Does 3D Emboss Image Processing Filter Improves Detecting Proximal Recurrent Caries in Digital Bitewing Radiograph?

Document Type : Original Research

Authors
1 Department of Oral and Maxillofacial Surgery, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Department of Oral and Maxillofacial Radiology, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Dental Student, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract
Background: Most digital imaging systems provide a variety of image processing techniques. The aim of the present study was to compare the performance of bite wing digital radiography with and without the application of 3D emboss image processing filters in identifying recurrent proximal caries. Materials and methods: In the current study, cavities were created in both proximal surfaces of 52 healthy premolar teeth for Class II amalgam restoration. Caries lesions were artificially created by a 0.5 mm trend burr randomly in each tooth and repaired with amalgam. Standard digital radiographs were performed using the Digora® Optime system. Unfiltered and filtered images with 3D emboss filter were observed by 2 radiologists with at least 2 years of work experience and the final results were analyzed with Chi-square statistics. Results: The obtained results demonstrated that the sensitivity and specificity of caries detection changes with the change in the observer, although no significant difference was observed between the sensitivity and specificity of the third and fourth observers. In addition, the results of this research showed that the sensitivity, accuracy and specificity of detecting recurrent secondary caries in radiographs without using the 3D emboss filter for all observers participating in this project was more significant than the sensitivity, accuracy and specificity of radiographs with 3D emboss filter. Conclusion: The obtained data documents that use of the 3D emboss filter failed to improve the diagnosis of recurrent secondary caries through reduces the sensitivity, accuracy and specificity of diagnosis.

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