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Comparative Analysis of CBCT vs Intraoral Radiography for Interproximal Caries Detection: A Prospective Diagnostic
S Ganesan1, Kavitha Ramachandran2, Nagaland Tirupati3
1Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Postgraduate Institute of Dental Science, Pondicherry, India.
Journal of Pharmacy & Bioallied Sciences
|February 10, 2025
Summary
Cone-beam computed tomography (CBCT) offers superior diagnostic accuracy for detecting interproximal caries compared to traditional intraoral radiography. This advanced imaging technique provides clearer images and higher diagnostic confidence.
Area of Science:
- Dentistry
- Radiology
- Diagnostic Imaging
Background:
- Interproximal caries detection relies on imaging modalities like cone-beam computed tomography (CBCT) and intraoral radiography.
- Comparative diagnostic accuracy between CBCT and intraoral radiography for interproximal caries is not well-established.
Purpose of the Study:
- To prospectively compare the diagnostic accuracy of CBCT versus intraoral radiography in identifying interproximal caries.
- To evaluate image clarity and diagnostic confidence associated with each imaging technique.
Main Methods:
- A prospective clinical study involved 248 adult dental samples with suspected or diagnosed interproximal caries.
- Standardized protocols were used for both CBCT and intraoral radiography.
- Exclusion criteria addressed contraindications for CBCT and potential confounding factors.
Main Results:
- CBCT demonstrated superior diagnostic performance with high sensitivity (92.5%) and specificity (89.3%).
- Overall diagnostic accuracy for CBCT was 90.6%, surpassing intraoral radiography.
- CBCT also yielded higher image clarity (82%) and diagnostic confidence (88%).
Conclusions:
- Cone-beam computed tomography (CBCT) provides enhanced diagnostic accuracy and superior image quality for detecting interproximal caries.
- CBCT is a more effective imaging modality than intraoral radiography for this diagnostic purpose.
