Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography
Abstract
Objectives: To analyze the correlation of clinical and radiographic features in periodontitis with furcation involvement.Materials and Methods: Cross-sectional analytic study of 30 mandibular molars from 13 patients (8 males and 5 females), who had periodontitis with furcation involvement, with purposive sampling. Clinical, periapical and CBCT examination were then carried out . Assessment for clinical dan CBCT based on modified Glickman classification. Correlation test was performed with Kendall's Tau_b.
Results: There was a significant difference between subjects of non CBCT group (clinical (p=0,01) and periapical (p=0,026)), with subjects examined by CBCT. However there was no difference between the clinical and periapical group. There is a correlation between furcation involvement on CBCT and periapical group (r=0,528; p=0,003).
Conclusion: There was no correlation between furcation involvement on clinical examination with periapical radiographs and CBCT. The correlation is only seen between periapical radiographs and CBCT.
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Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Laporan Nasional RISKESDAS 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.
Eshraghi VT, Malloy KA, Tahmasbi M. Role of Cone-Beam Computed Tomography in the Management of Periodontal Disease. Dent J (Basel). 2019;7(2):57.
Rost A. Using CBCT as a diagnostic tool for evaluation of infrabony defects in vivo [thesis]. In: Department of Periodontics. Richmond, VA: Virginia Commonwealth University; 2014.
Mallaya S, Lam E. White and Pharoah's Oral Radiology: Principles and Interpretation. 8th ed. St. Louis, Missouri: Elsevier; 2019.
European Commission, Directorate-General for Energy. Radiation Protection 172: Cone Beam CT for Dental and Maxillofacial Radiology - Evidence-based Guidelines. Publications Office; 2012. p.156.
Braun X, Ritter L, Jervøe-Storm, P.-M, Frentzen, M. Diagnostic accuracy of CBCT for periodontal lesions. Clin. Oral Investig. 2014;18:1229–36.
Bayat S, Talaeipour AR, Sarlati F. Detection of simulated periodontal defects using cone-beam CT and digital intraoral radiography. Dentomaxillofacial radiol. 2016;45(6):20160030.
Zhang W, Foss K, Wang BY. A retrospective study on molar furcation assessment via clinical detection, intraoral radiography and cone beam computed tomography. BMC Oral Health. 2018;18(1):1-7.
Qiao J, Wang S, Duan J, Zhang Y, Qiu Y, Sun C, et al. The accuracy of conebeam computed tomography in assessing maxillary molar furcation involvement. J Clin Periodontol 2014; 41:26974.
Abdinian M, Yaghini J, Jazi L. Comparison of intraoral digital radiography and cone-beam computed tomography in the measurement of periodontal bone defects. Dent Med Probl. 2020;57(3):269-73.
Padmanabhan S, Dommy A, Guru SR, Joseph A. Comparative evaluation of cone-beam computed tomography versus direct surgical measurements in the diagnosis of mandibular molar furcation involvement. Contem Clin Dent 2017;8:439-45.
Alzwiri A, Ismail HS, Patil SR. Accuracy of cone beam computed tomography in the assessment of mandibular molar furcation defects. Pesqui Bras Odontopediatria Clín Integr. 2020;20:e4853.
52-26. Pajnigara N, Kolte A, Kolte R, Pajnigara N, Lathiya V. Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects. J Indian Soc Periodontology 2016;20:386-90.
53-27. 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.
Farook FF, Alnasyan B, Almohammadi D, et al. Reliability Assessment of the Clinical and Radiographic Diagnosis of Furcation Involvement. Open Dent J. 2020;14(1):403-7.
Mark R, Mohan R, Gundappa M, Saravana Balaji MD, Vijay VK, Umayal M. Comparative evaluation of periodontal osseous defects using direct digital radiography and cone-beam computed tomography. J Pharm Bioall Sci 2021;13:S306-11.
Reddy, MS; Aichelmann-Reidy, ME; Avila-Ortiz, G.; Klokkevold, PR; Murphy, KG; Rosen, PS; Schallhorn, RG; Sculean, A.; Wang, HL Periodontal regeneration furcation defects: A consensus report from the AAP Regeneration Workshop. J. Periodontol. 2015;86:S131–3.
Banodkar AB, Gaikwad RP, Gunjikar TU, Lobo TA. Evaluation of accuracy of cone beam computed tomography for measurement of periodontal defects: A clinical study. J Indian Soc Periodontol. 2015;19(3):285-9.
Jolivet G, Huck O, Petit C. Evaluation of furcation involvement with diagnostic imaging methods: a systematic review. Dentomaxillofacial radiol. 2022;51(8):20210529.
Mandelaris GA, Neiva R, Chambrone L. Cone-Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement. J Periodontol. 2017;88(10):960-77.
Published
2023-08-31
How to Cite
SYAHRAINI, Syurri Innaddinna et al.
Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 2, p. 47-52, aug. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1070>. Date accessed: 23 nov. 2024.
doi: https://doi.org/10.32793/jrdi.v7i2.1070.
Section
Original Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
