Comparison of Charge-Coupled Devices and Photostimulable Phosphor Storage Plates for Detection of Vertical Root Fractures in Endodontically Treated Teeth: An In Vitro Study

Objective: Vertical root fracture (VRF) is among the most common causes of endodontic treatment failures. This study aims to compare charge-coupled devices (CCD) and photostimulable phosphor plates (PSP) for detection of vertical root fractures in endodontically treated teeth.Methods: In this diagnostic in vitro study, 40 maxillary anterior teeth were selected and after preparation and root canal filling, their crowns were cut 2mm above the cementoenamel junction (CEJ). The teeth were embedded in a piece of dried bone and radiographed using CCD and PSP with equal geometry at zero and 15° horizontal angles. VRFs were then induced and the fractured fragments were reattached. The teeth were radiographed again. Three observers evaluated the radiographs for detection of fracture line. Data were analyzed using the Proportion test and Wilcoxon’s Signed Ranks test.Results: No significant difference was found between the two sensors in detection of VRFs [p-value (complete)= 0.592, p-value (absolute)= 1]. The sensitivity of the two sensors for detection of buccolingual and mesiodistal fractures was not significantly different [p-value BL (absolute)= 0.109, p-value BL (complete) 0.180] [p-value MD (complete)=0.593, p-value MD (absolute)= 0.102]. The sensitivity of both sensors for detection of buccolingual fracture was higher than for mesiodistal fractures (p<0.001).Conclusion: CCD and PSP had equal efficacy for detection of VRFs in endodontically treated teeth

Langerhans' cell histiocytosis with multiple radiolucent lesions in the body of the mandible,report of a case

Introduction: Langerhans cell histiocytosis (LCH) refers to a group of rare reticuloendothelial system disorders and it occurs most often in young adults and children. A 57-year-old edentulous female patient who complained of dull pain in the posterior region of the mandible referred to the dental office, with a complaint of dull pain in the posterior region of the mandible. The lesion was diagnosed as LCH. Oral manifestations could be the first signs of Langerhans' cell histiocytosis. Therefore, the dentist must be aware of the oral symptoms so in order that the disease is not overlooked

Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study

Objectives: This study sought to assess the diagnostic accuracy of cone beam computed tomography (CBCT) with different voxel sizes and intraoral digital radiography with photostimulable phosphor (PSP) plate for detection of periapical (PA) bone lesions. Materials and Methods: In this ex vivo diagnostic study, one-millimeter defects were created in the alveolar sockets of 15 bone blocks, each with two posterior teeth. A no-defect control group was also included. Digital PA radiographs with PSP plates and CBCT scans with 200, 250 and 300μ voxel sizes were obtained. Four observers evaluated the possibility of lesion detection using a 5-point scale. Sensitivity, specificity, positive predictive value (PPV) and negative predicative value (NPV) were analyzed using one-way ANOVA and Tamhane’s post hoc test. Kappa and weighted kappa statistics were applied to assess intraobserver and interobserver agreements. Results: Cochrane Q test showed no significant difference between PSP and CBCT imaging modalities in terms of kappa and weighted kappa statistics (P=0.675). The complete sensitivity and complete NPV for 200 and 250 μ voxel sizes were higher than those of 300 μ voxel size and digital radiography (P<0.001). No significant difference was noted in other parameters among other imaging modalities (P=0.403). Conclusions: The results showed that high-resolution CBCT scans had higher diagnostic accuracy than PSP digital radiography for detection of artificially created PA bone lesions. Voxel size (field of view) must be taken into account to minimize patient radiation dose.