Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography

Introduction: Periapical lesions are a common clinical finding, often detected through imaging techniques such as conventional radiography (CR) and cone-beam computed tomography (CBCT). This study aims to compare the diagnostic accuracy of CBCT with CR in identifying periapical lesions. Methods: Thi...

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Main Authors: Sowmy S. Kanneppady, Sham K. Kanneppady, Tony Mathew, Yaser M. Almazrou, Afroz K. Syed, Sadananda Hota, Rahul Tiwari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1433_24
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author Sowmy S. Kanneppady
Sham K. Kanneppady
Tony Mathew
Yaser M. Almazrou
Afroz K. Syed
Sadananda Hota
Rahul Tiwari
author_facet Sowmy S. Kanneppady
Sham K. Kanneppady
Tony Mathew
Yaser M. Almazrou
Afroz K. Syed
Sadananda Hota
Rahul Tiwari
author_sort Sowmy S. Kanneppady
collection DOAJ
description Introduction: Periapical lesions are a common clinical finding, often detected through imaging techniques such as conventional radiography (CR) and cone-beam computed tomography (CBCT). This study aims to compare the diagnostic accuracy of CBCT with CR in identifying periapical lesions. Methods: This comparative study involved patients undergoing dental treatment. Each patient received both CBCT and conventional radiography for periapical lesion detection. The diagnostic outcomes of both modalities were evaluated based on lesion size, position, and diagnostic clarity. Statistical analysis was conducted to compare the sensitivity, specificity, and accuracy of CBCT and CR. Results: CBCT demonstrated superior diagnostic accuracy compared to CR in detecting periapical lesions. The average sensitivity and specificity of CBCT were higher, particularly in detecting smaller and more complex lesions. Statistical analysis showed a significant difference between CBCT and CR in lesion detection (P < 0.05). Conclusion: CBCT is a more reliable imaging modality for the detection of periapical lesions compared to conventional radiography, offering higher diagnostic accuracy. Further studies are needed to establish CBCT as a standard diagnostic tool in clinical practice.
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spelling doaj-art-3920e6c8848d41d18a027e8f8b6fe46c2025-08-20T03:07:47ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-05-0117Suppl 1S476S47810.4103/jpbs.jpbs_1433_24Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional RadiographySowmy S. KanneppadySham K. KanneppadyTony MathewYaser M. AlmazrouAfroz K. SyedSadananda HotaRahul TiwariIntroduction: Periapical lesions are a common clinical finding, often detected through imaging techniques such as conventional radiography (CR) and cone-beam computed tomography (CBCT). This study aims to compare the diagnostic accuracy of CBCT with CR in identifying periapical lesions. Methods: This comparative study involved patients undergoing dental treatment. Each patient received both CBCT and conventional radiography for periapical lesion detection. The diagnostic outcomes of both modalities were evaluated based on lesion size, position, and diagnostic clarity. Statistical analysis was conducted to compare the sensitivity, specificity, and accuracy of CBCT and CR. Results: CBCT demonstrated superior diagnostic accuracy compared to CR in detecting periapical lesions. The average sensitivity and specificity of CBCT were higher, particularly in detecting smaller and more complex lesions. Statistical analysis showed a significant difference between CBCT and CR in lesion detection (P < 0.05). Conclusion: CBCT is a more reliable imaging modality for the detection of periapical lesions compared to conventional radiography, offering higher diagnostic accuracy. Further studies are needed to establish CBCT as a standard diagnostic tool in clinical practice.https://journals.lww.com/10.4103/jpbs.jpbs_1433_24cbctconventional radiographydiagnostic accuracyimagingperiapical lesions
spellingShingle Sowmy S. Kanneppady
Sham K. Kanneppady
Tony Mathew
Yaser M. Almazrou
Afroz K. Syed
Sadananda Hota
Rahul Tiwari
Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
Journal of Pharmacy and Bioallied Sciences
cbct
conventional radiography
diagnostic accuracy
imaging
periapical lesions
title Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
title_full Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
title_fullStr Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
title_full_unstemmed Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
title_short Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography
title_sort diagnostic accuracy of cone beam computed tomography cbct in identifying periapical lesions a comparative study with conventional radiography
topic cbct
conventional radiography
diagnostic accuracy
imaging
periapical lesions
url https://journals.lww.com/10.4103/jpbs.jpbs_1433_24
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