Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures

Nader Nabil Rezallah; Mushira Mohamed Dahaba; Hany Omar

doi:doi:10.11648/j.ijdm.20220801.15

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Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures

Nader Nabil Rezallah, Mushira Mohamed Dahaba, Hany Omar

Published in International Journal of Dental Medicine (Volume 8, Issue 1)

Received: 25 May 2022 Accepted: 20 June 2022 Published: 27 June 2022

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Abstract

Aim This diagnostic quality and accuracy study is to compare CBCT images and conventional radiographic images in the assessment of different types of mandibular fractures. Materials and Methods: The purpose of this study is to demonstrate the importance of cone-beam computed tomography (CBCT) for the accurate diagnosis of mandibular fractures in comparison with conventional imaging. Six patients with varying traumatic injuries that resulted in eleven mandibular fractures were included in this study, all patients were of both sexes and their ages ranged between 5-40 years. All cases were subjected to radiographic imaging using panoramic radiographs and other conventional extra-oral imaging views according to the size and type of fracture and Cone Beam Computed Tomography. Kappa statistic was used, and the significance level was set at P ≤ 0.05. Statistical analysis was performed with IBM SPSS Statistics Version 20 for windows. (® IBM Corporation, NY, USA. ® SPSS, Inc., an IBM Company). Results: for the 3D image site and number of fracture lines, the modality accurately detected all cases. Sensitivity and diagnostic accuracies were 100% and 100%, respectively. Specificity couldn’t be computed because there are no negative cases, while for the 2D images sensitivity and diagnostic accuracy for detecting fracture were 81.8% and 81.8% respectively. Sensitivity and diagnostic accuracy for detecting the number of fracture lines were 90.9% and 90.9% respectively. Conclusion: CBCT views are the techniques of choice for highlighting the nature of fracture by directly viewing the extent of the fracture, as well as the degree and direction of displacement if present.

Published in	International Journal of Dental Medicine (Volume 8, Issue 1)
DOI	10.11648/j.ijdm.20220801.15
Page(s)	29-44
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

CBCT, Extraoral Conventional Imaging, Mandibular Fractures, Three-Dimensional Imaging, Panoramic Imaging

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APA Style

Nader Nabil Rezallah, Mushira Mohamed Dahaba, Hany Omar. (2022). Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. International Journal of Dental Medicine, 8(1), 29-44. https://doi.org/10.11648/j.ijdm.20220801.15

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ACS Style

Nader Nabil Rezallah; Mushira Mohamed Dahaba; Hany Omar. Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. Int. J. Dent. Med. 2022, 8(1), 29-44. doi: 10.11648/j.ijdm.20220801.15

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AMA Style

Nader Nabil Rezallah, Mushira Mohamed Dahaba, Hany Omar. Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. Int J Dent Med. 2022;8(1):29-44. doi: 10.11648/j.ijdm.20220801.15

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@article{10.11648/j.ijdm.20220801.15,
  author = {Nader Nabil Rezallah and Mushira Mohamed Dahaba and Hany Omar},
  title = {Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures},
  journal = {International Journal of Dental Medicine},
  volume = {8},
  number = {1},
  pages = {29-44},
  doi = {10.11648/j.ijdm.20220801.15},
  url = {https://doi.org/10.11648/j.ijdm.20220801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20220801.15},
  abstract = {Aim This diagnostic quality and accuracy study is to compare CBCT images and conventional radiographic images in the assessment of different types of mandibular fractures. Materials and Methods: The purpose of this study is to demonstrate the importance of cone-beam computed tomography (CBCT) for the accurate diagnosis of mandibular fractures in comparison with conventional imaging. Six patients with varying traumatic injuries that resulted in eleven mandibular fractures were included in this study, all patients were of both sexes and their ages ranged between 5-40 years. All cases were subjected to radiographic imaging using panoramic radiographs and other conventional extra-oral imaging views according to the size and type of fracture and Cone Beam Computed Tomography. Kappa statistic was used, and the significance level was set at P ≤ 0.05. Statistical analysis was performed with IBM SPSS Statistics Version 20 for windows. (® IBM Corporation, NY, USA. ® SPSS, Inc., an IBM Company). Results: for the 3D image site and number of fracture lines, the modality accurately detected all cases. Sensitivity and diagnostic accuracies were 100% and 100%, respectively. Specificity couldn’t be computed because there are no negative cases, while for the 2D images sensitivity and diagnostic accuracy for detecting fracture were 81.8% and 81.8% respectively. Sensitivity and diagnostic accuracy for detecting the number of fracture lines were 90.9% and 90.9% respectively. Conclusion: CBCT views are the techniques of choice for highlighting the nature of fracture by directly viewing the extent of the fracture, as well as the degree and direction of displacement if present.},
 year = {2022}
}

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TY - JOUR
T1 - Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures
AU - Nader Nabil Rezallah
AU - Mushira Mohamed Dahaba
AU - Hany Omar
Y1 - 2022/06/27
PY - 2022
N1 - https://doi.org/10.11648/j.ijdm.20220801.15
DO - 10.11648/j.ijdm.20220801.15
T2 - International Journal of Dental Medicine
JF - International Journal of Dental Medicine
JO - International Journal of Dental Medicine
SP - 29
EP - 44
PB - Science Publishing Group
SN - 2472-1387
UR - https://doi.org/10.11648/j.ijdm.20220801.15
AB - Aim This diagnostic quality and accuracy study is to compare CBCT images and conventional radiographic images in the assessment of different types of mandibular fractures. Materials and Methods: The purpose of this study is to demonstrate the importance of cone-beam computed tomography (CBCT) for the accurate diagnosis of mandibular fractures in comparison with conventional imaging. Six patients with varying traumatic injuries that resulted in eleven mandibular fractures were included in this study, all patients were of both sexes and their ages ranged between 5-40 years. All cases were subjected to radiographic imaging using panoramic radiographs and other conventional extra-oral imaging views according to the size and type of fracture and Cone Beam Computed Tomography. Kappa statistic was used, and the significance level was set at P ≤ 0.05. Statistical analysis was performed with IBM SPSS Statistics Version 20 for windows. (® IBM Corporation, NY, USA. ® SPSS, Inc., an IBM Company). Results: for the 3D image site and number of fracture lines, the modality accurately detected all cases. Sensitivity and diagnostic accuracies were 100% and 100%, respectively. Specificity couldn’t be computed because there are no negative cases, while for the 2D images sensitivity and diagnostic accuracy for detecting fracture were 81.8% and 81.8% respectively. Sensitivity and diagnostic accuracy for detecting the number of fracture lines were 90.9% and 90.9% respectively. Conclusion: CBCT views are the techniques of choice for highlighting the nature of fracture by directly viewing the extent of the fracture, as well as the degree and direction of displacement if present.
VL - 8
IS - 1
ER -

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Author Information

Nader Nabil Rezallah

Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Cairo University, Giza, Egypt
Mushira Mohamed Dahaba

Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Cairo University, Giza, Egypt
Hany Omar

Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Cairo University, Giza, Egypt

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APA Style

Nader Nabil Rezallah, Mushira Mohamed Dahaba, Hany Omar. (2022). Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. International Journal of Dental Medicine, 8(1), 29-44. https://doi.org/10.11648/j.ijdm.20220801.15

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ACS Style

Nader Nabil Rezallah; Mushira Mohamed Dahaba; Hany Omar. Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. Int. J. Dent. Med. 2022, 8(1), 29-44. doi: 10.11648/j.ijdm.20220801.15

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AMA Style

Nader Nabil Rezallah, Mushira Mohamed Dahaba, Hany Omar. Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures. Int J Dent Med. 2022;8(1):29-44. doi: 10.11648/j.ijdm.20220801.15

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@article{10.11648/j.ijdm.20220801.15,
  author = {Nader Nabil Rezallah and Mushira Mohamed Dahaba and Hany Omar},
  title = {Comparison Between the Efficiency of Cone-Beam Computed Tomography and Conventional Radiography in Diagnosing Different Types of Mandibular Fractures},
  journal = {International Journal of Dental Medicine},
  volume = {8},
  number = {1},
  pages = {29-44},
  doi = {10.11648/j.ijdm.20220801.15},
  url = {https://doi.org/10.11648/j.ijdm.20220801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20220801.15},
  abstract = {Aim This diagnostic quality and accuracy study is to compare CBCT images and conventional radiographic images in the assessment of different types of mandibular fractures. Materials and Methods: The purpose of this study is to demonstrate the importance of cone-beam computed tomography (CBCT) for the accurate diagnosis of mandibular fractures in comparison with conventional imaging. Six patients with varying traumatic injuries that resulted in eleven mandibular fractures were included in this study, all patients were of both sexes and their ages ranged between 5-40 years. All cases were subjected to radiographic imaging using panoramic radiographs and other conventional extra-oral imaging views according to the size and type of fracture and Cone Beam Computed Tomography. Kappa statistic was used, and the significance level was set at P ≤ 0.05. Statistical analysis was performed with IBM SPSS Statistics Version 20 for windows. (® IBM Corporation, NY, USA. ® SPSS, Inc., an IBM Company). Results: for the 3D image site and number of fracture lines, the modality accurately detected all cases. Sensitivity and diagnostic accuracies were 100% and 100%, respectively. Specificity couldn’t be computed because there are no negative cases, while for the 2D images sensitivity and diagnostic accuracy for detecting fracture were 81.8% and 81.8% respectively. Sensitivity and diagnostic accuracy for detecting the number of fracture lines were 90.9% and 90.9% respectively. Conclusion: CBCT views are the techniques of choice for highlighting the nature of fracture by directly viewing the extent of the fracture, as well as the degree and direction of displacement if present.},
 year = {2022}
}

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