Influence of cone-beam computed tomography image artifacts on the determination of dental arch measurements.
OBJECTIVE
To compare dental plaster model (DPM) and cone-beam computed tomography (CBCT) in the measurement of the dental arches, and investigate whether CBCT image artifacts compromise the reliability of such measurements.


METHODS
Twenty patients were divided into two groups based on the presence or absence of metallic restorations in the posterior teeth. Both dental arches of the patients were scanned with the CBCT unit i-CAT, and DPMs were obtained. Two examiners obtained eight arch measurements on the CBCT images and DPMs and repeated this procedure 15 days later. The arch measurements of each patient group were compared separately by the Wilcoxon rank sum (Mann-Whitney U) test, with a significance level of 5% (α  =  .05). Intraclass correlation measured the level of intraobserver agreement.


RESULTS
Patients with healthy teeth showed no significant difference between all DPM and CBCT arch measurements (P > .05). Patients with metallic restoration showed significant difference between DPM and CBCT for the majority of the arch measurements (P > .05). The two examiners showed excellent intraobserver agreement for both measuring methods with intraclass correlation coefficient higher than 0.95.


CONCLUSIONS
CBCT provided the same accuracy as DPM in the measurement of the dental arches, and was negatively influenced by the presence of image artifacts.
a  PhD Student, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, São Paulo, SP, Brazil.
Thiago O
TO
Gamba
Matheus L
ML
Oliveira
Isadora L
IL
Flores
Adriana D
AD
Cruz
Solange M
SM
Almeida
Francisco
F
Haiter-Neto
Sérgio L P C
SL
Lopes
D016477:Artifacts; D002133:Calcium Sulfate / Q000737:chemistry; D002508:Cephalometry / Q000706:statistics & numerical data*; D054893:Cone-Beam Computed Tomography / Q000706:statistics & numerical data*; D003481:Cuspid / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D003722:Dental Alloys / Q000737:chemistry; D003724:Dental Arch / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D003764:Dental Materials / Q000737:chemistry; D003793:Dental Restoration, Permanent / Q000145:classification; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000706:statistics & numerical data; D008334:Mandible / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D008437:Maxilla / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D003765:Models, Dental; D008963:Molar / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D015588:Observer Variation; D015203:Reproducibility of Results; D013499:Surface Properties; D055815:Young Adult
D003722:Dental Alloys; D003764:Dental Materials; D002133:Calcium Sulfate