Comparative analysis of traditional dental radiography and cone beam computed tomography in the diagnosis of chronic granulating periodontitis

Abstract


Rationale: Despite the advances of modern medicine is now diagnosis of chronic granulating periodontitis causes difficulties. The main diagnostic method for this disease is an X-ray. However, X-rays provide only two-dimensional display of three-dimensional structures, so often periapical changes on the received image go unnoticed. The use of dental cone beam computed tomography (CBCT) with permanent densitometry would solve the problem of setting the diagnosis of "chronic granulating periodontitis. ” Objective: to improve the efficiency of diagnosis of chronic granulating periodontitis using dental cone-beam computed tomography with densitometry periapical tissues. Methods: 70 patients in the study took part, which to clarify the diagnosis carried out: clinical diagnostics, radiography, dental CBCT with densitometry periapical tissues. Results: in the conditions of application of traditional X-ray diagnostics 22.9% of chronic periodontitis (. 16 out of 70 people) remain generally unrecognized. During the CBCT in all patients (100%), signs of chronic periodontitis were found. Percentage of compelling visualization signs of chronic granulating periodontitis on the X-ray was 60% (42 out of 70 people.). During the CBCT signs granulating periodontitis were detected in all 70 subjects (100%). In a sample of patients from 70 people with chronic granulating periodontitis in 57.1% of them (40 out of 70 people.) Revealed its morphological reasons, not visualized with conventional radiography, but when visualized with CBCT. When using a CBCP with densitometric evaluation, under physiological conditions, the absorption coefficient (AC) periapical tissue is from 869 to 2630 H. U., and for granulating periodontitis, these figures range from +120 to +470 H.U. Conclusion: based on these results it should be concluded that CBCT with permanent densitometry evaluation in 100% of cases provides diagnostic detection of chronic granulating periodontitis.

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About the authors

Olesya Borisovna Selina

State budgetary educational institution of higher professional education “N.N. Burdenko Voronezh State Medical University”

Email: artemida601@yandex.ru

cand. med. Sci, assistant Department of General practice dentistry N.N. Burdenko VSMU

D. V Nekrylov

State budgetary educational institution of higher professional education “N.N. Burdenko Voronezh State Medical University”


O. Yu Shalaev

State budgetary educational institution of higher professional education “N.N. Burdenko Voronezh State Medical University”


A. L Solov'eva

State budgetary educational institution of higher professional education “N.N. Burdenko Voronezh State Medical University”


N. G Mashkova

State budgetary educational institution of higher professional education “N.N. Burdenko Voronezh State Medical University”


S. A Shvyreva

Federal state healthcare institution “Realth part of the Ministry of internal Affairs of Russia across the Voronezh region”


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