Mapping the expression of beam hardening artefacts produced by metal posts positioned in different regions of the dental arch

Objectives To objectively assess the expression and direction of artefacts in the vicinity of metal posts positioned in different mandibular regions. Materials and methods A human mandible had two sockets prepared—anterior and posterior regions—to accommodate a single-rooted tooth. Two CBCT units, P...

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Veröffentlicht in:Clinical oral investigations 2021-02, Vol.25 (2), p.571-579
Hauptverfasser: Fontenele, Rocharles C., Farias Gomes, Amanda, Rosado, Lucas P. Lopes, Neves, Frederico S., Freitas, Deborah Q.
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container_issue 2
container_start_page 571
container_title Clinical oral investigations
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creator Fontenele, Rocharles C.
Farias Gomes, Amanda
Rosado, Lucas P. Lopes
Neves, Frederico S.
Freitas, Deborah Q.
description Objectives To objectively assess the expression and direction of artefacts in the vicinity of metal posts positioned in different mandibular regions. Materials and methods A human mandible had two sockets prepared—anterior and posterior regions—to accommodate a single-rooted tooth. Two CBCT units, Picasso Trio and OP300, were used. CBCT images of the tooth without metal post, and with silver-palladium, nickel-chromium, or cobalt-chromium posts (experimental groups) were individually acquired. Then, 8 lines of interest (LOIs) were determined around the root canal, in an axial reconstruction: 4 in orthogonal (buccal, lingual, mesial, and distal) directions, and 4 in oblique (mesiobuccal, distobuccal, mesiolingual, and distolingual) directions. The mean of gray values was measured for each LOI. Results For the OP300, in general, all experimental groups showed greater expression of hyperdense streaks in orthogonal LOIs and greater expression of hypodense streaks in oblique LOIs. For the Picasso Trio, for both mandibular regions, the buccal LOI showed greater expression of hypodense streaks; conversely, greater expression of hyperdense streaks was observed in the distal and distobuccal LOIs in the anterior region and in the mesiolingual LOI in the posterior region. The silver-palladium group showed significantly greater expression of beam hardening artefacts in the posterior region of the mandible, regardless of the CBCT unit ( p < 0.05). The mandibular posterior region showed significantly lower gray values than the anterior region ( p < 0.05). Conclusion The expression and direction of artefacts produced in the vicinity of metal posts vary according to the mandibular region, composition of the post, and CBCT unit. Clinical relevance The mapping of artefacts produced by metal posts reveals the root regions with greater expression of hypodense and hyperdense artefacts, which may contribute to recognizing regions more likely to mimic or hide root fracture lines.
doi_str_mv 10.1007/s00784-020-03494-z
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Lopes ; Neves, Frederico S. ; Freitas, Deborah Q.</creator><creatorcontrib>Fontenele, Rocharles C. ; Farias Gomes, Amanda ; Rosado, Lucas P. Lopes ; Neves, Frederico S. ; Freitas, Deborah Q.</creatorcontrib><description>Objectives To objectively assess the expression and direction of artefacts in the vicinity of metal posts positioned in different mandibular regions. Materials and methods A human mandible had two sockets prepared—anterior and posterior regions—to accommodate a single-rooted tooth. Two CBCT units, Picasso Trio and OP300, were used. CBCT images of the tooth without metal post, and with silver-palladium, nickel-chromium, or cobalt-chromium posts (experimental groups) were individually acquired. Then, 8 lines of interest (LOIs) were determined around the root canal, in an axial reconstruction: 4 in orthogonal (buccal, lingual, mesial, and distal) directions, and 4 in oblique (mesiobuccal, distobuccal, mesiolingual, and distolingual) directions. The mean of gray values was measured for each LOI. Results For the OP300, in general, all experimental groups showed greater expression of hyperdense streaks in orthogonal LOIs and greater expression of hypodense streaks in oblique LOIs. For the Picasso Trio, for both mandibular regions, the buccal LOI showed greater expression of hypodense streaks; conversely, greater expression of hyperdense streaks was observed in the distal and distobuccal LOIs in the anterior region and in the mesiolingual LOI in the posterior region. The silver-palladium group showed significantly greater expression of beam hardening artefacts in the posterior region of the mandible, regardless of the CBCT unit ( p &lt; 0.05). The mandibular posterior region showed significantly lower gray values than the anterior region ( p &lt; 0.05). Conclusion The expression and direction of artefacts produced in the vicinity of metal posts vary according to the mandibular region, composition of the post, and CBCT unit. Clinical relevance The mapping of artefacts produced by metal posts reveals the root regions with greater expression of hypodense and hyperdense artefacts, which may contribute to recognizing regions more likely to mimic or hide root fracture lines.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-020-03494-z</identifier><identifier>PMID: 32772328</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Chromium ; Cobalt ; Cone-Beam Computed Tomography ; Dental Arch ; Dental Pulp Cavity ; Dentistry ; Humans ; Mandible ; Mandible - diagnostic imaging ; Mapping ; Medicine ; Nickel ; Original Article ; Palladium ; Root canals ; Silver ; Teeth ; Tooth Root</subject><ispartof>Clinical oral investigations, 2021-02, Vol.25 (2), p.571-579</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-1a4b81210729a24bbe9128a413abe47b3aa184f14cd5bd9be1d54d125ec0e2983</citedby><cites>FETCH-LOGICAL-c375t-1a4b81210729a24bbe9128a413abe47b3aa184f14cd5bd9be1d54d125ec0e2983</cites><orcidid>0000-0002-6426-9768</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-020-03494-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-020-03494-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32772328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fontenele, Rocharles C.</creatorcontrib><creatorcontrib>Farias Gomes, Amanda</creatorcontrib><creatorcontrib>Rosado, Lucas P. Lopes</creatorcontrib><creatorcontrib>Neves, Frederico S.</creatorcontrib><creatorcontrib>Freitas, Deborah Q.</creatorcontrib><title>Mapping the expression of beam hardening artefacts produced by metal posts positioned in different regions of the dental arch</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives To objectively assess the expression and direction of artefacts in the vicinity of metal posts positioned in different mandibular regions. Materials and methods A human mandible had two sockets prepared—anterior and posterior regions—to accommodate a single-rooted tooth. Two CBCT units, Picasso Trio and OP300, were used. CBCT images of the tooth without metal post, and with silver-palladium, nickel-chromium, or cobalt-chromium posts (experimental groups) were individually acquired. Then, 8 lines of interest (LOIs) were determined around the root canal, in an axial reconstruction: 4 in orthogonal (buccal, lingual, mesial, and distal) directions, and 4 in oblique (mesiobuccal, distobuccal, mesiolingual, and distolingual) directions. The mean of gray values was measured for each LOI. Results For the OP300, in general, all experimental groups showed greater expression of hyperdense streaks in orthogonal LOIs and greater expression of hypodense streaks in oblique LOIs. For the Picasso Trio, for both mandibular regions, the buccal LOI showed greater expression of hypodense streaks; conversely, greater expression of hyperdense streaks was observed in the distal and distobuccal LOIs in the anterior region and in the mesiolingual LOI in the posterior region. The silver-palladium group showed significantly greater expression of beam hardening artefacts in the posterior region of the mandible, regardless of the CBCT unit ( p &lt; 0.05). The mandibular posterior region showed significantly lower gray values than the anterior region ( p &lt; 0.05). Conclusion The expression and direction of artefacts produced in the vicinity of metal posts vary according to the mandibular region, composition of the post, and CBCT unit. 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Lopes</au><au>Neves, Frederico S.</au><au>Freitas, Deborah Q.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mapping the expression of beam hardening artefacts produced by metal posts positioned in different regions of the dental arch</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>25</volume><issue>2</issue><spage>571</spage><epage>579</epage><pages>571-579</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives To objectively assess the expression and direction of artefacts in the vicinity of metal posts positioned in different mandibular regions. Materials and methods A human mandible had two sockets prepared—anterior and posterior regions—to accommodate a single-rooted tooth. Two CBCT units, Picasso Trio and OP300, were used. CBCT images of the tooth without metal post, and with silver-palladium, nickel-chromium, or cobalt-chromium posts (experimental groups) were individually acquired. Then, 8 lines of interest (LOIs) were determined around the root canal, in an axial reconstruction: 4 in orthogonal (buccal, lingual, mesial, and distal) directions, and 4 in oblique (mesiobuccal, distobuccal, mesiolingual, and distolingual) directions. The mean of gray values was measured for each LOI. Results For the OP300, in general, all experimental groups showed greater expression of hyperdense streaks in orthogonal LOIs and greater expression of hypodense streaks in oblique LOIs. For the Picasso Trio, for both mandibular regions, the buccal LOI showed greater expression of hypodense streaks; conversely, greater expression of hyperdense streaks was observed in the distal and distobuccal LOIs in the anterior region and in the mesiolingual LOI in the posterior region. The silver-palladium group showed significantly greater expression of beam hardening artefacts in the posterior region of the mandible, regardless of the CBCT unit ( p &lt; 0.05). The mandibular posterior region showed significantly lower gray values than the anterior region ( p &lt; 0.05). Conclusion The expression and direction of artefacts produced in the vicinity of metal posts vary according to the mandibular region, composition of the post, and CBCT unit. Clinical relevance The mapping of artefacts produced by metal posts reveals the root regions with greater expression of hypodense and hyperdense artefacts, which may contribute to recognizing regions more likely to mimic or hide root fracture lines.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32772328</pmid><doi>10.1007/s00784-020-03494-z</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6426-9768</orcidid></addata></record>
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subjects Chromium
Cobalt
Cone-Beam Computed Tomography
Dental Arch
Dental Pulp Cavity
Dentistry
Humans
Mandible
Mandible - diagnostic imaging
Mapping
Medicine
Nickel
Original Article
Palladium
Root canals
Silver
Teeth
Tooth Root
title Mapping the expression of beam hardening artefacts produced by metal posts positioned in different regions of the dental arch
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