Evidence map›Paper›PMID 39367348›Full record

ArticleBMC oral health2024

Vertical root fracture detection with cone-beam computed tomography in Biodentine™ filled teeth.

Jakob W G Van Acker, Charlotte Yvergneaux, Wolfgang Jacquet, Melissa Dierens, Geert Hommez, Joris Van Acker, Matthieu Boone, Sivaprakash Rajasekharan, Luc C Martens

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jakob W G Van AckerELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium. Jakob.VanAcker@UGent.be.ORCID http://orcid.org/0000-0003-4502-9416
Charlotte YvergneauxELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.
Wolfgang JacquetLocalities Ontologies Commons Integrated (LOCI), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Melissa DierensDepartment of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.
Geert HommezOral Health Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, 9000, Belgium.
Joris Van AckerUGent-Woodlab - Laboratory of Wood Technology, Department of Environment, Ghent University, Coupure links 653, Ghent, 9000, Belgium.
Matthieu BooneCentre for X-ray Tomography, Physics and Astronomy, Ghent University, Ghent, Belgium.
Sivaprakash RajasekharanELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.
Luc C MartensELOHA (Equal Lifelong Oral Health for All) research group, Paediatric Dentistry, Oral Health Sciences, Ghent University, Ghent, Belgium.

Funding

The Special Research Fund of Ghent University is acknowledged for the support of the Centre of Expertise UGCT. BOF.EXP.2017.0007
6 · The paper itself

Abstract

purposeThis study aimed to evaluate the accuracy of detecting vertical root fractures in Biodentine™-filled teeth using the Promax 3Dmax cone-beam computed tomography (CBCT) unit compared to periapical radiographs. It tested hypotheses regarding CBCT's diagnostic superiority in non-root-filled and Biodentine™-root-filled maxillary central incisors and assessed the impact of smaller field of view and lower intensity settings on detection accuracy. MATERIALS AND

methodsExtracted maxillary incisors were divided into groups based on fracture status and root filling material, then placed in a Thiel-embalmed skull to simulate clinical conditions. The teeth were imaged using periapical radiographs and the CBCT unit under different settings. Fracture thickness was measured with microcomputed tomography for accuracy benchmarking. Multiple observers assessed the images, and statistical analyses were conducted to evaluate diagnostic performance.

resultsIntra-rater reliabilities of consensus scores ranged from good to very good. Specificities were generally higher than sensitivities across all imaging modalities, but sensitivities remained constantly low. None of the Area Under the Curve scores exceeded 0.6, indicating poor overall accuracy for all imaging modalities. Paired comparisons of the area differences under Receiver Operator Characteristic curves revealed no significant differences between the CBCT and periapical radiograph techniques for detecting vertical root fractures in either Biodentine™-filled or non-root-filled teeth.

conclusionsThere was no significant accuracy improvement of the current CBCT device (Promax 3Dmax, Planmeca, Finland) over periapical radiographs in detecting small vertical root fractures in both non-root-filled and Biodentine™-root-filled maxillary central incisors. A smaller field of view with lower intensity did not enhance detection accuracy. These results highlight the challenges in accurately detecting small VRFs, emphasizing the need for further research and technological advancements in this domain.

Indexed as

Calcium CompoundsCone-Beam Computed TomographyIncisorTooth FracturesTooth RootArea Under CurveHumansMaxillaObserver VariationRadiography, BitewingRoot Canal Filling MaterialsSensitivity and SpecificitySilicatesTooth, NonvitalX-Ray MicrotomographyCalcium CompoundsRoot Canal Filling MaterialsSilicatestricalcium silicateCone-beam computed tomographyDiagnosisEndodonticsRadiographyTooth fractures

Identifiers

PMID39367348
PMCPMC11453024

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.