Kanneppady Sowmy S, Kanneppady Sham K, Mathew Tony, Almazrou Yaser M, Syed Afroz K, Hota Sadananda, Tiwari Rahul
Department of Pharmacology, Srinivas Institute of Medical Sciences and Research Centre, Mukka, Surathkal, Mangaluru, Karnataka, India.
Department of Oral Medicine and Radiologist, Director of OroMax Imaging Centre, Mangaluru, Karnataka, India.
J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S476-S478. doi: 10.4103/jpbs.jpbs_1433_24. Epub 2025 Feb 25.
Periapical lesions are a common clinical finding, often detected through imaging techniques such as conventional radiography (CR) and cone-beam computed tomography (CBCT). This study aims to compare the diagnostic accuracy of CBCT with CR in identifying periapical lesions.
This comparative study involved patients undergoing dental treatment. Each patient received both CBCT and conventional radiography for periapical lesion detection. The diagnostic outcomes of both modalities were evaluated based on lesion size, position, and diagnostic clarity. Statistical analysis was conducted to compare the sensitivity, specificity, and accuracy of CBCT and CR.
CBCT demonstrated superior diagnostic accuracy compared to CR in detecting periapical lesions. The average sensitivity and specificity of CBCT were higher, particularly in detecting smaller and more complex lesions. Statistical analysis showed a significant difference between CBCT and CR in lesion detection ( < 0.05).
CBCT is a more reliable imaging modality for the detection of periapical lesions compared to conventional radiography, offering higher diagnostic accuracy. Further studies are needed to establish CBCT as a standard diagnostic tool in clinical practice.
根尖周病变是一种常见的临床发现，通常通过传统X线摄影（CR）和锥形束计算机断层扫描（CBCT）等成像技术检测出来。本研究旨在比较CBCT和CR在识别根尖周病变方面的诊断准确性。
这项对比研究纳入了接受牙科治疗的患者。每位患者均接受CBCT和传统X线摄影以检测根尖周病变。基于病变大小、位置和诊断清晰度对两种检查方式的诊断结果进行评估。进行统计分析以比较CBCT和CR的敏感性、特异性和准确性。
在检测根尖周病变方面，CBCT显示出比CR更高的诊断准确性。CBCT的平均敏感性和特异性更高，尤其是在检测较小和更复杂的病变时。统计分析表明，CBCT和CR在病变检测方面存在显著差异（<0.05）。
与传统X线摄影相比，CBCT是一种更可靠的用于检测根尖周病变的成像方式，具有更高的诊断准确性。需要进一步的研究将CBCT确立为临床实践中的标准诊断工具。
