Abstract
Objectives: To assess if different dental X-ray sources and receptors can improve the bone-to-implant interface image visualization by preventing halo artefact expression in terms of presence and magnitude. Methods: 144 digital periapical radiographs of eight titanium implants installed in two human jaws were obtained using two devices (high- and low-frequency X-ray sources) and two radiographic receptors (complementary solid metal oxide semiconductor sensor, and phosphor storage plate). Two evaluators assessed the presence or absence of halo on the left, right and apical surfaces of the implants. In surfaces with halo, the area was segmented and quantified to measure the magnitude of artefact using the Trainable Weka Segmentation plugin of the ImageJ software. Statistics comprised Cochran’s Q, ANOVA, Kappa, and Intraclass Correlation tests (α = 5%). Results: Intra-examiner reproducibility was substantial and excellent. No surface showed statistically significant differences between the paired groups considering halo presence. 85 radiographs had at least one surface with halo, but the magnitude of halo did not vary considering the X-ray sources and radiographic receptors studied. Conclusion: Neither different X-ray sources nor radiographic receptor used in dentistry could improve the bone-to-implant interface image by preventing the presence or reducing the magnitude of halo artefacts.
References
Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986 Summer;1(1):11-25.
Wenzel A, Møystad A. Work flow with digital intraoral radiography: a systematic review. Acta Odontol Scand. 2010 Mar;68(2):106-14. doi: 10.3109/00016350903514426.
Ajmal M, Elshinawy MI. Subjective image quality comparison between two digital dental radiographic systems and conventional dental film. Saudi Dent J. 2014 Oct;26(4):145-50. doi: 10.1016/j.sdentj.2014.05.007.
Brettle D, Carmichael F. The impact of digital image processing artefacts mimicking pathological features associated with restorations. Br Dent J. 2011 Aug;211(4):167-70. doi: 10.1038/sj.bdj.2011.676.
Tan TH, Boothroyd AE. Uberschwinger artefact in computed radiographs. Br J Radiol. 1997 Apr;70(832):431. doi: 10.1259/bjr.70.832.9166087.
Clark JL, Wadhwani CP, Abramovitch K, Rice DD, Kattadiyil MT. Effect of image sharpening on radiographic image quality. J Prosthet Dent. 2018 Dec;120(6):927-933. doi: 10.1016/j.prosdent.2018.03.034.
Schweitzer DM, Berg RW. A digital radiographic artifact: A clinical report. J Prosthet Dent. 2010 Jun;103(6):326-9. doi: 10.1016/S0022-3913(10)00082-X.
Yoshida M, Yoshihara H, Honda E. History of digital detectors in intraoral radiography. Dent Health Curr Res. 2018;4(2):1-5. doi: 10.4172/2470-0886.1000135.
Farias Gomes A, Nejaim Y, Fontenele RC, Haiter-Neto F, Freitas DQ. Influence of the incorporation of a lead foil to intraoral digital receptors on the image quality and root fracture diagnosis. Dentomaxillofac Radiol. 2019 Sep;48(6):20180369. doi: 10.1259/dmfr.20180369.
Solomon SL, Jost RG, Glazer HS, Sagel SS, Anderson DJ, Molina PL. Artifacts in computed radiography. AJR Am J Roentgenol. 1991 Jul;157(1):181-5. doi: 10.2214/ajr.157.1.2048517.
Shetty CM, Barthur A, Kambadakone A, Narayanan N, Kv R. Computed radiography image artifacts revisited. AJR Am J Roentgenol. 2011 Jan;196(1):W37-47. doi: 10.2214/AJR.10.5563.
Helmrot E, Matscheko G, Carlsson GA, Eckerdal O, Ericson S. Image contrast using high frequency and half-wave rectified dental x-ray generators. Dentomaxillofac Radiol. 1988;17(1):33-40. doi: 10.1259/dmfr.1988.0004.
Machado DRL. [Physics applied to radiology]. Indaial: Uniasselvi; 2019. Portuguese.
Barthez PY, Manwaring N, Mitelmann PH, Benoit E. Comparison of single-phase and high-frequency generators for x-ray units. Vet Radiol Ultrasound. 2002 Mar-Apr;43(2):118-22. doi: 10.1111/j.1740-8261.2002.tb01658.x.
Cançado Oliveira BF, Valerio CS, Jansen WC, Zenóbio EG, Manzi FR. Accuracy of digital versus conventional periapical radiographs to detect misfit at the implant-abutment interface. Int J Oral Maxillofac Implants. 2016 Sep-Oct;31(5):1023-9. doi: 10.11607/jomi.4525.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74.
Szklo M, Nieto FJ. Epidemiology: Beyond the Basics. 3rd ed. Burlington: Jones & Bartlett Publishers; 2016.
The jamovi project (2020). jamovi. (Version 1.2) [Computer Software]. Available from https://www.jamovi.org.
Miranda-Viana M, Madlum DV, Oliveira-Santos N, Gaêta-Araujo H, Haiter-Neto F, Oliveira ML. Influence of the image file format of digital periapical radiographs on the diagnosis of external and internal root resorptions. Clin Oral Investig. 2021 Aug;25(8):4941-8. doi: 10.1007/s00784-021-03803-0.
Madlum DV, Gaêta-Araujo H, Brasil DM, Lima CAS, Oliveira ML, Haiter-Neto F. Influence of the file format and transmission app on the radiographic diagnosis of caries lesions. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Oct;132(4):448-55. doi: 10.1016/j.oooo.2020.11.013. Epub 2020 Dec 8.
Haiter Neto F, Melo DPD. [Digital radiography]. Rev ABRO. 2010;11(1):5-17. Portuguese.
Hudek R, Werner B, Abdelkawi AF, Schmitt R, Gohlke F. Radiolucency in stemless shoulder arthroplasty is associated with an imaging phenomenon. J Orthop Res. 2017 Sep;35(9):2040-50. doi: 10.1002/jor.23478.
Suetens P. Fundamentals of medical imaging. 2nd ed. Cambridge: Cambridge University Press; 2009.
Mouzinho-Machado S, Rosado LPL, Coelho-Silva F, Neves FS, Haiter-Neto F, de-Azevedo-Vaz SL. Influence of voxel size and filter application in detecting second mesiobuccal canals in cone-beam computed tomographic images. J Endod. 2021 Sep;47(9):1391-7. doi: 10.1016/j.joen.2021.06.011.
Gaêta-Araujo H, Nascimento EHL, Oliveira-Santos N, Queiroz PM, Oliveira ML, Freitas DQ, et al. Effect of digital enhancement on the radiographic assessment of vertical root fractures in the presence of different intracanal materials: an in vitro study. Clin Oral Investig. 2021 Jan;25(1):195-202. doi: 10.1007/s00784-020-03353-x. Epub 2020 Jun 6.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Manuella Soussa Braga, Ana Maria de Almeida Ramos, Fernanda Coelho-Silva, Teresa Cristina Rangel Pereira , Sergio Lins de-Azevedo-Vaz