Accuracy of supported root ratio estimation from projected length and area using digital radiographs.
BACKGROUND
The purpose of this study was to evaluate the accuracy of supported single-root surface ratio estimated from the length and projected area of the tooth, using digital dental radiographs.


METHODS
Eight extracted, single-root teeth were three-dimensionally digitized using a contact technique for surface area measurement. The data were then processed using engineering application software and length, projection area, and true surface area of the root at a designated length were obtained. Based on these three measurements, the accuracy of the supported surface area ratio measurement at different lengths of the root was evaluated.


RESULTS
The largest mean errors from linear and area estimation were 9.58% and -1.16%, respectively. The 95% confidence intervals were all positive, indicating that linear measurements overestimated supported ratio. T tests showed that linear estimations resulted in significant differences in all eight teeth and area estimations in five teeth. When analyzing the supported ratio of the alveolar bone receding from the cemento-enamel junction (CEJ) toward the apex of the root at each mm, linear estimation showed significant differences down to 8 mm, while area estimation showed significant differences only up to 2 mm.


CONCLUSIONS
The results of this study indicate that a reliable estimate of the ratio of root surface area supported by alveolar bone cannot be determined from linear or area data. However, when the marginal bone destruction exceeds 2 mm from the CEJ, area estimation does not show a significant difference in the supported region. As demonstrated in this study, root surface ratio estimation function could be an advantage of digital dental x-ray systems in which projected root area is readily observed.
Chen
Ssu-Kuang
SK
Division of Oral and Maxillofacial Imaging, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan. cskchen@ntu.edu.tw
Pan
Ju-Hung
JH
Chen
Chung-Ming
CM
Jeng
Jeng-Ywan
JY
D000539:Alveolar Process / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D009811:Odontometry / Q000379:methods*; D019252:Radiography, Dental, Digital; D015203:Reproducibility of Results; D014092:Tooth Root / Q000033:anatomy & histology* / Q000000981:diagnostic imaging