Accuracy of Cone Beam Computed Tomography in the Assessment of Mandibular Molar Furcation Defects

Abdalwhab  Alzwiri; Hesham Shokry  Ismail; Santosh R.  Patil

Authors

Abdalwhab Alzwiri
Hesham Shokry Ismail
Santosh R. Patil

Keywords:

Cone-Beam Computed Tomography, Furcation Defects, Molar

Abstract

Objective: To evaluate the accuracy of cone-beam computed tomography (CBCT) in the assessment of mandibular molar furcation defects. Material and Methods: Thirty patients with furcation defects were selected, oral hygiene instructions, scaling, and root planing with ultrasonic devices and hand instruments and occlusal adjustments were performed. Pre-surgical clinical measurements were carried out at the buccal aspect of the selected mandibular molars. The horizontal furcation measurements were measured with a Nabers Probe starting at the furcation entrance to the greatest horizontal depth. The degree of furcation involvement was graded from 0 to III. Bone loss in the horizontal and vertical direction and the width of the furcation entrance were measured on CBCT and after reflecting the full-thickness flap and debridement of the defects. The data were analyzed using t-test and Pearson’s correlation coefficient. Results: The width of furcation entrance in clinical method was 3.27 ± 0.77, while in CBCT method was 3.35 ± 0.71, clinically the vertical bone loss was 3.61±1.09, while in CBCT was 3.57 ± 1.15, horizontal bone loss in clinical method was 5.08 ± 2.21, while in CBCT was 5.11 ± 2.23. No significant difference between the two methods was noted, and a high correlation between the two methods was observed. With regards to the agreement between the two methods of assessment, the width of furcation entrance revealed a difference between the two methods by 0.08 ± 0.21, while vertical bone loss showed difference between the two methods by -0.04 ± 0.19, the horizontal bone loss showed a mean difference between the two methods by 0.03 ± 0.21. Conclusion: CBCT provided high accuracy for the furcation involvement detection and anatomy of surrounding periodontal tissues.

References

Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci 2017; 11(2):72-80.

Masood M, Newton T, Bakri NN, Khalid T, Masood Y. The relationship between oral health and oral health related quality of life among elderly people in United Kingdom. J Dent 2017; 56:78-83. https://doi.org/10.1016/j.jdent.2016.11.002

Avila-Ortiz G, De Buitrago JG, Reddy MS. Periodontal regeneration - furcation defects: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86(2 Suppl):S108-30. https://doi.org/10.1902/jop.2015.130677

Parihar AS, Katoch V. Furcation involvement & its treatment: a review. J Adv Med Dent Scie Res 2015; 3(1):81-7.

Salineiro FCS, Gialain IO, Kobayashi-Velasco S, Pannuti CM, Cavalcanti MGP. Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: an animal study. Imaging Sci Dent 2017; 47(1):17-24. https://doi.org/10.5624/isd.2017.47.1.17

Cimbaljevic MM, Spin-Neto RR, Miletic VJ, Jankovic SM, Aleksic ZM, Nikolic-Jakoba NS. Clinical and CBCT-based diagnosis of furcation involvement in patients with severe periodontitis. Quintessence Int 2015; 46(10):863-70. https://doi.org/10.3290/j.qi.a34702

Patil SR, Ghani HA, Almuhaiza M, Al-Zoubi IA, Anil KN, Misra N, Raghuram PH. Prevalence of pulp stones in a Saudi Arabian subpopulation: a cone-beam computed tomography study. Saudi Endod J 2018; 8(2):93-8. https://doi.org/10.4103/sej.sej_32_17

Patil SR, Araki K, Ghani HA, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. A cone beam computed tomography study of the prevalence of pulp stones in a Saudi Arabian adolescent population. Pesqui Bras Odontoped Clin Integr 2018; 18(1):e3973. https://doi.org/10.4034/PBOCI.2018.181.45

Sinha N, Singh B, Patil S. Cone beam computed topographic evaluation of a central incisor with an open apex and a failed root canal treatment using one-step apexification with Biodentine™: a case report. J Conserv Dent 2014; 17(3):285-9. https://doi.org/10.4103/0972-0707.131805

Al-Zoubi IA, Patil SR, Takeuchi K, Misra N, Ohno Y, Sugita Y, et al. Analysis of the length and types of root trunk and length of root in human first and second molars and to the actual measurements with the 3D CBCT. J Hard Tissue Biol 2018; 27(1):39-42. https://doi.org/10.2485/jhtb.27.39

Alam MK, Alhabib S, Alzarea BK, Irshad M, Faruqi S, Sghaireen MG, et al. 3D CBCT morphometric assessment of mental foramen in Arabic population and global comparison: imperative for invasive and non-invasive procedures in mandible. Acta Odontol Scand 2018; 76(2):98-104. https://doi.org/10.1080/00016357.2017.1387813

Patil SR, Alam MK, Moriyama K, Matsuda S, Shoumura M, Osuga N. 3D CBCT assessment of soft tissue calcification. J Hard Tissue Biol 2017; 26(3):297-300. https://doi.org/10.2485/jhtb.26.297

Al-Zoubi IA, Patil SR, Kato I, Sugita Y, Maeda H, MK. 3D CBCT Assessment of incidental maxillary sinus abnormalities in a Saudi Arabian population. J Hard Tissue Biol 2017; 26(4):369-72.

Patil SR, Araki K, Yadav N, Ghani HA. Prevalence of hypercementosis in a Saudi Arabian Population: a cone beam computed tomography study. J Oral Res 2018; 7(3):94-7. https://doi.org/10.17126/joralres.2018.022

Patil SR, Maragathavalli G, Araki K, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study. Pesqui Bras Odontopediatria Clin Integr 2018; 18(1):e4133. https://doi.org/10.4034/PBOCI.2018.181.87

Patil SR, Raghuram PH, Munisekhar MS, Shailaja G, Gudipanen Ri, Alam MK. CBCT evaluation of an unusual case of florid cementoosseous dysplasia in an old female. Int Med J 2018; 25(5):335-6.

Alam MK, Ganji KK, Alzarea, Patil S, Sghaireen M, Basri R, et al. 3D CBCT assessment of the mandibular canal in a Saudi Arabian subpopulation. J Hard Tissue Biol 2019; 28(1):87-92. https://doi.org/10.2485/jhtb.28.87

Patil SR. Comparative measurement of tooth length: actual vs. orthopantomography and CBCT-based measurements. Pesqui Bras Odontopediatria Clín Integr 2019; 19(1):e4637. https://doi.org/10.4034/PBOCI.2019.191.38

Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multi rooted teeth. J Clin Periodontol 1975; 2(3):126-35. https://doi.org/10.1111/j.1600-051x.1975.tb01734.x

Walter C, Weiger R, Zitzmann NU. Accuracy of three‐dimensional imaging in assessing maxillary molar furcation involvement. J Clin Periodontol 2010; 37(5):436-41. https://doi.org/10.1111/j.1600-051X.2010.01556.x

Cimbaljevic M, Misic J, Jankovic S, Nikolic-Jakoba N. The use of cone-beam computed tomography in furcation defects diagnosis. Balkan J Dent Med 2016; 20(3):143-8. https://doi.org/10.1515/bjdm-2016-0023

Feijo CV, Lucena JG, Kurita LM, Pereira SL. Evaluation of cone beam computed tomography in the detection of horizontal periodontal bone defects: an in vivo study. Int J Periodontics Restorative Dent 2012; 32(5):e162-8.