Analysis of geometrical tomographic parameters of furcation lesions in periodontitis patients

Bianca Costa Gonçalves; Andre Luiz Ferreira Costa; Raquel Correa; Naira Maria Rebelatto Bechara Andere; Celso Massahiro Ogawa; Mauro Pedrine Santamaria; Sérgio Lucio Pereira de Castro Lopes

doi:10.1016/j.heliyon.2021.e06119

Analysis of geometrical tomographic parameters of furcation lesions in periodontitis patients

Heliyon. 2021 Jan 30;7(1):e06119. doi: 10.1016/j.heliyon.2021.e06119. eCollection 2021 Jan.

Authors

Bianca Costa Gonçalves¹, Andre Luiz Ferreira Costa², Raquel Correa¹, Naira Maria Rebelatto Bechara Andere¹, Celso Massahiro Ogawa², Mauro Pedrine Santamaria¹, Sérgio Lucio Pereira de Castro Lopes¹

Affiliations

¹ Department of Diagnosis and Surgery, São José dos Campos School of Dentistry, São Paulo State University (UNESP), São José dos Campos, SP, Brazil.
² Postgraduate Program in Dentistry, Cruzeiro do Sul University (UNICSUL), São Paulo, SP, Brazil.

Abstract

Objectives: This study was aimed to investigate the relationship between geometric parameters of furcation lesions - maximum area of lesion opening (MALO), angle formed between the roots (ABR), lesion volume (LV) and presence and height of infra-osseous defects (IOD) - and the success of therapy with enamel matrix derivative proteins (EMD) in patients with grade C periodontitis, using cone-beam computed tomography (CBCT).

Methods: The study consisted of two groups of patients with grade C periodontitis: control (surgery) (n = 17) and test (surgery + EMD) (n = 17). Images parameters on CBCT were recorded using OnDemand3D and ITK-SNAP software.

Results: Pearson's correlation coefficient demonstrated that only IOD was statistically significant in the probing depth PD (P = 0.01), with a moderate positive correlation (R = 0.59). MALO was found to be statistically significant (P = 0.03) in the test group (surgery + EMD), with moderate negative correlation (R = -0.5).

Conclusion: The presence of infra-osseous defects and height were relevant in relation to the success of the type of treatment addressed in this study.

Keywords: Cone beam computed tomography; Digital volume tomography; Furcation defect; Furcation involvement; Periodontal disease; Periodontal regeneration.