Validity of digital periapical radiography and cone beam computed tomography in the detection of peri-implant bone defects: in vitro study

Abstract: To compare the diagnostic accuracy of digital radiography (DR) and cone beam computed tomography (CBCT) in the detection of peri-implant bone defects. Materials and methods: Implants were placed in 5 fresh bovine ribs (3 without peri-implant bone defects, 12 with 1.4mm peri-implant bone de...

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Detalles Bibliográficos
Autores: Elera Morales, César C., Castro Ruiz, Carmen T.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Perú
Institución:Universidad Científica del Sur
Repositorio:Revistas - Universidad Científica del Sur
Idioma:español
OAI Identifier:oai:revistas.cientifica.edu.pe:article/1473
Acceso en línea:https://revistas.cientifica.edu.pe/index.php/odontologica/article/view/1473
Access Level:acceso abierto
Palabra clave:periimplantitis
tomografia computarizada de haz cónico
implantes dentales
radiografía dental
radiolucencia periimplantar
peri-implantitis
cone beam computed tomography
dental implants
dental radiography
peri-implant radiolucency
Descripción
Sumario:Abstract: To compare the diagnostic accuracy of digital radiography (DR) and cone beam computed tomography (CBCT) in the detection of peri-implant bone defects. Materials and methods: Implants were placed in 5 fresh bovine ribs (3 without peri-implant bone defects, 12 with 1.4mm peri-implant bone defects) and images were taken using (i) portable x-ray system (DEXCOWIN 3000), (ii) intraoral x-ray sensor (SENSOR H1/SENSOR H2), (iii) volume-limited HSCT with 3D Accuitomo 80 (CASTELLINI). Images of each were randomly presented to 10 examiners. Confidence in the diagnosis of the presence or absence of a peri-implant radiolucency was recorded on a scale of bone defect definitely absent, doubts about the defect if absent or present, defect definitely present. Analyzes was performed using a kappa test. Results: There has been a coincidence between the direct digital radiography and the cone beam computed tomography in piece A of 83.3%, in piece B of 100% and in piece C of 88%, giving an average total coincidence 90.43%. Conclusion: Direct digital radiography provides the same results as cone beam computed tomography in the detection of peri-implant bone defects at an early stage. Digital radiographs are a reliable and valid method and perform significantly better than cone beam computed tomography for detecting peri-implant bone defects at an early stage.