Accuracy of cone beam computed tomography in evaluation of palatal mucosa thickness

J Clin Periodontol. 2020 Apr;47(4):479-488. doi: 10.1111/jcpe.13254. Epub 2020 Feb 13.

Abstract

Aim: The purpose of this study was to investigate the accuracy of the measurement of palatal mucosa thickness using cone beam computed tomography (CBCT) and to create a conversion formula to evaluate palatal mucosa thickness more accurately. We then evaluated the palatal mucosa thickness in a Japanese population using CBCT and the conversion formula.

Materials and methods: We evaluated palatal mucosa thickness in 10 healthy subjects at 15 sites using CBCT, digital impression, and K file. Multiple regression analysis was performed to create a conversion formula to measure thickness accurately. We then obtained CBCT data from 174 patients retrospectively, applied the conversion formula, and evaluated palatal mucosa thickness.

Results: Sites of measurement affected measurement error. Measurement using CBCT was 0.34 ± 0.04 mm smaller than actual measurement; therefore, a conversion formula was created. Male, age ≥60 years, and probing pocket depth ≥4 mm had significant and positive associations with palatal mucosa thickness; however, no association was observed between bleeding on probing and palatal mucosa thickness.

Conclusion: CBCT is useful for the noninvasive and accurate measurement of palatal mucosa thickness.

Keywords: CBCT; diagnostic imaging; digital impression; palatal mucosa thickness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cone-Beam Computed Tomography*
  • Humans
  • Male
  • Mucous Membrane
  • Palate* / diagnostic imaging
  • Retrospective Studies