3D modelling and x-ray depth analysis map of the pulp with computer software via digital periapical radiography and cone beam computed tomography

dc.contributor.authorFelek, Turgut
dc.contributor.authorŞatır, Samed
dc.contributor.authorÖzel, Şelale
dc.date.accessioned2025-06-12T10:10:55Z
dc.date.available2025-06-12T10:10:55Z
dc.date.issued2025
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Ağız, Diş, Çene Radyolojisi Ana Bilim Dalı
dc.description.abstractObjective: Periapical radiographs (PAR) offer information about the pulp and periodontal health of teeth. However, intraoral radiographs are insufficient for diagnosing buccolingual anomalies and variations such as bifid canals due to their two-dimensional nature. Cone beam computed tomography (CBCT) is the gold standard for 3D imaging in the clinic but requires additional radiation. The aim of this study was to create a software (XPAR) which obtains x-ray depth analysis and 3D modelling of the pulps of single-rooted teeth by converting the grey values in the original radiographs into numerical data. Materials and methods: Two single-rooted teeth were included in the experimental part of the study. Chicken fibula bone was preferred for alveolar bone simulation because it could simulate cortical and trabecular structures due to similarity. A total of four images (60kVp & 70kVp; single alveolar bone & double alveolar bone) were obtained. The aim of this experimental part is to test the repeatability and realism of the algorithm to be created for pulp modelling. Retrospectively, 31 single-rooted teeth with both periapical radiography and cone-beam computed tomography imaging were included in the retrospective part of the study. According to XPAR, depth increase areas were interpreted as root resorption and accessory canal. Depth decrease areas were evaluated as the transformation of the pulp from an elliptical to an oval form, pulp stone, bifid canal formation and the presence of thick alveolar bone. The diagnostic accuracy of XPAR application on pathological and morphological changes was evaluated by comparing the obtained results with CBCT. Results: 80% of the analyses diagnosed as bifurcation by XPAR application were supported by CBCT. This rate decreased to 27% in the diagnosis of transitions from elliptical to oval form. A total of 5 and 19 linear formations observed in the form of depth decrease and increase, respectively, were accepted as image errors in XPAR. Conclusion: Buccolingual bifid canal formations and pulp obliterations can be diagnosed with a rate of nearly 50% with the depth decrease finding obtained in XPAR application. Imaging errors caused by deformed detectors are typically observed as linear formations.
dc.identifier.citationKarabay, A. Z., Barar, J., Hekmatshoar, Y., & Rahbar Saadat, Y. (2025). Multifaceted therapeutic potential of plant-derived exosomes: immunomodulation, anticancer, anti-aging, anti-melanogenesis, detoxification, and drug delivery. Biomolecules, 15(3), 394.
dc.identifier.doi10.1186/s12903-025-05801-0
dc.identifier.issn1472-6831
dc.identifier.issue1
dc.identifier.pmid40140784
dc.identifier.scopus2-s2.0-105001149467
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5773
dc.identifier.volume25
dc.identifier.wosWOS:001454431500003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzel, Şelale
dc.language.isoen
dc.relation.ispartofBMC Oral Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComputer software
dc.subjectCone-beam computed tomography
dc.subjectDigital image processing
dc.subjectPeriapical radiography
dc.title3D modelling and x-ray depth analysis map of the pulp with computer software via digital periapical radiography and cone beam computed tomography
dc.typeArticle

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