PMID- 35912120 OWN - NLM STAT- MEDLINE DCOM- 20220802 LR - 20220802 IS - 1932-8745 (Electronic) IS - 0161-0457 (Print) IS - 0161-0457 (Linking) VI - 2022 DP - 2022 TI - Establishment of Narrow Root Fracture Models Using Modified Temperature Cycling Method and Diagnosis Using Different Cone-Beam CT Units. PG - 3636795 LID - 10.1155/2022/3636795 [doi] LID - 3636795 AB - AIM: Using a modified thermal cycling method to establish narrow root fracture models and evaluate the diagnosis efficiency of them using four different cone-beam CT (CBCT) units. Methodology. Fifty-six intact teeth were selected, and the crowns of the teeth were embedded using general purpose acrylic resin. 50 root fracture models were established by soaking these teeth in liquid nitrogen and hot water cyclically; 6 teeth were used as the negative control. All the 56 teeth were scanned with the smallest voxel size of four different CBCT units (NewTom VGi, Planmeca Promax 3D Max, Kavo 3D eXam, and Soredex Scanora3D). 10 teeth were randomly selected, and the roots were sliced using slow-speed saw to obtain horizontal root sections. Scanning electron microscope (SEM) was used to measure the width of the fracture lines (FLs). The CBCT images were evaluated for the presence or absence of fracture lines. Accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for the diagnosis of FLs using the four CBCT units. RESULTS: Fifty narrow root fracture models were successfully established, and 25 root sections with 45 FLs were acquired. The width of FLs was from 3.43 mum to 143 mum; 32.2% of the points had width under 25 mum, while only 9.6% of them had width over 75 mum. The accuracy was 0.41, 0.54, 0.41, and 0.30 for NewTom VGi, Planmeca Promax 3D Max, Kavo 3D eXam, and Soredex Scanora3D, respectively. CONCLUSIONS: The modified temperature cycling method is a simple and effective method to establish narrow root fracture models, and the diagnosis efficiency for these narrow fracture lines was quite poor using all the four different CBCT units. CI - Copyright (c) 2022 Jiahao Liang et al. FAU - Liang, Jiahao AU - Liang J AUID- ORCID: 0000-0002-4385-2313 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Hu, Ziyang AU - Hu Z AUID- ORCID: 0000-0002-2537-5701 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Cao, Dantong AU - Cao D AUID- ORCID: 0000-0001-9167-5828 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Cao, Ya AU - Cao Y AUID- ORCID: 0000-0003-2332-7041 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Xie, Xin AU - Xie X AUID- ORCID: 0000-0003-0987-4217 AD - Department of Stomatology, Third People's Hospital of Danyang City, Danyang, China. FAU - Gao, Antian AU - Gao A AUID- ORCID: 0000-0002-3929-4785 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Wang, Zhiyong AU - Wang Z AUID- ORCID: 0000-0003-0563-2413 AD - Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. FAU - Lin, Zitong AU - Lin Z AUID- ORCID: 0000-0002-3733-4974 AD - Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China. LA - eng PT - Journal Article DEP - 20220714 PL - England TA - Scanning JT - Scanning JID - 7903371 SB - IM MH - Cone-Beam Computed Tomography/methods MH - Humans MH - Temperature MH - *Tooth MH - *Tooth Fractures/diagnostic imaging MH - Tooth Root/diagnostic imaging PMC - PMC9303484 COIS- The authors deny any conflicts of interest related to this study. EDAT- 2022/08/02 06:00 MHDA- 2022/08/03 06:00 PMCR- 2022/07/14 CRDT- 2022/08/01 03:56 PHST- 2022/02/22 00:00 [received] PHST- 2022/06/21 00:00 [accepted] PHST- 2022/08/01 03:56 [entrez] PHST- 2022/08/02 06:00 [pubmed] PHST- 2022/08/03 06:00 [medline] PHST- 2022/07/14 00:00 [pmc-release] AID - 10.1155/2022/3636795 [doi] PST - epublish SO - Scanning. 2022 Jul 14;2022:3636795. doi: 10.1155/2022/3636795. eCollection 2022.