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Year : 2021  |  Volume : 33  |  Issue : 4  |  Page : 401-408

Assessment of artifacts induced by various dental restorative materials on cone- beam computed tomography- An in vitro study

1 Department of Oral Medicine and Radiology, Kusum Devi Sunderlal Dugar Jain Dental College and Hospital, Kolkata, West Bengal, India
2 Department of Oral Medicine and Radiology, Dr. Syamala Reddy Dental College, Hospital and Research Centre, Bengaluru, Karnataka, India
3 Department of Radiology, Consultant CBCT Radiologist, Magnus Diagnostic Centre, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Laboni Ghorai
Department of Oral Medicine and Radiology, Kusum Devi Sunderlal Dugar Jain Dental College and Hospital, 6 Ram Gopal Ghosh Road, Cossipore, Kolkata - 700 002, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaomr.jiaomr_136_21

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Objectives: The aim of this study was to assess and compare quantitatively and qualitatively the artifacts induced by various commonly used dental restorative materials in different sections of CBCT image and to characterize the pattern of artifact. Material and Methods: Thirty dental plaster blocks, each with one of each of mandibular second premolar, first molar and second molar teeth with crowns aligned as in the natural dentition were scanned by CBCT device and analyzed using CS 3D imaging software, before and after the first molar was prepared and restored with dental amalgam, composite resin or glass ionomer cement (GIC), 10 plaster blocks being randomly selected for each restorative material. The reformatted axial, coronal and sagittal scans were then quantitatively assessed for artifact by two calibrated dento- maxillofacial radiologists by comparing the control and restored scans of each plaster block in a blinded manner and documented the slice numbers from which the image became diagnostic. Then, the slice numbers were converted into millimeters away from the restoration. Results: Paired t test, ANOVA and post hoc Tukey tests were used for statistical analyses. The level of significance was set at α = 5%. Depending on the extent, the majority of artifacts produced were as follows: Dental amalgam >Composite resin >GIC. The artifact was most extensive in the coronal section. Streaks and scatter artifacts, linear artifacts extending outward from tooth surface and hypodense halo were predominant. Conclusion: Different dental restorative materials cause various amounts of artifacts in different planes of projection of CBCT image due to differences in density and atomic number.

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