Evaluation of the gray level of restorative materials using cone-beam computed tomography: A cross-sectional study

Dent Med Probl. 2018 Jul-Sep;55(3):267-274. doi: 10.17219/dmp/93569.

Abstract

Background: Densitometry plays an important role in the diagnosis and treatment planning. Due to diversity in density, equal amounts of different materials absorb various amounts of X-rays and yield different radiographic views.

Objectives: The aim of this study was to evaluate the gray scales of 5 commercially available restorative materials, including amalgam, composite resin, flowable composite resin, glass-ionomer, and Dycal.

Material and methods: Samples of the 5 test materials from various manufacturers were prepared, each 5-millimeter-thick. There were 7 glass-ionomer samples and 10 of each of the other materials, making a total of 47 samples in the study. The test materials were scanned using a Kodak cone-beam computed tomography (CBCT) unit. Subsequently, the gray scales were determined and evaluated by a radiologist using OnDemand3DTM Dental software and analyzed with SPSS v. 22 software.

Results: Amalgam had a higher gray scale than the other groups of restorative materials. In some cases, it was the same as that of composite resin; however, it was significantly different from gray scales of flowable composite resin, glass-ionomer and Dycal. It was concluded that composite resin and amalgam were high in gray scale, while flowable composite resin, glass-ionomer and Dycal exhibited low gray scales.

Conclusions: Amalgam and composite resin had high gray scales, and glass-ionomer and Dycal exhibited the lowest gray scale values. The findings show that CBCT can be helpful in differentiating amalgam and composite resin from other materials.

Keywords: cone-beam computed tomography; densitometry; dental materials.

MeSH terms

  • Acrylic Resins
  • Calcium Hydroxide
  • Color*
  • Composite Resins
  • Cone-Beam Computed Tomography*
  • Cross-Sectional Studies
  • Dental Amalgam
  • Dental Materials
  • Dental Restoration, Permanent*
  • Humans
  • Image Processing, Computer-Assisted*
  • Materials Testing
  • Minerals
  • Silicon Dioxide

Substances

  • Acrylic Resins
  • Composite Resins
  • Dental Materials
  • Minerals
  • glass ionomer
  • Dycal
  • Silicon Dioxide
  • Dental Amalgam
  • Calcium Hydroxide