Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-12-27DOI: 10.1007/s11282-024-00799-7
Mustafa Taha Güller, Nida Kumbasar, Özkan Miloğlu
{"title":"Evaluation of the effectiveness of panoramic radiography in impacted mandibular third molars on deep learning models developed with findings obtained with cone beam computed tomography.","authors":"Mustafa Taha Güller, Nida Kumbasar, Özkan Miloğlu","doi":"10.1007/s11282-024-00799-7","DOIUrl":"10.1007/s11282-024-00799-7","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to determine the contact relationship and position of impacted mandibular third molar teeth (IMM<sub>3</sub>) with the mandibular canal (MC) in panoramic radiography (PR) images using deep learning (DL) models trained with the help of cone beam computed tomography (CBCT) and DL to compare the performances of the architectures.</p><p><strong>Methods: </strong>In this study, a total of 546 IMM<sub>3</sub>s from 290 patients with CBCT and PR images were included. The performances of SqueezeNet, GoogLeNet, and Inception-v3 architectures in solving four problems on two different regions of interest (RoI) were evaluated.</p><p><strong>Results: </strong>The SqueezeNet architecture performed the best on the vertical RoI, showing 93.2% accuracy in the identification of the 2nd problem (contact relationship buccal or lingual). Inception-v3 showed the highest performance with 84.8% accuracy in horizontal RoI for the 1st problem (contact relationship-no contact relationship), GoogLeNet showed 77.4% accuracy in horizontal RoI for the 4th problem (contact relationship buccal, lingual, other category, or no contact relationship), and GoogLeNet showed 70.0% accuracy in horizontal RoI for the 3rd problem (contact relationship buccal, lingual, or other category).</p><p><strong>Conclusion: </strong>This study found that the Inception-v3 model showed the highest accuracy values in determining the contact relationship, and SqueezeNet architecture showed the highest accuracy values in determining the position of IMM<sub>3</sub> relative to MC in the presence of a contact relationship.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"260-275"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900606","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 : 2025-04-01Epub Date: 2024-12-20DOI: 10.1007/s11282-024-00797-9
Hirotaka Muraoka, Takashi Kaneda, Takumi Kondo, Yuta Kohinata, Satoshi Tokunaga
{"title":"Sporadic vs. basal cell nevus syndrome associated odontogenic keratocysts: focus on CT and MRI including DWI.","authors":"Hirotaka Muraoka, Takashi Kaneda, Takumi Kondo, Yuta Kohinata, Satoshi Tokunaga","doi":"10.1007/s11282-024-00797-9","DOIUrl":"10.1007/s11282-024-00797-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate odontogenic keratocysts associated with basal cell nevus syndrome (BCNS) using computed tomography (CT) and magnetic resornance imaging (MRI) including diffusion-weighted imaging (DWI) and compare them with sporadic cases.</p><p><strong>Materials and methods: </strong>This study investigated 17 outpatients who underwent panoramic radiography, CT, and MRI between August 2012 and January 2021. Five of these patients had BCNS had 16 odontogenic keratocysts, for which the authors recorded detailed findings. DWI analysis compared the apparent diffusion coefficient (ADC) values of odontogenic keratocysts in patients with BCNS and sporadic cases. The Mann-Whitney test was used to analyse bivariate statistics.</p><p><strong>Results: </strong>Patients with BCNS had an average of 3.2 lesions in the jaw. On DWI, the ADC value ranged from 0.58 to 2.66 × 10<sup>-3</sup> mm<sup>2</sup>/s. The values for sporadic odontogenic keratocysts ranged from 0.67 to 1.11 × 10<sup>-3</sup> mm<sup>2</sup>/s. The median values were 0.94 and 0.89 for BCNS-associated and sporadic odontogenic keratocysts cases, respectively (P = .478).</p><p><strong>Conclusion: </strong>This study presented detailed imaging findings of odontogenic keratocysts in patients with BCNS. Furthermore, the authors revealed a wide range of ADC values for BCNS-associated odontogenic keratocysts.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"238-247"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866529","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 : 2025-04-01Epub Date: 2024-11-13DOI: 10.1007/s11282-024-00785-z
Julia Schwab, Lars Stucki, Sebastian Fitzek, Aliza Tithphit, Andreas Hönigl, Sarah Stackmann, Ina Horn, Hanna Thenner, Philipp Dasser, Ramona Woitek, Kyung-Eun Choi, Sepideh Hatamikia, Julia Furtner
{"title":"Radiological assessment of Sella Turcica morphology correlates with skeletal classes in an Austrian population: an observational study.","authors":"Julia Schwab, Lars Stucki, Sebastian Fitzek, Aliza Tithphit, Andreas Hönigl, Sarah Stackmann, Ina Horn, Hanna Thenner, Philipp Dasser, Ramona Woitek, Kyung-Eun Choi, Sepideh Hatamikia, Julia Furtner","doi":"10.1007/s11282-024-00785-z","DOIUrl":"10.1007/s11282-024-00785-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze variations in the sella turcica (ST) concerning its size, shape, and bridging, providing first reference values in Austrian individuals. Additionally, it assessed associations between these morphological and demographic parameters and their correlation with patients' skeletal class.</p><p><strong>Methods: </strong>208 lateral cephalometric radiographs (154 female, 54 male; age 8-58 years) from DPU Dental Clinic (Austria) were included. Size, skeletal class, shape, age, and gender of ST were tested for significance in correlation using, (M)ANOVA, and chi-square.</p><p><strong>Results: </strong>Linear dimensions of ST ranged from 11.1 to 12.9 mm across readers, with a standard deviation of 2.0-2.2 mm. Normal ST (49.76%) and round ST (58.77%) were the most frequent. ST bridging was detected in 6.97%. Skeletal class I appeared most frequently (54.8%). Statistical significance was observed between age, gender, and ST length, with further significant age effects on ST shape. Moreover, age showed significant modification of ST shape, while skeletal parameters appeared unaffected by other ST parameters.</p><p><strong>Conclusions: </strong>These preliminary findings define normal ST dimensions in an Austrian population, offering reference values for clinical interpretation and broadening the available European data. Clear associations between morphological and demographic parameters were detected. Additionally, these findings may contribute to diagnostic and therapeutic strategies in orthodontics and craniofacial pathology. Future studies employing cone beam computed tomography (CBCT) along a larger sample size could enhance the generalizability of these findings.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"169-179"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633392","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}
Oral RadiologyPub Date : 2025-04-01Epub Date: 2024-12-09DOI: 10.1007/s11282-024-00792-0
Yuebo Liu, Ge Kong, Xiaoping Lu, Fantai Meng, Jizhi Zhao, Chunlan Guo, Kuo Wan
{"title":"Radiographic biomarkers on grayscale gradient transition zone improve differentiation of deep caries/reversible pulpitis and chronic pulpitis through diagnostic model analysis.","authors":"Yuebo Liu, Ge Kong, Xiaoping Lu, Fantai Meng, Jizhi Zhao, Chunlan Guo, Kuo Wan","doi":"10.1007/s11282-024-00792-0","DOIUrl":"10.1007/s11282-024-00792-0","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the effectiveness of radiographic biomarkers on transition area (TA)-the grayscale gradient zone from carious lesion to normal dentine on radiographs-for identifying deep caries/reversible pulpitis and chronic pulpitis via diagnostic model analysis.</p><p><strong>Methods: </strong>This retrospective study included 392 caries cases. Canny edge detection was used to define the TA region. Texture parameters were extracted from the carious lesions (S1) and TA region (S2) by MaZda software on radiographs. Least absolute shrinkage and selection operator (LASSO) regression analysis was used to select biomarkers. Diagnostic models were fitted and model performance was furtherly evaluated by internal and external validation, decision curve analysis was applied to evaluate clinical benefits.</p><p><strong>Results: </strong>TA-based biomarkers (e.g., TA thickness, TA ratio, S2-S(5,-5) contrast and S2-WavEnLL-s-4) were significantly associated with the diagnosis of deep caries/reversible pulpitis versus chronic pulpitis, model performance significantly improved when adding the above biomarkers (likelihood-ratio test; p < 0.05, with an increase of AUC from 0.67 (reference model) to 0.89), and these results were maintained in a small external validation cohort. Clinical benefit was greater with the application of TA-based biomarkers.</p><p><strong>Conclusion: </strong>TA-based biomarkers are proven to be an effective tool in differentiating deep caries/reversible pulpitis and chronic pulpitis, preoperative diagnosis was improved with the above biomarkers compared to the reference model.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"197-206"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803428","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 : 2025-04-01Epub Date: 2025-01-08DOI: 10.1007/s11282-024-00801-2
Nida Geçkil, Katibe Tuğçe Temur
{"title":"A retrospective comparative fractal and radiomorphometric analysis of the effect of bisphosphonate use pattern and duration on the mandible.","authors":"Nida Geçkil, Katibe Tuğçe Temur","doi":"10.1007/s11282-024-00801-2","DOIUrl":"10.1007/s11282-024-00801-2","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to investigate the effect of two different bisphosphonate types on bone using dental panoramic radiographs (DPRs) and to compare these findings with a healthy cohort.</p><p><strong>Study design: </strong>Panoramic dental radiographs of bisphosphonate users (30) and healthy individuals (30) were retrospectively evaluated for the study. Regarding FA, standardized 50 × 50 pixel regions of interest (ROI) were identified for each patient. Moreover, the assessment encompassed Mandibular Cortical Width (MCW), Panoramic Mandibular Index (PMI), and Mandibular Cortical Index (MCI). A significance level of p < 0.05 was deemed to be statistically significant.</p><p><strong>Results: </strong>The case group showed significantly higher MCW and PMI measurements than the control group (p < 0.001). Right and left MCI measurements differed depending on the type of drug used (p = 0.008 and p = 0.019, respectively). No discernible correlation was found between the time elapsed since the last dose and any measurement values (p > 0.05).</p><p><strong>Conclusion: </strong>This study showed that bisphosphonate type and duration of drug use have a significant effect on changes in cortical bone structure. The persistence of these effects, unaffected by the time since the previous dose, suggests that bisphosphonates have a long-lasting effect on bone.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"276-284"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959217","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 : 2025-04-01Epub Date: 2025-01-14DOI: 10.1007/s11282-025-00804-7
Ceyda Gürhan, Hasan Yiğit, Selim Yılmaz, Cihat Çetinkaya
{"title":"A novel deep learning-based pipeline architecture for pulp stone detection on panoramic radiographs.","authors":"Ceyda Gürhan, Hasan Yiğit, Selim Yılmaz, Cihat Çetinkaya","doi":"10.1007/s11282-025-00804-7","DOIUrl":"10.1007/s11282-025-00804-7","url":null,"abstract":"<p><strong>Objectives: </strong>Pulp stones are ectopic calcifications located in pulp tissue. The aim of this study is to introduce a novel method for detecting pulp stones on panoramic radiography images using a deep learning-based two-stage pipeline architecture.</p><p><strong>Materials and methods: </strong>The first stage involved tooth localization with the YOLOv8 model, followed by pulp stone classification using ResNeXt. 375 panoramic images were included in this study, and a comprehensive set of evaluation metrics, including precision, recall, false-negative rate, false-positive rate, accuracy, and F1 score was employed to rigorously assess the performance of the proposed architecture.</p><p><strong>Results: </strong>Despite the limited annotated training data, the proposed method achieved impressive results: an accuracy of 95.4%, precision of 97.1%, recall of 96.1%, false-negative rate of 3.9%, false-positive rate of 6.1%, and a F1 score of 96.6%, outperforming existing approaches in pulp stone detection.</p><p><strong>Conclusions: </strong>Unlike current studies, this approach adopted a more realistic scenario by utilizing a small dataset with few annotated samples, acknowledging the time-consuming and error-prone nature of expert labeling. The proposed system is particularly beneficial for dental students and newly graduated dentists who lack sufficient clinical experience, as it aids in the automatic detection of pulpal calcifications. To the best of our knowledge, this is the first study in the literature that propose a pipeline architecture to address the PS detection tasks on panoramic images.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"285-295"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980664","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":"Diagnostic performance of depth of invasion, thickness, and styloglossus and hyoglossus muscle invasion on magnetic resonance imaging in predicting potential neck lymph node metastasis in clinical N0 tongue cancer.","authors":"Chika Yamada, Akira Baba, Satoshi Matsushima, Hideomi Yamauchi, Masato Nagaoka, Tomoya Suzuki, Yuika Kato, Hiroya Ojiri","doi":"10.1007/s11282-024-00796-w","DOIUrl":"10.1007/s11282-024-00796-w","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate previously reported quantitative (tumor thickness 11 mm and depth of invasion [DOI] 7.5 mm) and qualitative (styloglossus/hyoglossus muscle invasion [SHMI]) magnetic resonance imaging (MRI) parameters for predicting occult neck node metastasis in clinical N0 oral tongue squamous cell carcinoma.</p><p><strong>Methods: </strong>This single-center retrospective study included 76 patients. MRI images were independently reviewed by two radiologists for tumor thickness, DOI, and SHMI. Statistical analysis assessed the predictive capability of these parameters for 2-year potential lymph node metastasis.</p><p><strong>Results: </strong>Among the 76 cases, 30.2% developed 2-year potential lymph node metastasis. For tumor thickness ≥ 11 mm, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were 0.46, 0.68, 0.37, 0.75, and 0.61, respectively. DOI ≥ 7.5 mm exhibited a sensitivity, specificity, PPV, NPV, and accuracy of 0.73, 0.59, 0.42, 0.84, and 0.63, respectively. SHMI demonstrated a sensitivity, specificity, PPV, NPV, and accuracy of 0.87, 0.51, 0.46, 0.89, and 0.63, respectively.</p><p><strong>Conclusion: </strong>DOI ≥ 7.5 mm and SHMI demonstrated comparable diagnostic accuracy in predicting neck metastasis, surpassing tumor thickness of > 11 mm. These findings underscore their potential utility in guiding decisions concerning elective neck dissection.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"231-237"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866549","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 : 2025-04-01Epub Date: 2024-12-09DOI: 10.1007/s11282-024-00794-y
Berrin Çelik, Muhammed Emin Baslak, Mehmet Zahid Genç, Mahmut Emin Çelik
{"title":"Automated segmentation of dental restorations using deep learning: exploring data augmentation techniques.","authors":"Berrin Çelik, Muhammed Emin Baslak, Mehmet Zahid Genç, Mahmut Emin Çelik","doi":"10.1007/s11282-024-00794-y","DOIUrl":"10.1007/s11282-024-00794-y","url":null,"abstract":"<p><strong>Objectives: </strong>Deep learning has revolutionized image analysis for dentistry. Automated segmentation of dental radiographs is of great importance towards digital dentistry. The performance of deep learning models heavily relies on the quality and diversity of the training data. Data augmentation is a widely used technique implemented in machine learning and deep learning to artificially increase the size and diversity of a training dataset by applying various transformations to the original data.</p><p><strong>Methods: </strong>This work aims to automatically segment implants, prostheses, and fillings in panoramic images using 9 different deep learning segmentation models. Later, it explores the effect of data augmentation methods on segmentation performance of the models. Eight different data augmentation techniques are examined. Performance is evaluated by well-accepted metrics such as intersection over union (IoU) and Dice coefficient.</p><p><strong>Results: </strong>While averaging the segmentation results for the three classes, IoU varies between 0.62 and 0.82 while Dice score is between 0.75 and 0.9 among deep learning models used. Augmentation techniques provided performance improvements of up to 3.37%, 5.75% and 8.75% for implant, prosthesis and filling classes, respectively.</p><p><strong>Conclusions: </strong>Findings reveal that choosing optimal augmentation strategies depends on both model architecture and dental structure type.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"207-215"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803425","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":"The effectiveness of fractal analysis in diagnosing temporomandibular joint disorders: a systematic review of clinical studies.","authors":"Sanjana Santhosh Kumar, Ravleen Nagi, Rachel Chacko, Junad Khan","doi":"10.1007/s11282-024-00791-1","DOIUrl":"10.1007/s11282-024-00791-1","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the application and effectiveness of fractal analysis (FA) in assessing temporomandibular joint disorders (TMDs) with dental imaging.</p><p><strong>Methods: </strong>This systematic review, conducted in adherence to PRISMA-P and Cochrane Handbook guidelines, involved a comprehensive search of five electronic indexed databases up to September 15, 2024. The thorough search aimed to ensure the inclusion of all relevant studies on dental imaging with fractal dimension (FD) analysis for TMDs. The risk of bias was performed using the revised QUADAS 2 tool.</p><p><strong>Results: </strong>Out of 342 studies retrieved, 15 met the inclusion criteria and were included in the systematic review. These studies comprised 7 retrospective and 8 prospective nonrandomized clinical studies. Various imaging modalities were used including panoramic, CT, CBCT, and MRI. Most studies reported significantly lower FD values in TMD patients than in controls suggesting FD analysis' potential for detecting early TMJ degenerative changes. However, a few studies did not find significant differences or lacked control groups, highlighting the variability in findings across the research. The overall risk of bias was high regarding the applicability of all included studies.</p><p><strong>Conclusion: </strong>The fractal dimension (FD) analysis of dental images shows potential as a valuable tool for detecting early degenerative changes in temporomandibular disorders (TMDs). It could enhance diagnostic efficiency by providing additional insights from routine radiographs. However, the variability in findings and methodologies underscores the need for further research to validate and standardize these techniques.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":"153-168"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803442","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 : 2025-03-29DOI: 10.1007/s11282-025-00819-0
Yuri Nejaim, Gabriela Sofia Noé Bregolin, Natália Hitomi Suekane, Estéfany Figueiredo Gonzalez, Fernando Roberto Ferreira Valente, Rocharles Cavalcante Fontenele
{"title":"Does facial sunscreen usage impact radiographic image quality and radiation dose? An in vitro study.","authors":"Yuri Nejaim, Gabriela Sofia Noé Bregolin, Natália Hitomi Suekane, Estéfany Figueiredo Gonzalez, Fernando Roberto Ferreira Valente, Rocharles Cavalcante Fontenele","doi":"10.1007/s11282-025-00819-0","DOIUrl":"https://doi.org/10.1007/s11282-025-00819-0","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether the use of different types of facial sunscreen influences the quality of radiographic images and the absorbed radiation dose during radiographic acquisitions.</p><p><strong>Methods: </strong>In this in vitro study, two types of facial sunscreens (Bioderma<sup>®</sup>), both with a sun protection factor of 50, were tested: one organic and one inorganic. A polystyrene plate was used, containing a thermoluminescent dosimeter and a photostimulable phosphor plate for the radiographs. The sunscreen was applied to the plate, and five radiographs were taken for each group: control (without sunscreen), organic sunscreen, and inorganic sunscreen. Image quality was assessed by noise, brightness, and uniformity, and the radiation dose was measured in milligrays. The results were compared using one-way analysis of variance with Tukey post-hoc test (α = 5%).</p><p><strong>Results: </strong>Inorganic sunscreen produced images with higher brightness and lower uniformity, with no significant differences in noise. Additionally, this group showed a lower radiation dose (0.50 mGy) compared to the control group (0.60 mGy) and the organic sunscreen (0.58 mGy) (p < 0.05).</p><p><strong>Conclusion: </strong>The inorganic sunscreen altered image quality by increasing brightness and decreasing uniformity, while also reducing the absorbed radiation dose.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744546","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}