The effect of radiation dose on CBCT measurements of maxillary gingival thickness
- 14 October 2022
- journal article
- Published by Peertechz Publications Private Limited in International Journal of Oral and Craniofacial Science
- Vol. 8 (2), 026-031
- https://doi.org/10.17352/2455-4634.000056
Abstract
Purposes: 1. to measure Gingival Thickness (GT) both directly and with CBCT using various exposure times, and compare them. 2. to compare hard tissue measurements between different exposure times within each CBCT system. The study hypothesis was that accuracy of CBCT GT measurement is impaired when reducing exposure time. Methods: 8 fresh pig maxillae were utilized for each of two CBCT scan systems (SysA and SysB). Eight disposable dental needles were inserted into the gingival tissue of each jaw until reaching resistance from the underlying bone. A mark on each needle at its entrance point into the soft tissue was created using a permanent marker. Jaws were scanned twice, using low (RadL) and high (RadH) exposure times. The needles were extruded, and an electronic caliper was used to measure the length of the penetrated portion of the needle in mm (Cli). Radiographic GT was measured on cross sectional images, produced in the axial direcion of the 3D location of the needles (Rad) in two software systems (R and I). Descriptive statistics, t-test and ANOVA were performed. Significance was set at 5%. Results: Software I mean Cli was 2.22mm ± 0.54mm, RadL and RadH were 2.34mm ± 0.47mm and 2.34mm ± 0.52mm. Software R RadL and RadH were 2.16mm ± 0.50mm and 2.23mm ± 0.49mm, respectively. Using pairwise comparisons, both soft and hard tissue RadL and RadH were not statistically different. There was a good correlation between clinical and radiographic measurements of gingival thickness and essentially no significant difference between higher and lower radiation doses. Conclusions: Reducing CBCT radiation may be possible without affecting accuracy of radiographic gingival thickness measurements , thus opening the way to a wider utilization of CBCT in dentistry. Clinical relevance: Reducing radiation dose may enable a wider utilization of CBCT in dentistry.Keywords
This publication has 19 references indexed in Scilit:
- Evidence‐based knowledge on the aesthetics and maintenance of peri‐implant soft tissues: Osteology Foundation Consensus Report Part 1—Effects of soft tissue augmentation procedures on the maintenance of peri‐implant soft tissue healthClinical Oral Implants Research, 2018
- Effects of soft tissue augmentation procedures on peri‐implant health or disease: A systematic review and meta‐analysisClinical Oral Implants Research, 2018
- Measurement properties of gingival biotype evaluation methodsClinical Implant Dentistry and Related Research, 2018
- A Non-Invasive and Accurate Measurement of Gingival Thickness Using Cone-Beam Computerized Imaging for the Assessment of Planning Immediate Implant in the Esthetic Zone—A Pig Jaw ModelImplant Dentistry, 2016
- Dose optimization by altering the operating potential and tube current exposure time product in dental cone beam CT: a systematic reviewDento maxillo facial radiology, 2016
- Cone Beam Computed Tomography in Implant Dentistry: A Systematic Review Focusing on Guidelines, Indications, and Radiation Dose RisksThe International Journal of Oral and Maxillofacial Implants, 2014
- Measurement of gingival thickness using digital vernier caliper and ultrasonographic method: a comparative studyJournal of Investigative and Clinical Dentistry, 2013
- Accuracy and reliability of facial soft tissue depth measurements using cone beam computer tomographyForensic Science International, 2010
- Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial RadiologyDento maxillo facial radiology, 2009
- GRADE: an emerging consensus on rating quality of evidence and strength of recommendationsBMJ, 2008