
dc.subject	bub3	es
dc.subject	oral leukoplakia	es
dc.subject	epithelial dysplasia	es
dc.subject	oral squamous cell carcinoma	es
dc.title	Is periapical surgery follow-up with only two-dimensional radiographs reliable? A retrospective cohort type sensitivity study	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.24447	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601649/