Konik Işınlı Bilgisayarlı Tomografinin Periodontolojide Kullanımı

Diş hekimliğinde periodontal hastalıkların teşhisi öncelikle konvansiyonel iki boyutlu görüntüleme yöntemlerine dayanır. Ancak konvansiyonel görüntüleme yöntemlerinin üç boyutlu yapıları iki boyuta indirgenmesinden kaynaklanan geometrik distorsiyon ve anatomik maskeleme gibi dezavantajları mevcuttur. Günümüz diş hekimliğinde sıklıkla kullanılan konik ışınlı bilgisayarlı tomografi ile üç boyutlu görüntü elde edilmesine imkan sağlayarak bu tür dezavantajlar elimine edilmiştir. Konik ışınlı bilgisayarlı tomografi özellikle kemik içi defeklerin, furkasyon tutulumunun ve bukkal/lingual kemik yıkımının teşhisi için değerli bir görüntüleme tekniğidir. Bu makalede periodontal hastalıklarda konik ışınlı bilgisayarlı tomografinin konvansiyonel yöntemlere göre avantajları ve dezavantajları tartışılmıştır.Anahtar kelimeler: Konik ışınlı bilgisayarlı tomografi, periodontoloji, radyoloji, oral diagnoz

Use of Cone Beam Computed Tomography in Periodontology

The diagnosis of periodontal diseases in dentistry is based primarily on conventional two-dimensional imaging methods. However, conventional imaging methods have disadvantages such as geometric distortion and anatomic masking resulting from the reduction of three-dimensional structures to two dimensions. These disadvantages have been eliminated by cone beam computed tomography, which are frequently used in current dentistry, allowing to obtain three-dimensional images. Cone beam computed tomography is a valuable imaging technique, particularly for the detection of intrabony defects, furcation involvement and buccal/lingual bone destruction. This article discusses the advantages and disadvantages of cone beam computed tomography compared to conventional methods in periodontal diseases.

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  • Lee C, Lee SS, Kim JE, Symkhampha K, Lee WJ, Huh KH et al. A dose monitoring system for dental radiography. Imaging Sci Dent. 2016;46:103-8.
  • Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography part 1: pre-operative status. International Endodontic Journal. 2012;5:702-10.
  • Jorge EG, Tanomaru-Filho M, Goncalves M, Tanomaru JM. Detection of periapical lesion development by conventional radiography or computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:56-1.
  • Goodarzi Pour D, Romoozi E, Shayesteh YS. Accuracy of cone beam computed tomography for detection of bone loss. J Dent. 2015;12:513-23.
  • Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: Current perspectives. Clin Cosmet Investig Dent. 2014;6:29-43.
  • Patil DJ, Gupta T, Gupta S. Use of cone beam computed tomography in dentistry. International Journal of Applied Research. 2015;1:482-4.
  • Sahota J, Bhatia A, Gupta M, Singh V, Soni R. Reliability of orthopantomography and cone beam computed tomography in presurgical implant planning: a clinical study. J Contemp Dent Pract. 2017;8:665-69.
  • Ito K, Yoshinuma N, Goke E, Arai Y, Shinoda K. Clinical application of a new compact computed tomography system for evaluating the outcome of regenerative therapy: a case report. Journal of Periodontology. 2001;72:696-02.
  • Grimard BA, Hoidal MJ, Mills MP, Mellonig JT, Nummikoski PV, Mealey BL. Comparison of clinical, periapical radiograph, and cone beam volume tomography measurement techniques for assessing bone level changes following regenerative periodontal therapy. J Periodontol. 2009;80:48-5.
  • Hishikawa T, Izumi M, Naitoh M, Furukawa M, Yoshinari N, Kawase H et al. The effect of horizontal X-ray beam angulation on the detection of furcation defects of mandibular first molars in intraoral radiography. Dentomaxillofac Radiol. 2010;39:85-90.
  • Gupta P, Jan SM, Behal R. Cone-beam computerized tomography as a novel non invasive method to determine the palatal grafts thickness. J Oral Maxillofac Radiol. 2014;2:72-6.
  • Barriviera M, Duarte WR, Januario AL, Faber J, Bezerra AC. A new method to assess and measure palatal masticatory mucosa by cone-beam computerized tomography. J Clin Periodontol.2009;36:564-68.
  • Januario AL, Barriviera M, Duarte WR. Soft tissue cone beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. J Esthet Restor Dent. 2008;20:366-73
  • Walter C, Weiger R, Zitzmann NU. Accuracy of three dimensional imaging in assessing maxillary molar furcation involvement. J Clin Periodontol. 2010;37:436-41.
  • Suphanantachat S, Tantikul K, Tamsailom S, Kosalagood P, Nisapakultorn K, Tavedhikul K. Comparison of clinical values between cone beam computed tomography and conventional intraoral radiography in periodontal and infrabony defect assessment. Dentomaxillofac Radiol. 2017;46:20160461.
  • Fuhrmann RA, Bücker A, Diedrich PR. Furcation involvement: comparison of dental radiographs and HR-CT-slices in human specimens. J Periodontal Res. 1997;32:409-18.
  • Vasconcelos KF, Evangelista KM, Rodrigues CD, Estrela C, de Sousa TO, Silva MAG. Detection of periodontal bone loss using cone beam CT and intraoral radiography. Dentomaxillofac Radiol. 2012;41:64-9.
  • Jervoe-Storm PM, Hagner M, Neugebauer J, Ritter L, Zöller JE, Jepsen S et al. Comparison of cone-beam computerized tomography and intraoral radiographs for determination of the periodontal ligament in a variable phantom. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:95-101.
  • Ozmeric N, Kostioutchenko I, Hagler G, Frentzen M, Jervoe- Storm PM. Cone beam computed tomography in assessment of periodontal ligament space: In vitro study on artificial tooth model. Clin Oral Investig. 2008;12:233-39.
  • Hirschmann PN. Radiographic interpretation of chronic periodontitis. Int Dent J. 1987;37:3-9.
  • Tynd all DAnone , Rathore S. Cone beam CT diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am. 2008;52:825-41.
  • Misch KA, Yi ES, Sarment DP. Accuracy of cone beam computed tomography for periodontal defect measurements. J Periodontol. 2006;77:1261-6.
  • Chitralekha C, Prasad PA, Nalini HE, Devi RR. Cone beam computed tomography: Three dimensional imaging in periodontal diagnosis. J Indian Acad Dent Spec Res. 2017;4:12-7.
  • Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A et al. Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol. 2012;81:267-71.
  • Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M, Ariji E et al. Relationship between density variability and imaging volüme size in cone-beam computerized tomographic scanning of the maxillofacial region: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:420-25.
  • Acar B, Kamburoğlu K. Use of cone beam computed tomography in periodontology. World J Radiol 2014;5:139-47.
  • Brook I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg. 2006;135:349-55.
  • Llyod GA, Lund VJ, Scadding GK. CT of paranasal sinuses and functional endoscopic surgery: a critical analysis of 100 symptomatic patients. J Larinygol Otol. 1991;3:181-5.
  • Hauman CH, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review. Int Endod J. 2002;35:127-41.
  • Ruprecht A, Batniji S, el-Neweihi E. Mucous retention cyst of the maxillary sinus. Oral Surg Oral Med Oral Pathol. 1986;62:728-31.
  • Scarfe WC, Farman AG. Cone-beam computed tomography: volume acquisition. In Oral Radiology Principles and Interpretation, 7nd th (Ed. S White, MJ Pharoah):185-98. St Louis, Mosby Elsevier. 2014.
  • Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone beam computed tomography in dental practice. J Can Dent Assoc. 2006;72:75-80.
  • Mozzo P, Procacci C, Tacconi A, Tinazzi Martini P, Bergamo Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8:1558-64.
  • Halazonetis DJ. From 2-dimensional cephalograms to 3-dimensional computed tomography scans. Am J Orthod. 2005;127:627-37.
  • Naito T, Hosokawa R, Yokota M. Three-dimensional alveolar bone morphology analysis using computed tomography. J Periodontol. 1998;69:584-89.
  • Pistorius A, Patrosio C, Willershausen B, Mildenberger P, Rippen G. Periodontal probing in comparison to diagnosis by CT-scan. Int Dent J. 2001;51:339-47.
  • Du Bois AH, Kardachi B, Bartold PM. Is there a role for the use of volumetric cone beam computerized tomography in periodontics? Aust Dent J. 2012;1:103-08
  • Newman M, Takei HH, Carranza FA. Radiographic aids in the diagnosis of periodontal disease. In Clinical Periodontology 9th edition (Eds. FA Carranza, HH Takei):454-68. Philadelphia, W.B. Saunders, 2002.
  • Gomes-Filho IS, Sarmento VA, de Castro MS, da Costa NP, da Cruz SS, Trindade SC et al. Radiographic features of periodontal bone defects: evaluation of digitized images. Dentomaxillofac Radiol. 2007;36:256-62
  • Harorlı A, Akgül M, Yılmaz B, Bilge OM, Dağıstan S, Çakur B et al. Görüntüleme yöntemleri. In Ağız, Diş ve Çene Radyolojisi. (Ed. A Harorlı):207-44. Erzurum, Nobel Tıp Kitapevleri, 2014.
  • Li G, Engstrom PE, Nasstrom K, Lu ZY, Sanderink G, Welander U. Marginal bone levels measured in film and digital radiographs corrected for attenuation and visual response: an in vivo study. Dentomaxillofac Radiol. 2007;36:7-11.
  • White S. Assessment of radiation risk from dental radiography. Dentomaxillofac Radiol. 1992;21:118-26.
  • Sainu R, Madhumala R, Majeed TA, Ravi RS, Sayeeganesh N, Jayachandran D. Imaging techniques in periodontics: a review article. J Biosci Tech. 2016;2:739-47.
  • Harorlı A, Akgül M, Yılmaz B, Bilge OM, Dağıstan S, Çakur B et al. Diş hekimliğinde radyografi teknikleri. In Ağız, Diş ve Çene Radyolojisi. (Ed. A Harorlı):133-90. Erzurum, Nobel Tıp Kitapevleri. 2014.
  • De Vos W, Casselman J, Swennen GR. Cone beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2009;38:609-25.
  • Mohan R, Singh A, Gundappa M. Three dimensional imaging in periodontal diagnosis-Utilization of cone beam computed tomography. J Indian Soc Periodontol. 2011;15:11-7.
  • Mol A. Imaging methods in periodontology. Periodontol 2000. 2004;34:34–48.
  • Braun X, Ritter L, Jervoe-Storm PM, Frentzen M. Diagnostic accuracy of CBCT for periodontal lesions. Clinical Oral Investigations. 2014;18:1229-36.
  • Corbet EF, Ho DK, Lai SM. Radiographs in periodontal disease diagnosis and management. Aust Dent J. 2009;54:27-43.
  • Highfield J. Diagnosis and classification of periodontal disease. Aust Dent J. 2009;54:11-26.
  • Tugnait A, Clerehugh V, Hirschmann PN. The usefulness of radiographs in diagnosis and management of periodontal diseases: a review. J Dent. 2000;28:219-26.
  • Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet. 2005;366:1809-20.