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Incompatible amount of 3-D and 2-D periodontal attachments on micro-CT scanned premolars

Micro-computed tomography (micro-CT) was employed to relate the root surface area (RSA) to the periodontal attachment levels (PALs) of extracted premolars to diagnose periodontitis. Single-rooted human maxillary and mandibular premolars 31 and 36, respectively, were surveyed by micro-CT and its asso...

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Published in:PloS one 2018-03, Vol.13 (3), p.e0193894
Main Authors: Hong, Hsiang-Hsi, Hong, Adrienne, Huang, Yi-Fang, Liu, Heng-Liang
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description Micro-computed tomography (micro-CT) was employed to relate the root surface area (RSA) to the periodontal attachment levels (PALs) of extracted premolars to diagnose periodontitis. Single-rooted human maxillary and mandibular premolars 31 and 36, respectively, were surveyed by micro-CT and its associated software. RSA levels from the 1st to 10th mm, corono-apically, were analyzed using statistical t tests. The average root length (RL) and RSA of the maxillary and mandibular premolars were significantly different (p < 0.05). Both premolars demonstrated a non-significant RSA percentage comparison at the evaluated PALs. For the 30% coronal 2-D radiographic RL, the 3-D RSAs 3.77 mm and 3.99 mm apical to the cementoenamel junction (CEJ) were 39.48% and 40.65% for maxillary and mandibular premolars, respectively. At the 15% coronal 2-D RL, the 3-D RSA 2 mm apical to the CEJ of the premolars was approximately 21%. At the 50% coronal 2-D RL level, approximately 62% coronal 3-D RSA and 6.5 mm RL decreased. The amount of decrease of the RSA attachment is significant in every 2-mm measurement for both premolars. Sampling periodontal microbial pathogens based on the condition of 2-D radiographic bone and clinical attachment losses without considering 3-D RSA is potentially inadequate and may underestimate the severity of the periodontitis.
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Single-rooted human maxillary and mandibular premolars 31 and 36, respectively, were surveyed by micro-CT and its associated software. RSA levels from the 1st to 10th mm, corono-apically, were analyzed using statistical t tests. The average root length (RL) and RSA of the maxillary and mandibular premolars were significantly different (p &lt; 0.05). Both premolars demonstrated a non-significant RSA percentage comparison at the evaluated PALs. For the 30% coronal 2-D radiographic RL, the 3-D RSAs 3.77 mm and 3.99 mm apical to the cementoenamel junction (CEJ) were 39.48% and 40.65% for maxillary and mandibular premolars, respectively. At the 15% coronal 2-D RL, the 3-D RSA 2 mm apical to the CEJ of the premolars was approximately 21%. At the 50% coronal 2-D RL level, approximately 62% coronal 3-D RSA and 6.5 mm RL decreased. The amount of decrease of the RSA attachment is significant in every 2-mm measurement for both premolars. 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Single-rooted human maxillary and mandibular premolars 31 and 36, respectively, were surveyed by micro-CT and its associated software. RSA levels from the 1st to 10th mm, corono-apically, were analyzed using statistical t tests. The average root length (RL) and RSA of the maxillary and mandibular premolars were significantly different (p &lt; 0.05). Both premolars demonstrated a non-significant RSA percentage comparison at the evaluated PALs. For the 30% coronal 2-D radiographic RL, the 3-D RSAs 3.77 mm and 3.99 mm apical to the cementoenamel junction (CEJ) were 39.48% and 40.65% for maxillary and mandibular premolars, respectively. At the 15% coronal 2-D RL, the 3-D RSA 2 mm apical to the CEJ of the premolars was approximately 21%. At the 50% coronal 2-D RL level, approximately 62% coronal 3-D RSA and 6.5 mm RL decreased. The amount of decrease of the RSA attachment is significant in every 2-mm measurement for both premolars. Sampling periodontal microbial pathogens based on the condition of 2-D radiographic bone and clinical attachment losses without considering 3-D RSA is potentially inadequate and may underestimate the severity of the periodontitis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29518113</pmid><doi>10.1371/journal.pone.0193894</doi><tpages>e0193894</tpages><orcidid>https://orcid.org/0000-0002-7020-0505</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Attachment
Bicuspid - anatomy & histology
Bicuspid - diagnostic imaging
Biology and Life Sciences
Care and treatment
CAT scans
Computed tomography
Dentistry
Diagnosis
Diagnostic imaging
Engineering and Technology
Female
Gum disease
Hospitals
Humans
Imaging, Three-Dimensional
In Vitro Techniques
Male
Mandible
Maxilla
Medical imaging
Medical prognosis
Medicine
Medicine and Health Sciences
Microorganisms
Middle Aged
Odontometry - methods
Periodontal Attachment Loss - diagnostic imaging
Periodontal Ligament - diagnostic imaging
Periodontal Ligament - ultrastructure
Periodontitis
Periodontitis - pathology
Physical Sciences
Premolars
Research and Analysis Methods
Statistical analysis
Surveys
Teeth
Tooth Root - diagnostic imaging
Tooth Root - ultrastructure
X-Ray Microtomography - methods
Young Adult
title Incompatible amount of 3-D and 2-D periodontal attachments on micro-CT scanned premolars
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