Oral RadiologyPub Date : 2024-10-29DOI: 10.1007/s11282-024-00782-2
Hak-Sun Kim, Jaejung Seol, Ji-Yun Lee, Sang-Sun Han, Jaejun Yoo, Chena Lee
{"title":"Style harmonization of panoramic radiography using deep learning.","authors":"Hak-Sun Kim, Jaejung Seol, Ji-Yun Lee, Sang-Sun Han, Jaejun Yoo, Chena Lee","doi":"10.1007/s11282-024-00782-2","DOIUrl":"https://doi.org/10.1007/s11282-024-00782-2","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to harmonize panoramic radiograph images from different equipment in a single institution to display similar styles.</p><p><strong>Methods: </strong>A total of 15,624 panoramic images were acquired using two different equipment: 8079 images from Rayscan Alpha Plus (R-unit) and 7545 images from Pax-i plus (P-unit). Among these, 222 image pairs (444 images) from the same patients comprised the test dataset to harmonize the P-unit images with the R-unit image style using CycleGAN. Objective evaluations included Frechet Inception Distance (FID) and Learned Perceptual Image Patch Similarity (LPIPS) assessments. Additionally, expert evaluation was conducted by two oral and maxillofacial radiologists on transformed P-unit and R-unit images. The statistical analysis of LPIPS employed a Student's t-test.</p><p><strong>Results: </strong>The FID and mean LPIPS values of the transformed P-unit images (7.362, 0.488) were lower than those of the original P-unit images (8.380, 0.519), with a significant difference in LPIPS (p < 0.05). The experts evaluated 43.3-46.7% of the transformed P-unit images as R-unit images, 20.0-28.3% as P-units, and 28.3-33.3% as undetermined images.</p><p><strong>Conclusions: </strong>CycleGAN has the potential to harmonize panoramic radiograph image styles. Enhancement of the model is anticipated for the application of images produced by additional units.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2024-10-27DOI: 10.1007/s11282-024-00781-3
Berrin Çelik, Mehmet Zahid Genç, Mahmut Emin Çelik
{"title":"Evaluation of root canal filling length on periapical radiograph using artificial intelligence.","authors":"Berrin Çelik, Mehmet Zahid Genç, Mahmut Emin Çelik","doi":"10.1007/s11282-024-00781-3","DOIUrl":"https://doi.org/10.1007/s11282-024-00781-3","url":null,"abstract":"<p><strong>Objectives: </strong>This work proposes a novel method to evaluate root canal filling (RCF) success using artificial intelligence (AI) and image analysis techniques.</p><p><strong>Methods: </strong>1121 teeth with root canal treatment in 597 periapical radiographs (PARs) were anonymized and manually labeled. First, RCFs were segmented using 5 different state-of-the-art deep learning models based on convolutional neural networks. Their performances were compared based on the intersection over union (IoU), dice score and accuracy. Additionally, fivefold cross validation was applied for the best-performing model and their outputs were later used for further analysis. Secondly, images were processed via a graphical user interface (GUI) that allows dental clinicians to mark the apex of the tooth, which was used to find the distance between the apex of the tooth and the nearest RCF prediction of the deep learning model towards it. The distance can show whether the RCF is normal, short or long.</p><p><strong>Results: </strong>Model performances were evaluated by well-known evaluation metrics for segmentation such as IoU, Dice score and accuracy. CNN-based models can achieve an accuracy of 88%, an IoU of 79% and Dice score of 88% in segmenting root canal fillings.</p><p><strong>Conclusions: </strong>Our study demonstrates that AI-based solutions present accurate and reliable performance for root canal filling evaluation.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Combined external radiotherapy and single-fraction palliative high-dose-rate interstitial brachytherapy for a patient with a base of tongue cancer who had a previous radiation history.","authors":"Ken Yoshida, Yutaka Tanaka, Satoaki Nakamura, Asami Yoshida, Midori Yui, Kazuki Hirota, Katsuya Maebou, Zeyun Wang, Hideki Takegawa, Yusuke Anetai, Yuhei Koike, Toshiko Shiga, Hironori Akiyama, Naoya Murakami, Airi Asako, Yuhei Ogino, Hitoshi Nishimoto, Takuo Fujisawa, Masao Yagi, Hiroshi Iwai, Noboru Tanigawa","doi":"10.1007/s11282-024-00779-x","DOIUrl":"https://doi.org/10.1007/s11282-024-00779-x","url":null,"abstract":"<p><p>Only a few studies have explored whether high-dose-rate interstitial brachytherapy (HDR-ISBT) can be indicated as a palliative/symptomatic treatment. We present the good results of palliative treatment using HDR-ISBT combined with external beam radiotherapy (ERT) in a patient of base of tongue cancer (cT4aN1M0). The patient was an 81-year-old male who complained of local pain. He had a previous irradiation history for head and neck cancer receiving ERT with systemic chemotherapy and radical surgery 15 years ago. Since it might be difficult for him to receive radical radiation doses using ERT alone, palliative ERT of relatively lower doses of 37.5 Gy in 15 fractions was selected. One month after ERT, HDR-ISBT was implemented as a booster. Considering the burden on physical condition, single-fraction HDR-ISBT was selected. We employed a new technique in which we did not penetrate the ventral surface of the tongue to reduce the risk of infection and bleeding. The planning-aim dose was 9.5 Gy. The dose that covered 90% of the clinical target volume was 9.6 Gy. The treatment ended without any problems. Acute complications were not observed. The tumor size decreased, and local pain disappeared at post-treatment day 84. No late complications were observed. Two years and 8 months after the treatment, the patient is alive without any obvious recurrence. Additional single-fraction HDR-ISBT boost may be a useful modality as a palliative/symptomatic intent. The implantation technique and dose-fraction schedule may be important for the safe treatment of older patients or those with poor performance status.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2024-10-15DOI: 10.1007/s11282-024-00778-y
Hiroaki Shimamoto, Doaa Felemban, Yuka Uchimoto, Nobuhiko Matsuda, Naoko Takagawa, Ami Takeshita, Yuri Iwamoto, Ryoko Okahata, Tomomi Tsujimoto, Sven Kreiborg, Sanjay M Mallya, Fan-Pei Gloria Yang
{"title":"Effect of metallic materials on magnetic resonance image uniformity: a quantitative experimental study.","authors":"Hiroaki Shimamoto, Doaa Felemban, Yuka Uchimoto, Nobuhiko Matsuda, Naoko Takagawa, Ami Takeshita, Yuri Iwamoto, Ryoko Okahata, Tomomi Tsujimoto, Sven Kreiborg, Sanjay M Mallya, Fan-Pei Gloria Yang","doi":"10.1007/s11282-024-00778-y","DOIUrl":"https://doi.org/10.1007/s11282-024-00778-y","url":null,"abstract":"<p><strong>Objective: </strong>To assess quantitatively the effect of metallic materials on MR image uniformity using a standardized method.</p><p><strong>Methods: </strong>Six types of 1 cm cubic metallic materials (i.e., Au, Ag, Al, Au-Ag-Pd alloy, Ti, and Co-Cr alloy) embedded in a glass phantom filled were examined and compared with no metal condition inserted as a reference. The phantom was scanned five times under each condition using a 1.5-T MR superconducting magnet scanner with an 8-channel phased-array brain coil and head and neck coil. For each examination, the phantom was scanned in three planes: axial, coronal, and sagittal using T1-weighted spin echo (SE) and gradient echo (GRE) sequences in accordance with the American Society for Testing and Materials (ASTM) F2119-07 standard. Image uniformity was assessed using the non-uniformity index (NUI), which was developed by the National Electrical Manufacturers Association (NEMA), as an appropriate standardized measure for investigating magnetic field uniformity.</p><p><strong>Results: </strong>T1-GRE images with Co-Cr typically elicited the lowest uniformity, followed by T1-GRE images with Ti, while all other metallic materials did not affect image uniformity. In particular, T1-GRE images with Co-Cr showed significantly higher NUI values as far as 6.6 cm at maximum equivalent to 11 slices centering around it in comparison with the measurement uncertainty from images without metallic materials.</p><p><strong>Conclusion: </strong>We found that MR image uniformity was influenced by the scanning sequence and coil type when Co-Cr and Ti were present. It is assumed that the image non-uniformity in Co-Cr and Ti is caused by their high magnetic susceptibility.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patients' attitudes toward artificial intelligence in dentistry and their trust in dentists.","authors":"Hasibe Sevilay Bahadir, Neslihan Büşra Keskin, Emine Şebnem Kurşun Çakmak, Gürkan Güneç, Kader Cesur Aydin, Fatih Peker","doi":"10.1007/s11282-024-00775-1","DOIUrl":"https://doi.org/10.1007/s11282-024-00775-1","url":null,"abstract":"<p><strong>Objectives: </strong>This study intended to evaluate patients' attitudes toward the use of AI in dental radiographic detection of occlusal caries and the impact of AI-based diagnosis on their trust in dentists.</p><p><strong>Methods: </strong>A total of 272 completed questionnaires were included in this study. In the first part of the study, approval was obtained from the patients, and data were collected about their socio-demographic characteristics. In the second part the 11-item Dentist Trust Scale was applied. In the third and fourth parts, there were questions about two clinical scenarios, the patients' knowledge of attitudes toward AI, and how the AI-based diagnosis had affected their trust. Evaluation was performed using a Likert-type scale. Data were analyzed with the Chi-square, one-way ANOVA, and ordinal logistic regression tests (p < 0.05).</p><p><strong>Results: </strong>The patients believed that \"AI is useful\" (3.86 ± 1.03) and were not afraid of the use of AI in dentistry (2.40 ± 1.05). Educational level was considerably related to the patients' attitudes to the use of AI for dental diagnostics (p < 0.05). The patients stated that \"dentists are extremely thorough and careful\" (4.39 ± 0.77).</p><p><strong>Conclusions: </strong>The patients displayed a positive attitude to AI-based diagnosis in the dental field and appear to exhibit trust in dentists. The use of Al in routine clinical practice can provide important benefit to physicians as a clinical decision support system in dentistry and understanding patients' attitudes may allow dentists to shape AI-supported dentistry in the future.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acceptability of artificial intelligence in dental radiology among patients in India: are we ready for this revolution?","authors":"Preeti Chawla Arora, Komaldeep Kaur Sandhu, Aman Arora, Ambika Gupta, Mandavi Waghmare, Vasundhara Rampal","doi":"10.1007/s11282-024-00777-z","DOIUrl":"https://doi.org/10.1007/s11282-024-00777-z","url":null,"abstract":"<p><strong>Objective: </strong>In recent times, artificial Intelligence (AI) has gained popularity in medical as well as dental radiology. Studies have been conducted among medical and dental students and professionals about the knowledge and understanding towards AI. The aim of this study was to investigate the perceptions and acceptability of AI in dental radiology among a group of Indian patients seeking dental treatment.</p><p><strong>Methods: </strong>A cross-sectional research was planned with a validated questionnaire, containing ten close ended questions amongst 1562 patients. Their sociodemographic characters, opinions and attitudes regarding AI and feasibility of acceptance of AI-based dental radiological diagnosis among patients was evaluated. The study sample was divided in various groups on the basis of their age; group-1(16-30 years), group-2(31-45 years) and group-3(>45 years), educational status and urban/rural background. Statistical analysis was done by Chi-square test with significance value set at p< 0.005.</p><p><strong>Results-: </strong>The participants possessed impressive knowledge about AI. Patients' awareness, attitudes and acceptability towards AI for dental radiographic diagnosis were substantially influenced by age, education level and residential background. Although many of them, especially the urban and more educated participants believed that AI could be more accurate, they preferred the human judgement. Overall, a negative attitude in terms of acceptability of AI in dental radiology was observed in this study.</p><p><strong>Conclusions: </strong>Participants opined that AI should only be used as an auxiliary tool and valued clinical judgment over AI in ambiguous situations. It is recommended that this promising technological advancement can be used for initial screening in dental radiology.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2024-10-08DOI: 10.1007/s11282-024-00776-0
Aslı Soğukpınar Önsüren, Katibe Tuğçe Temur
{"title":"Evaluation of fractal analysis and radiomorphometric measurements of mandibular bone structure in bruxism and non-bruxism paediatric patients.","authors":"Aslı Soğukpınar Önsüren, Katibe Tuğçe Temur","doi":"10.1007/s11282-024-00776-0","DOIUrl":"https://doi.org/10.1007/s11282-024-00776-0","url":null,"abstract":"<p><strong>Objectives: </strong>The goal of this examination was to compare the impact of probable sleep/awake bruxism on the mandibular trabecular bone structure by fractal analysis (FA) with digital panoramic radiograph (DPR) and radiomorphometric measurements in paediatric patients with bruxism.</p><p><strong>Methods: </strong>The examination included 130 participants with 63 patients with probable sleep/awake bruxism and 67 control groups. Bilateral regions of interest (ROI) in three regions were examined as ROI1: mandibular ramus, ROI2: mandibular angulus, ROI3: anterior to the molar teeth. Radiomorphometric measurements were taken of the mandibular cortical width (MCW), panoramic mandibular index (PMI), and mandibular cortical index (MCI). p < 0.05 was approved for statistical significance.</p><p><strong>Results: </strong>The ROI-1, ROI-2, and ROI-3 values were defined to be statistically significantly high in the bruxism group (p < 0.05). No significant difference was found between the groups in the other values (p > 0.05). There was no difference in the age and gender for any of the parameters (p > 0.05).</p><p><strong>Conclusion: </strong>In children and adolescents, the mandibular trabecular bone can be affected by bruxism. FA can be used as an auxiliary method for finding the mandibular trabecular differences of patients with bruxism in paediatric dentistry just as it can for adults.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improved soft-tissue visibility on cone-beam computed tomography with an image-generating artificial intelligence model using a cyclic generative adversarial network.","authors":"Motoki Fukuda, Michihito Nozawa, Hironori Akiyama, Eiichiro Ariji, Yoshiko Ariji","doi":"10.1007/s11282-024-00763-5","DOIUrl":"10.1007/s11282-024-00763-5","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to enhance the visibility of soft tissues on cone-beam computed tomography (CBCT) using a CycleGAN network trained on CT images.</p><p><strong>Methods: </strong>Training and evaluation of the CycleGAN were conducted using CT and CBCT images collected from Aichi Gakuin University (α facility) and Osaka Dental University (β facility). Synthesized images (sCBCT) output by the CycleGAN network were evaluated by comparing them with the original images (oCBCT) and CT images, and assessments were made using histogram analysis and human scoring of soft-tissue anatomical structures and cystic lesions.</p><p><strong>Results: </strong>The histogram analysis showed that on sCBCT, soft-tissue anatomical structures showed significant shifts in voxel intensity toward values resembling those on CT, with the mean values for all structures approaching those of CT and the specialists' visibility scores being significantly increased. However, improvement in the visibility of cystic lesions was limited.</p><p><strong>Conclusions: </strong>Image synthesis using CycleGAN significantly improved the visibility of soft tissue on CBCT, with this improvement being particularly notable from the submandibular region to the floor of the mouth. Although the effect on the visibility of cystic lesions was limited, there is potential for further improvement through refinement of the training method.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2024-10-01Epub Date: 2024-06-09DOI: 10.1007/s11282-024-00758-2
Suvarna Indermun, Fadi Titinchi, Julandi Alwan, Jean Morkel, Christoffel Johannes Nortje
{"title":"Osteosarcoma associated with cemento-osseous dysplasia: co-incidence or two related entities?","authors":"Suvarna Indermun, Fadi Titinchi, Julandi Alwan, Jean Morkel, Christoffel Johannes Nortje","doi":"10.1007/s11282-024-00758-2","DOIUrl":"10.1007/s11282-024-00758-2","url":null,"abstract":"<p><strong>Background: </strong>Osteosarcoma of the jaws is a rare primary malignant tumor of bone. The clinical, radiological and histopathological features of a case associated with cemento-osseous dysplasia is presented.</p><p><strong>Case report: </strong>A 57-year-old mixed-race female presented with a large, progressive, swelling of the right mandible. Radiographic examination revealed two associated lesions. Partially defined irregular radiopacities were noted in the left mandible, extending from the premolar to the molar region. The lesion had a cotton-wool appearance and resembled a fibro-osseous lesion; i.e. cemento-osseous dysplasia. A second large, expansive and irregular, radiopaque lesion was noted on the right angle of the mandible, extending beyond the inferior cortex of the mandible. The internal structure was heterogeneous and resembled irregular bone formation. The classic \"sunburst\" appearance of radiating bony spicules can be seen in the posterior-anterior view and the CBCT 3D reconstruction, indicating the outgrowth of the tumor matrix. Histopathological exam confirmed a final diagnosis of osteosarcoma closely associated with cemento-osseous dysplasia. The patient underwent a fludeoxyglucose-18 (FDG) positron emission tomography (PET) scan which indicated metastasis in the left lung and increased uptake in the right mandible. Chemotherapy was initially administered with a plan to resect the tumor, however, the patient demised as a result of medical complications.</p><p><strong>Conclusion: </strong>The question in the literature remains whether these two entities are coincidentally found or arise from each other. Nevertheless, it is important for clinicians to closely monitor patients with cemento-osseous dysplasia and biopsy any suspicious lesions that may develop into osteosarcoma.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11379726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of canalis sinuosus and accessory canal morphology by cone-beam computed tomography.","authors":"Ceren Aktuna Belgin, Gozde Serindere, Zarif Ece Hammudioglu, Merve Kucuk","doi":"10.1007/s11282-024-00767-1","DOIUrl":"10.1007/s11282-024-00767-1","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate canalis sinuosus (CS) and accessory canalis sinuosus (AC) morphology and their relationship with the impacted canine on cone-beam computed tomography (CBCT) images.</p><p><strong>Methods: </strong>The diameter and location of the CS, its distance from the nasal cavity (NC-CS), its distance from the buccal cortical plate (BC-CS), and its distance from the alveolar ridge crest (AR-CS) were evaluated on 1000 CBCT scans. The prevalence and termination of AC and the presence of impacted canines were also evaluated.</p><p><strong>Results: </strong>CS was detected in 89 (8.9%) of 1000 CBCTs. The mean CS diameter was found as 1.34 ± 0.53 mm. No statistically significant difference was found between gender, age, direction, and CS presence and diameter. CS was most frequently seen in regions 11 (23.6%) and 13 (23.6%). The average NC-CS, BC-CS, and AR-CS length was 6.14, 6.06 and 4.35 mm, respectively. AC was detected in 22 patients (24.71%). There was no statistically significant difference between the presence of AC and gender, age, CS diameter, NC-CS, BC-CS, and AR-CS distance. BC-CS length and AR-CS length were statistically significantly higher in patients with impacted canines.</p><p><strong>Conclusions: </strong>It should be kept in mind that the CS diameter, NC-CS, BC-CS, and AR-CS distance may increase in the presence of an impacted canine and the integrity of the neurovascular structure should be preserved. The fact that the CS is often localized in the palatial region requires a detailed evaluation of the anterior maxillary region with three-dimensional imaging methods.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}