Volumetric Analysis of Resorption Types on CBCT

Endodontic Disease Clinical Trial

Official title:

Three-dimensional Volumetric/ Linear Analysis and Axial Classification of Root Resorptions Using Cone Beam Computed Tomography: A Retrospective Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04617301
• Other study ID #: 2020/98
• Status: Completed
• Start date: June 22, 2020
• Est. completion date: October 21, 2020

Study information

• Verified date: October 2020
• Source: Recep Tayyip Erdogan University Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

More accurate management of resorption can be achieved thanks to the three-dimensions volumetric and linear analysis, and the axial classification presented in this study.

Description:

The aim of this study was to investigate the volumetric and linear analysis, and to present the axial classification of root resorptions using cone beam computed tomography (CBCT). A total of 43 teeth of external cervical resorption (ECR) (n=27), external replacement resorption (ERR) (n=4) and internal root resorption (IRR) (n=12) were identified from 34 patients. The volume of resorption and total tooth, the widest lengths of these resorptions, and the amount of thinnest dentin thickness around them were measured and compared according to age and sex. Additionally, the eight regional axial classification was performed and the percentages in these regions were evaluated. Significance was set at p=0.05 for statistical analysis. More accurate management of resorption can be achieved thanks to the three-dimensions volumetric and linear analysis, and the axial classification presented in this study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: October 21, 2020
• Est. primary completion date: August 10, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years to 71 Years

Eligibility

Inclusion Criteria:

• Cases of resorption that had CBCT images

Exclusion Criteria:

• those presenting pathologic lesions, congenital/developmental anomalies or teeth with root canal filling
• those whose CBCT scans failed to present satisfactory quality.
• Additionally, SR, TAP, and EIR cases were excluded because their true dimensions could not be completely determined before resorption.

Related Conditions & MeSH terms

• Dental Pulp Diseases
• Endodontic Disease
• Tooth Resorption

Locations

Country	Name	City	State
Turkey	Recep Tayyip Erdogan University Training and Research Hospital	Rize

Sponsors (1)

Lead Sponsor	Collaborator
Recep Tayyip Erdogan University Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Heithersay GS. Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence Int. 1999 Jan;30(1):27-37. — View Citation

Patel S, Dawood A, Wilson R, Horner K, Mannocci F. The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography - an in vivo investigation. Int Endod J. 2009 Sep;42(9):831-8. doi: 10.1111/j.1365-2591.2009.01592.x. Epub 2009 Jul 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Volume of total tooth and resorbed area	The total volume and the resorption volume were measured with used 3D semi-automatic segmentation program (ITK-SNAP 2.4)	for three months from the beginning of the study
Primary	Measurement widest mesio-distal length, bucco-lingual length and corono-apical length of the resorbed lesion	Linear measurement were measured with used Planmeca ProMax 3D Classic (Planmeca Promax 3D; Planmeca Oy; Helsinki, Finland)	for three months from the beginning of the study
Primary	Linear measurements for thinnest dentin (buccal, distal, mesial and lingual/ palatinal) and resorbed area (mesio-distal length and bucco-lingual length) were made on axial sections	Linear measurement were measured with used Planmeca ProMax 3D Classic (Planmeca Promax 3D; Planmeca Oy; Helsinki, Finland)	for three months from the beginning of the study
Primary	The corono-apical length was measured on sagittal sections where the tooth axis was perpendicular to the ground plane.	Linear measurement were measured with used Planmeca ProMax 3D Classic (Planmeca Promax 3D; Planmeca Oy; Helsinki, Finland)	for three months from the beginning of the study
Primary	the axial section of the tooth was divided into eight parts and regional settlement classification was performed	Segmentation were made with used Planmeca ProMax 3D Classic (Planmeca Promax 3D; Planmeca Oy; Helsinki, Finland)	for three months from the beginning of the study