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J Endod:不同根管内材料对CBCT检测双根牙根裂的影响评估

2019-12-12 lishiting MedSci原创

这篇研究的目的是通过对双根牙根管内充填不同材料,评估2种CBCT影像系统对人造垂直性根裂(VRFs)检测和伪影强度的差异。

这篇研究的目的是通过对双根牙根管内充填不同材料,评估2种CBCT影像系统对人造垂直性根裂(VRFs)检测和伪影强度的差异。

研究样本包含20颗拔除的双根前磨牙。一半的样本诱导形成根裂。每颗牙使用7种根管内充填材料,每次1种:未充填、牙胶、颊根充填牙胶且舌根充填纤维桩、颊根充填牙胶且舌根充填金属核纤维桩、纤维桩、金属核纤维桩和NiCr桩。分别采用CS 9000 3D (Carestream Dental Rochester, NY)和OP300 (Instrumentarium Dental Inc, Tuusula, Finland)实施CBCT扫描。曝光参数固定为90 kV和8 mA。OP300和CS 9000的体素大小以及视野分别设定为0.085 mm和5 × 5 cm以及0.076 mm和5 × 3.75 cm。2名评估者通过5点置信度评估所有影像的VRF检测,通过4点置信度评估伪影干涉。采用2-way analysis of variance和Tukey检验评估敏感性、特异性、准确性和受试者操作特征曲线下面积的差异(α = 0.05)。通过统计学描述和chi-square检验评估伪影干扰。

结果显示,在扫描者之间以及在所有不同根管内材料组(OP300) (P < .05)之间的特异性存在显著性差异。当两根管内同时存在金属桩时,所有影像中均存在严重的伪影干扰。

结论:CS 9000 3D对于经过牙髓治疗牙齿内VRF 的检测效果优于OP300。未充填牙齿以及纤维桩充填牙齿的伪影干扰最低并且VRF的检测效果最佳。

原始出处:

Marinho Vieira LE, Diniz de Lima E, et al. Assessment of the Influence of Different Intracanal Materials on the Detection of Root Fracture in Biroot Teeth by Cone-beam Computed Tomography. J Endod. 2019 Dec 5. pii: S0099-2399(19)30837-4. doi: 10.1016/j.joen.2019.10.028.

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    2019-12-14 智慧医人
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    2019-12-14 shanyongle
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J Endod:双根牙根管内不同充填材料的CBCT伪影评估

这篇研究的目的是为了定量评估不同曝光参数对双根牙扫描时根管内不同充填材料所产生伪影的类型和数量。

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