Influence of a Metal Artifact Reduction Filter on the Diagnostic Accuracy of Complete and Incomplete Vertical Root Fractures
This study aimed to assess the influence of the e-vol DX BAR filter on the diagnostic accuracy of complete and incomplete vertical root fractures (VRFs). Twenty single-rooted teeth were selected. The tooth crowns were removed, and the root canals were prepared up to a 40/.06 instrument (ProTaper Nex...
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| Veröffentlicht in: | Journal of endodontics 2023-10, Vol.49 (10), p.1352-1361 |
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| container_title | Journal of endodontics |
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| creator | de Lima Dias-Junior, Luiz Carlos Correa, Marcio Cesar Lyra Porto, Olavo Estrela, Carlos da Silveira Teixeira, Cleonice da Fonseca Roberti Garcia, Lucas Antunes Bortoluzzi, Eduardo |
| description | This study aimed to assess the influence of the e-vol DX BAR filter on the diagnostic accuracy of complete and incomplete vertical root fractures (VRFs).
Twenty single-rooted teeth were selected. The tooth crowns were removed, and the root canals were prepared up to a 40/.06 instrument (ProTaper Next). Each specimen was scanned in a Prexion 3D cone-beam computed tomography (CBCT) device, in a dry human skull, in 4 different situations: no root canal filling, gutta-percha, fiberglass post, and metal post. The specimens were fractured in a universal testing machine by using a customized wedge. Each specimen was reinspected to confirm the presence of incomplete VRFs. Another set of CBCT scans was performed. Then, the fractures were completed in the universal testing machine, the teeth were reinspected, and the CBCT images were acquired again. Images were assessed by using the e-Vol DX software system, with the BAR filter and with the original images, for the diagnosis of VRFs. Statistical analysis was performed by using the DeLong and McNemar tests for the comparison of the area under the receiver operating characteristic curves (AUC), accuracy, sensitivity, and specificity values.
The use of the BAR filter did not improve the diagnostic values of AUC, accuracy, sensitivity, and specificity in both fracture patterns (P > .05). Incomplete VRFs presented significantly lower AUC, accuracy, and sensitivity compared with complete VRFs (P |
| doi_str_mv | 10.1016/j.joen.2023.07.010 |
| format | Article |
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Twenty single-rooted teeth were selected. The tooth crowns were removed, and the root canals were prepared up to a 40/.06 instrument (ProTaper Next). Each specimen was scanned in a Prexion 3D cone-beam computed tomography (CBCT) device, in a dry human skull, in 4 different situations: no root canal filling, gutta-percha, fiberglass post, and metal post. The specimens were fractured in a universal testing machine by using a customized wedge. Each specimen was reinspected to confirm the presence of incomplete VRFs. Another set of CBCT scans was performed. Then, the fractures were completed in the universal testing machine, the teeth were reinspected, and the CBCT images were acquired again. Images were assessed by using the e-Vol DX software system, with the BAR filter and with the original images, for the diagnosis of VRFs. Statistical analysis was performed by using the DeLong and McNemar tests for the comparison of the area under the receiver operating characteristic curves (AUC), accuracy, sensitivity, and specificity values.
The use of the BAR filter did not improve the diagnostic values of AUC, accuracy, sensitivity, and specificity in both fracture patterns (P > .05). Incomplete VRFs presented significantly lower AUC, accuracy, and sensitivity compared with complete VRFs (P < .0001).
The BAR filter did not improve the diagnostic accuracy of VRFs. The intracanal materials also did not influence the diagnosis. Incomplete VRFs were highly associated with a decrease in sensitivity.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2023.07.010</identifier><identifier>PMID: 37479111</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>cone-beam computed tomography ; diagnosis ; root canal filling materials ; tooth fractures</subject><ispartof>Journal of endodontics, 2023-10, Vol.49 (10), p.1352-1361</ispartof><rights>2023 American Association of Endodontists</rights><rights>Copyright © 2023 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-bf6c3617f60bbecd250b4f080bbc5546a4b1c27bab4d009db4e7691b86b63b3e3</cites><orcidid>0000-0002-8724-0124</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joen.2023.07.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37479111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Lima Dias-Junior, Luiz Carlos</creatorcontrib><creatorcontrib>Correa, Marcio</creatorcontrib><creatorcontrib>Cesar Lyra Porto, Olavo</creatorcontrib><creatorcontrib>Estrela, Carlos</creatorcontrib><creatorcontrib>da Silveira Teixeira, Cleonice</creatorcontrib><creatorcontrib>da Fonseca Roberti Garcia, Lucas</creatorcontrib><creatorcontrib>Antunes Bortoluzzi, Eduardo</creatorcontrib><title>Influence of a Metal Artifact Reduction Filter on the Diagnostic Accuracy of Complete and Incomplete Vertical Root Fractures</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>This study aimed to assess the influence of the e-vol DX BAR filter on the diagnostic accuracy of complete and incomplete vertical root fractures (VRFs).
Twenty single-rooted teeth were selected. The tooth crowns were removed, and the root canals were prepared up to a 40/.06 instrument (ProTaper Next). Each specimen was scanned in a Prexion 3D cone-beam computed tomography (CBCT) device, in a dry human skull, in 4 different situations: no root canal filling, gutta-percha, fiberglass post, and metal post. The specimens were fractured in a universal testing machine by using a customized wedge. Each specimen was reinspected to confirm the presence of incomplete VRFs. Another set of CBCT scans was performed. Then, the fractures were completed in the universal testing machine, the teeth were reinspected, and the CBCT images were acquired again. Images were assessed by using the e-Vol DX software system, with the BAR filter and with the original images, for the diagnosis of VRFs. Statistical analysis was performed by using the DeLong and McNemar tests for the comparison of the area under the receiver operating characteristic curves (AUC), accuracy, sensitivity, and specificity values.
The use of the BAR filter did not improve the diagnostic values of AUC, accuracy, sensitivity, and specificity in both fracture patterns (P > .05). Incomplete VRFs presented significantly lower AUC, accuracy, and sensitivity compared with complete VRFs (P < .0001).
The BAR filter did not improve the diagnostic accuracy of VRFs. The intracanal materials also did not influence the diagnosis. Incomplete VRFs were highly associated with a decrease in sensitivity.</description><subject>cone-beam computed tomography</subject><subject>diagnosis</subject><subject>root canal filling materials</subject><subject>tooth fractures</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1r3DAURUVpaaZJ_0AWRctu7OrDY9mQzTDJtAMJgZB0K6Tn51SDx5pIciDQH1-ZSbrMSnpw7oV7CDnnrOSM1z925c7jWAomZMlUyTj7QBa8UU0hl8vqI1kw1raFkG17Qr7EuGOMKynVZ3IiVaVazvmC_N2O_TDhCEh9Tw29wWQGugrJ9QYSvcNuguT8SDduSBho_qU_SC-deRx9TA7oCmAKBl7m_NrvDwMmpGbs6HaEt_M35kLIxXfeJ7rJeJoCxjPyqTdDxK-v7yl52Fzdr38V17c_t-vVdQGSqVTYvgZZc9XXzFqETiyZrXrW5Avy0NpUloNQ1tiqy5M7W6GqW26b2tbSSpSn5Pux9xD804Qx6b2LgMNgRvRT1KKpOBOCyyaj4ohC8DEG7PUhuL0JL5ozPVvXOz1b17N1zZTO1nPo22v_ZPfY_Y-8ac7AxRHAvPLZYdAR3Cy9cwEh6c679_r_AfCAlNE</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>de Lima Dias-Junior, Luiz Carlos</creator><creator>Correa, Marcio</creator><creator>Cesar Lyra Porto, Olavo</creator><creator>Estrela, Carlos</creator><creator>da Silveira Teixeira, Cleonice</creator><creator>da Fonseca Roberti Garcia, Lucas</creator><creator>Antunes Bortoluzzi, Eduardo</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8724-0124</orcidid></search><sort><creationdate>20231001</creationdate><title>Influence of a Metal Artifact Reduction Filter on the Diagnostic Accuracy of Complete and Incomplete Vertical Root Fractures</title><author>de Lima Dias-Junior, Luiz Carlos ; Correa, Marcio ; Cesar Lyra Porto, Olavo ; Estrela, Carlos ; da Silveira Teixeira, Cleonice ; da Fonseca Roberti Garcia, Lucas ; Antunes Bortoluzzi, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-bf6c3617f60bbecd250b4f080bbc5546a4b1c27bab4d009db4e7691b86b63b3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>cone-beam computed tomography</topic><topic>diagnosis</topic><topic>root canal filling materials</topic><topic>tooth fractures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Lima Dias-Junior, Luiz Carlos</creatorcontrib><creatorcontrib>Correa, Marcio</creatorcontrib><creatorcontrib>Cesar Lyra Porto, Olavo</creatorcontrib><creatorcontrib>Estrela, Carlos</creatorcontrib><creatorcontrib>da Silveira Teixeira, Cleonice</creatorcontrib><creatorcontrib>da Fonseca Roberti Garcia, Lucas</creatorcontrib><creatorcontrib>Antunes Bortoluzzi, Eduardo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Lima Dias-Junior, Luiz Carlos</au><au>Correa, Marcio</au><au>Cesar Lyra Porto, Olavo</au><au>Estrela, Carlos</au><au>da Silveira Teixeira, Cleonice</au><au>da Fonseca Roberti Garcia, Lucas</au><au>Antunes Bortoluzzi, Eduardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of a Metal Artifact Reduction Filter on the Diagnostic Accuracy of Complete and Incomplete Vertical Root Fractures</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>49</volume><issue>10</issue><spage>1352</spage><epage>1361</epage><pages>1352-1361</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>This study aimed to assess the influence of the e-vol DX BAR filter on the diagnostic accuracy of complete and incomplete vertical root fractures (VRFs).
Twenty single-rooted teeth were selected. The tooth crowns were removed, and the root canals were prepared up to a 40/.06 instrument (ProTaper Next). Each specimen was scanned in a Prexion 3D cone-beam computed tomography (CBCT) device, in a dry human skull, in 4 different situations: no root canal filling, gutta-percha, fiberglass post, and metal post. The specimens were fractured in a universal testing machine by using a customized wedge. Each specimen was reinspected to confirm the presence of incomplete VRFs. Another set of CBCT scans was performed. Then, the fractures were completed in the universal testing machine, the teeth were reinspected, and the CBCT images were acquired again. Images were assessed by using the e-Vol DX software system, with the BAR filter and with the original images, for the diagnosis of VRFs. Statistical analysis was performed by using the DeLong and McNemar tests for the comparison of the area under the receiver operating characteristic curves (AUC), accuracy, sensitivity, and specificity values.
The use of the BAR filter did not improve the diagnostic values of AUC, accuracy, sensitivity, and specificity in both fracture patterns (P > .05). Incomplete VRFs presented significantly lower AUC, accuracy, and sensitivity compared with complete VRFs (P < .0001).
The BAR filter did not improve the diagnostic accuracy of VRFs. The intracanal materials also did not influence the diagnosis. Incomplete VRFs were highly associated with a decrease in sensitivity.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37479111</pmid><doi>10.1016/j.joen.2023.07.010</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8724-0124</orcidid></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings |
| subjects | cone-beam computed tomography diagnosis root canal filling materials tooth fractures |
| title | Influence of a Metal Artifact Reduction Filter on the Diagnostic Accuracy of Complete and Incomplete Vertical Root Fractures |
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