Cone Beam Computed Tomography for Assessment of Root Length and Marginal Bone Level during Orthodontic Treatment

Abstract

To evaluate the accuracy and precision of cone beam computed tomography (CBCT) with regard to measurements of root length and marginal bone level in vitro and in vivo during the course of orthodontic treatment. Thirteen patients (aged 12-18 years) from an ongoing study and a dry skull were examined with CBCT using multiplanar reformatting for measurements of root length and marginal bone level. For in vivo evaluation of changes in root length, an index according to Malmgren et al was used, along with a modification of this method. The in vitro mean difference between physical and radiographic measurements was 0.05 mm (SD 0.75) for root length and -0.04 mm (SD 0.54) for marginal bone level. In vivo the error was <0.35 mm for root length determinations and <0.40 mm for marginal bone level assessments. Despite changes in tooth positions, the CBCT technique yields a high level of reproducibility, enhancing its usefulness in orthodontic research.