Ozlem Gormez

Radiopacity evaluation of contemporary resin composites by digitization of images

Objective: The aim of this study was to evaluate the radiopacity of different composite resins and compare the values to those of human enamel and dentine. Materials and Methods: Five specimens of each material with thicknesses of 2 mm were prepared and radiographed alongside aluminum step wedge and human enamel and dentin. Three occlusal radiographs for each material were taken and digitized using a desktop scanner. Mean gray values of the test materials were measured using Image J software. Then a conversion was performed according to establish the radiopacity of the test materials, in millimeters of equivalent Al. Data were analyzed using one-way analysis of variance and Duncan multiple range tests (P < 0.05). Results: The radiopacity values varied among the restorative materials (P < 0.05). The radiopacity values of the materials tested were, in decreasing order: Enamel Plus HRI > Z250 > Filtek Ultimate ≥ Z550 > Nexcomp ≥ Nanoceram Bright > enamel ≥ Estelite Sigma Quick > Clearfil Majesty Esthetic ≥ Reflexions XLS ≥ Aelite LS Posterior ≥ dentin ≥ 2 mm Al. Conclusion: All resin composite materials investigated in this study presented different radiopacity values. However, all materials had radiopacity values greater than dentin and had sufficient radiopacity to meet International Organization for Standardization 4049 standard.

Endodontically related lesions on panoramic radiographs in a Turkish subpopulation

Objective: The purpose of this study was to evaluate the prevalence of detectable endodontically related lesions as determined from the reports of panoramic radiographs in a Turkish subpopulation. Materials and Methods: There were 19,625 reports of panoramic radiographs that were evaluated. Four investigators assessed the radiographs and reports that had been written. For each tooth of the subjects, the following items were surveyed: presence of periapical lesion, inadequate root canal treatment, external and internal root resorption. Results: The patients who had panoramic radiography reports were between the ages of 3 and 91 years (mean age 29,43 ± 18,83 years). 10,941 (56%) were female and 8684 (44%) were male patients. Inadequate root canal treatment was recorded in 588 (3%) radiography reports and it was more frequent in mandibular molar teeth. 2287 (11.7%) of the patients had periapical lesions and it was more frequent in maxillary incisor teeth and mandibular molar teeth. External resorption was observed in 61 (0.3%) patient records, while internal root resorption was reported in 14 (0.1%) reports. 81 inadequate root-filled teeth presented a periapical lesion. A positive strong linear correlation was found between the presence of inadequate root canal treatment and a periapical lesion among the patients (r = 0.098, P = 0.000). Conclusions: The results of this study suggest that external and internal root resorption were not frequent clinical conditions. The high frequency of periapical lesions and inadequate canal treatment in molar teeth indicate the need to improve the technical quality of root fillings, especially in molar teeth.

Comparison of radiopacities of different flowable resin composites

Objectives: Radiopacity can facilitate diagnostic observations adjacent to flowable resin composites. The aim of this study was to evaluate the radiopacity of the current low viscosity flowable resin composites and to compare them with human dental tissues. Materials and Methods: Five specimens of seven flowable light cured composite materials with a thickness of 2 mm were prepared and radiographed alongside an aluminum stepwedge, human enamel and dentin. Three standart occlusal radiographs for each material were taken with exposure time of 0.32 seconds and focus-film distance of 40 cm. Films were processed in an automatic device, and digitized using a desktop scanner. Mean gray values of the materials, stepwedge, enamel and dentine were measured using Image J software. The data were analyzed using the Duncan multiple range test. Results: The mean gray values of flowable resin composites ranged from 26.61 ± 1.45 to 38.38 ± 1.47. The radiopacity values of the materials evaluated were in decreasing order: G-aenial Flo, Filtek Ultimate Flowable, Flowline, Estelite Flow Quick, Leaddent Flow, Supraflow, Bright Light Flow. All flowable resin composites, except Bright Light Flow, demonstrated significantly greater radiopacity values than 2 mm of the aluminum scale and dentin (P < 0.05). The radiopacity of only one flowable composite, G-aenial Flo, was found to be significantly higher from enamel (P < 0.05). Conclusions: All investigated materials presented radiopacity values above the minimum recommended by the international organization for standardization.

Aneurysmal bone cyst of the mandible: Report of a case with a review of the literature

Aneurysmal bone cyst (ABC), is a rare benign osteolytic bone neoplasm of bone tissue characterized by several sponge-like blood or serum filled, generally non-endothelialized spaces of various diameters that can contain osteoid tissue and osteoclast-like giant cells. In this article, we describe a case of ABC in the mandibular corpus region with clinical, radiological and pathological findings and review the literature concerning the case. A 23-year-old male patient attended to our clinic with the complaint of a mild-pain on the left posterior lower jaw since two months. The superior margin of the lesion was extending between the apical third parts of the roots of the teeth 35-38. Cone beam computed tomography (CBCT) was performed. CBCT Slices revealed an expansile lesion with hydraulic-appearing outer margins above the mandibular canal. Excisional surgical treatment was performed after raising a mucoperiosteal flap and finalized with curette of lesion under local anesthesia. Diagnosis of aneurysmal bone cyst was confirmed by histopathological evaluation. The patient was pain free after six months follow-up, and panoramic radiography showed no evidence of recurrence. The ABC is most common in those regions of the skeleton where there is a relatively high venous pressure and high marrow content. Clinical presentation of the ABC varies from a small, indolent, asymptomatic lesion to rapidly growing, expansile, destructive lesion causing pain, swelling, deformity, neurologic symptoms, pathologic fracture, and perforation of the cortex. As the radiologic and clinical presentation of ABC is extremely variable, histopathologic examination is placed a great emphasis on for the diagnosis.

PARANASAL SINUS PATHOSES ON CONE BEAM COMPUTED TOMOGRAPHY

Purpose: The aim of this study was to investigate paranasal sinus pathoses detected on cone-beam computed tomography (CBCT) in an adult population. Patients and Methods: Three observers retrospectively inspected 353 consecutive CBCT scans obtained in a dentomaxillofacial radiology department for paranasal sinus pathoses. Descriptive statistics and chi-square tests were used to determine the prevalence of categorical parameters. Results: The age of the patients ranged from 18 to 85 years (mean 41.27±16.76). There were 172 (48.7%) females and 181 (51.3%) males. There was a significant difference between the genders (p=0.02), with males (53.5%) having more sinus pathoses than females (46.5%). When the left and right sinuses were considered together, pathoses were most commonly seen in the maxillary sinuses (57.1%), followed by the ethmoid (53.7 %), frontal (22.6%), and sphenoid sinuses (15.8%). Mucosal thickening was the most frequently observed abnormality (51.7%), followed by hypoplasia (17.5%) and sinusitis (17.3%). Conclusion: CBCT is a preferable imaging method for evaluation of paranasal sinuses. Dentomaxillofacial radiologists should examine the whole volume of CBCT images to ensure they do not overlook paranasal sinus pathoses.