Comparison of Diagnostic Accuracy of Conventional and Photo Stimulable- Phosphor Periapical Radiography in Internal Root Resorption Lesions

Sanaz Sharifi Shoshtari, Fatemeh Esfandiari
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Abstract

Background and Objectives Internal Root Resorption (IRR) occurs in pulpchamber and canals of the tooth and results in desolation of around dentin. Regarding to important role of early diagnosis of IRR in prognose and treatment plan of the teeth and also limitations of intraoral technics in early detecting of these lesions, in this study we evaluated the accuracy of PSP in diagnosis of these lesions. Subjects and Methods We split 70 single root premolar teeth mesiodistalyand made artificial IRR in 35 teeth. The rest of them used as control group PSP and Conventional radiography captured from all teeth. IRR existence or not was considered in PSP and Conventionalradiographies of each tooth. Results PSP has complete agreement in all cases with reality but Conventional radiography in some cases particularly in 1/3 apical lesions of the root has moderate accuracy with reality and its results diden’t have considerable differences with reality. Conclusion Regarding to this study, has higher accuracy for PSP than Conventional radiography in detecting Internal root resorption lesions particularly in apical sites.
内根吸收性病变的常规与光刺激磷光根尖周造影诊断准确性比较
背景与目的牙根内吸收(IRR)发生在牙髓腔和牙根管中,导致牙本质周围的破坏。考虑到早期诊断IRR对牙齿预后和治疗方案的重要作用,以及口腔内技术在早期发现这些病变方面的局限性,本研究我们评估了PSP诊断这些病变的准确性。对象与方法对70颗单根前磨牙进行中远端分离,对35颗牙齿进行人工内切。其余作为对照组,采用PSP和常规摄片。在每颗牙齿的PSP和常规x线片中考虑是否存在IRR。结果PSP对所有病例的诊断结果与实际情况完全吻合,而常规影像学对部分病例,特别是1/3的根尖病变的诊断结果与实际情况吻合较好,与实际情况相差不大。结论在本研究中,PSP对根内吸收病变尤其是根尖部位的检测准确率高于常规影像学。
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