Author:
Farook Fathima Fazrina,Alnasyan Bothinah,Almohammadi Duaa,Alshahrani Amjad,Alyami Meral,Alharbi Rasha,Alodwene Hussah,Aboelmaaty Wael
Abstract
Aim:
The aim of the present study was to compare and assess the relationship and agreement between the clinical and radiographic detection of Furcation Involvement (FI) in the mandibular molars of patients with periodontitis.
Materials and Methods:
The sample size included 360 molars from 283 participants with a total of 180 molars involved with furcation clinically and 180 without. The inclusion criteria involved records of patients in the age range 35-76 years, diagnosed with generalized periodontitis, Stage II to IV, Grade B and C, and existing periapical radiographs/dental panoramic radiographs. The periodontal charts (Hamp’s classification) and radiographs were used to evaluate furcation on the buccal and lingual sites of first and second mandibular molars.
Results:
Of the 360 molars, half of the molars (50%, n=180) had clinical FI. Of the clinical FI group, the majority (73%, n=131) demonstrated FI in the radiological assessment with the periapical radiographs. In the not-clinically detected FI group, just less than half (49%, n=89) demonstrated FI in the radiological assessment. The sensitivity of the radiographic detection of FI as a diagnostic marker was 50.6%, and the specificity was 72.8%. Of the 180 sites analyzed with FI clinically, a slight agreement was found between the clinical assessment and radiographic findings using the kappa analysis (k=0.18). The first mandibular molars showed a fair agreement (k= 0.21) compared to the second mandibular molars (k=0.15). In terms of the individual sites, the lingual sites (k=0.24) had a fair agreement compared to the buccal sites with a slight agreement. The Spearman Correlation analysis for the first mandibular molar showed a moderate positive correlation (r=0.4, p<0.001) compared to the second mandibular molar with no or negligible relationship (r=0.19, p<0.001). Comparatively, the DPT radiograph showed a weak correlation and poor agreement.
Conclusion:
Both diagnostic tools, intraoral radiography and clinical assessment should be used for diagnosing FI in mandibular molars.
Publisher
Bentham Science Publishers Ltd.
Reference25 articles.
1. American Academy of Periodontology, editor.
Glossary of periodontal terms
2001.
2. Parihar AS, Katoch V.
Furcation involvement its treatment: A review.
J Adv Med Dent Scie Res
2015;
3
(1)
: 81.
3. Marcaccini AM, Pavanelo A, Nogueira AV, Souza JA, PorciA�ncula HF, Cirelli JA.
Morphometric study of the root anatomy in furcation area of mandibular first molars.
J Appl Oral Sci
2012;
20
(1)
: 76-81.
4. Fleischer HC, Mellonig JT, Brayer WK, Gray JL, Barnett JD.
Scaling and root planing efficacy in multirooted teeth.
J Periodontol
1989;
60
(7)
: 402-9.
5. Pilloni A, Rojas MA.
Furcation involvement classification: A comprehensive review and a new system proposal.
Dent J (Basel)
2018;
6
(3)
: 34.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献