Comparative Analysis of Examination Methods for Periapical Lesion Diagnostics: Assessing Cone-Beam Computer Tomography, Ultrasound, and Periapical Radiography

被引:1
作者
Karkle, Aleksandra [1 ,2 ]
Slaidina, Anda [2 ,3 ]
Zolovs, Maksims [4 ,5 ]
Vaskevica, Anete [1 ,2 ]
Meistere, Dita [1 ]
Bokvalde, Zanda [1 ,2 ]
Neimane, Laura [1 ,2 ]
机构
[1] Riga Stradins Univ, Dept Conservat Dent & Oral Hlth, LV-1007 Riga, Latvia
[2] RSU Inst Stomatol, LV-1007 Riga, Latvia
[3] Riga Stradins Univ, Dept Prosthet Dent, LV-1007 Riga, Latvia
[4] Riga Stradins Univ, Stat Unit, LV-1007 Riga, Latvia
[5] Daugavpils Univ, Inst Life Sci & Technol, LV-5401 Daugavpils, Latvia
关键词
apical surgery; cone-beam computer tomography radiographs; endodontics; periapical lesion; periapical X-ray; ultrasonography; BONE-LESIONS; CYSTS; EFFICACY;
D O I
10.3390/diagnostics14070766
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Periapical lesions of teeth are typically evaluated using periapical X-rays (PA) or cone-beam computer tomography (CBCT); however, ultrasound imaging (US) can also be used to detect bone defects. A comparative analysis is necessary to establish the diagnostic accuracy of US for the detection of periapical lesions in comparison with PA and CBCT. Objectives: This study aimed to evaluate and compare the measurement precision of US against PA and CBCT in detecting periapical lesions. Methods: This study included 43 maxillary and mandibular teeth with periapical lesions. All teeth were examined clinically, radiographically, and ultrasonographically. Observers evaluated and measured the periapical lesions on CBCT, PA, and US images. Results: The comparison of lesion size showed that it differs significantly between the different methods of examination. A statistically significant difference was found between CBCT and US (mean difference = 0.99 mm, 95% CI [0.43-1.55]), as well as between CBCT and PA (mean difference = 0.61 mm, 95% CI [0.17-1.05]). No difference was found between the US and PA methods (p = 0.193). Conclusion: US cannot replace PA radiography in detecting pathologies but it can accurately measure and characterize periapical lesions with minimal radiation exposure. CBCT is the most precise and radiation-intensive method so it should only be used for complex cases.
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页数:14
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