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Original Article
Department of Oral and Maxillofacial Radiology, Zanjan School of Dentistry, Safa St., Zanjan, Iran
Department of Oral and Maxillofacial Radiology, Qazvin School of Dentistry, Iran
c
Zanjan University of Medical Science, Iran
d
Department of Restorative Dentistry, Zanjan School of Dentistry, Iran
e
Department of Oral Pathology, Qazvin School of Dentistry, Iran
f
Department of Restorative Dentistry, Qazvin School of Dentistry, Iran
b
article info
abstract
Article history:
negative results especially in cases of tight proximal contacts where precise clinical
Keywords:
Materials and methods: 70 posterior permanent teeth were divided into blocks of 5 teeth.
Bitewing radiography
Digital and conventional Bitewing radiographs with D-speed and E-speed films were taken
from samples. Conventional radiographs were digitalized with a scanner whereas direct
Dental caries
digital images were saved in either standard or filtered mode. Presence of proximal caries
was evaluated by three observers and samples were scored accordingly. As golden standard, teeth were then sectioned horizontally for histological evaluation of caries depth.
Results: Diagnostic specificity of each radiography method was evaluated with sub curve
analysis of ROC (Az). Spearman test was used for inter- and intra-observers agreement. No
significant difference was reported between the sensitivity and specificity of the four
studied methods (P > 0.05). The digital filtered image had the highest sensitivity. The
highest specificity was attributed to D-speed films.
Conclusion: Indirect digital images of scanned D-speed and E-speed films and direct standard and filtered digital images (CMOS receptor) have high specificity and there is no significant difference in the diagnosis of proximal caries between them.
2012 Indian Journal of Dentistry. All rights reserved.
1.
Introduction
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2.
3.
Results
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i n d i a n j o u r n a l o f d e n t i s t r y 4 ( 2 0 1 3 ) 8 3 e8 7
Fig. 1 e Four types of dental radiographic images of a same block. (A): Digitized E film image. (B): Digitized D film radiograph
of the block. (C): Image of the same block prepared by CMOS receptor. (D): Edge-enhanced CMOS receptor image of the same
teeth.
4.
Discussion
Accuracy
Std. error
Upper
limit
Lower
limit
D film
E film
CMOS
Filtered
CMOS
0.767
0.809
0.778
0.787
0.030
0.028
0.032
0.032
0.825
0.863
0.840
0.850
0.708
0.755
0.715
0.724
1
2
3
Total
Sensor type
D film
E film
CMOS
Filtered CMOS
50
96.2
60.8
60.8
66
73.1
63.4
89
58
92.3
74.3
80.8
75.7
69.2
75
87.5
60.8
84.6
67.6
69.2
91.9
46.2
79.75
76.5
63.5
88.5
70.3
65.4
94.6
73.1
82.45
84.3
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i n d i a n j o u r n a l o f d e n t i s t r y 4 ( 2 0 1 3 ) 8 3 e8 7
44.5
20.3
55.7
28.9
58.8
29.4
68.7
44.9
31.5
10.5
48.1
26.3
57.8
26.3
66.6
44.4
30.3
9.5
45
10
50
0
61.1
0
Observer 1 and 2
Observer 1 and 3
Observer 2 and 3
0
Specificity
89
e
87.5
e
76.5
e
84.3
e
E film
CMOS
Filtered CMOS
Radiographic method
D film
E film
CMOS
Filtered CMOS
0.82
0.78
0.75
0.79
0.78
0.72
0.66
0.67
0.59
0.71
0.71
0.70
D film
1
2
3
Observer
Radiography
Radiographic method
D film
E film
CMOS
Filtered CMOS
0.89
0.77
0.82
0.90
0.82
0.85
0.76
0.80
0.71
0.81
0.79
0.78
5.
Conclusion
Conflicts of interest
All authors have none to declare.
i n d i a n j o u r n a l o f d e n t i s t r y 4 ( 2 0 1 3 ) 8 3 e8 7
references
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