Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof

The periapical radiograph (PA), which conventionally used as an adjunct in the diagnosis of molar with furcation involvement (FI) may lead to inaccuracy in furcation analysis. Cone beam computed tomography (CBCT) is increasingly used in the periodontology field to overcome the limitations of convent...

Full description

Saved in:

Bibliographic Details
Main Author:	Mohamed Yusof, Nurul Ain
Format:	Thesis
Language:	English
Published:	2020
Subjects:	Oral and dental medicine Pathology Diseases
Online Access:	https://ir.uitm.edu.my/id/eprint/60879/1/60879.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my-uitm-ir.60879
record_format	uketd_dc
spelling	my-uitm-ir.608792022-06-02T08:26:22Z Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof 2020-08 Mohamed Yusof, Nurul Ain Oral and dental medicine. Pathology. Diseases The periapical radiograph (PA), which conventionally used as an adjunct in the diagnosis of molar with furcation involvement (FI) may lead to inaccuracy in furcation analysis. Cone beam computed tomography (CBCT) is increasingly used in the periodontology field to overcome the limitations of conventional radiographs. However, the difference in the accuracy of the measurement of furcation defects between PA and CBCT remains unclear. Hence, this study aims to evaluate the accuracy of CBCT, PA, and intrasurgical measurement techniques in the assessment of molars with furcation defects. This parallel, single-blinded, randomised controlled trial (RCT) consisted of 22 periodontitis patients who had molar with advanced FI. All patients followed the same inclusion criteria and were treated following the same protocol, except for radiographic taking (CBCT vs. PA). This study proposed and evaluated five parameters that represent the extent and severity of furcation defects in molars teeth, including CAL (clinical attachment loss), BL-H (bone loss in horizontal direction), BL-V (bone loss in vertical direction), RT (root trunk), and FW (width of the furcation defect). Intrasurgical measurements of furcation defects were compared with CBCT and PA-based data measurement. The results showed there were no statistically significant differences between the CBCT and intrasurgical measurements for any clinical parameter (p > 0.05). However, there were statistically significant differences in all measurements (p < 0.05) except for the RT parameter between PA and intrasurgical measurements. The majority of the measurements from CBCT and PA were underestimated when compared to the intrasurgical measurements. Meanwhile, the sensitivity were 62.8% and 56.9% for CBCT and periapical, respectively. In conclusion, when compared to the intrasurgical measurements, CBCT provided better diagnostic, sensitivity, and quantitative information on CAL, height, depth, and width of the furcation defects than PA. 2020-08 Thesis https://ir.uitm.edu.my/id/eprint/60879/ https://ir.uitm.edu.my/id/eprint/60879/1/60879.pdf text en public phd doctoral Universiti Teknologi MARA Faculty of Dentistry Mohd Yusof, Mohd Yusmiaidil Putera (Assoc. Prof Dr.)
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Mohd Yusof, Mohd Yusmiaidil Putera (Assoc. Prof Dr.)
topic	Oral and dental medicine Pathology Diseases
spellingShingle	Oral and dental medicine Pathology Diseases Mohamed Yusof, Nurul Ain Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
description	The periapical radiograph (PA), which conventionally used as an adjunct in the diagnosis of molar with furcation involvement (FI) may lead to inaccuracy in furcation analysis. Cone beam computed tomography (CBCT) is increasingly used in the periodontology field to overcome the limitations of conventional radiographs. However, the difference in the accuracy of the measurement of furcation defects between PA and CBCT remains unclear. Hence, this study aims to evaluate the accuracy of CBCT, PA, and intrasurgical measurement techniques in the assessment of molars with furcation defects. This parallel, single-blinded, randomised controlled trial (RCT) consisted of 22 periodontitis patients who had molar with advanced FI. All patients followed the same inclusion criteria and were treated following the same protocol, except for radiographic taking (CBCT vs. PA). This study proposed and evaluated five parameters that represent the extent and severity of furcation defects in molars teeth, including CAL (clinical attachment loss), BL-H (bone loss in horizontal direction), BL-V (bone loss in vertical direction), RT (root trunk), and FW (width of the furcation defect). Intrasurgical measurements of furcation defects were compared with CBCT and PA-based data measurement. The results showed there were no statistically significant differences between the CBCT and intrasurgical measurements for any clinical parameter (p > 0.05). However, there were statistically significant differences in all measurements (p < 0.05) except for the RT parameter between PA and intrasurgical measurements. The majority of the measurements from CBCT and PA were underestimated when compared to the intrasurgical measurements. Meanwhile, the sensitivity were 62.8% and 56.9% for CBCT and periapical, respectively. In conclusion, when compared to the intrasurgical measurements, CBCT provided better diagnostic, sensitivity, and quantitative information on CAL, height, depth, and width of the furcation defects than PA.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Mohamed Yusof, Nurul Ain
author_facet	Mohamed Yusof, Nurul Ain
author_sort	Mohamed Yusof, Nurul Ain
title	Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
title_short	Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
title_full	Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
title_fullStr	Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
title_full_unstemmed	Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof
title_sort	diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / nurul ain mohamed yusof
granting_institution	Universiti Teknologi MARA
granting_department	Faculty of Dentistry
publishDate	2020
url	https://ir.uitm.edu.my/id/eprint/60879/1/60879.pdf
_version_	1783735181005291520

Diagnostic accuracy of periapical radiograph, cone beam computed tomography, and intrasurgical measurement techniques for assessing furcation defects / Nurul Ain Mohamed Yusof

Similar Items