{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T12:31:07Z","timestamp":1793017867905,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the influence of artifacts generated by dental implants on the diagnosis of simulated internal root resorption (IRR) in cone\u2010beam computed tomography (CBCT), considering implant number and composition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010five single\u2010rooted teeth were allocated into two groups: with simulated IRR (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) and without IRR (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920). IRR was simulated using 37% hydrochloric acid for 3\u2009h. Teeth were inserted into a human maxilla and scanned with two CBCT units (Axeos\u2014Dentsply Sirona, Germany and X1\u2014Copenhagen Imaging, Copenhagen) under three conditions: control, one adjacent implant, and two adjacent implants composed of titanium or zirconia. Three blinded observers independently assessed the CBCT volumes for IRR using a 5\u2010point scale. After 30 days, 15% of volumes were re\u2010evaluated. Sensitivity, specificity, and area under the curve (AUC) were calculated. Two\u2010way ANOVA with Tukey post hoc tests analyzed the effects of implant number and composition (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05). Weighted Kappa assessed intra\u2010 and inter\u2010observer agreement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intra\u2010 and inter\u2010observer agreements ranged from 0.84 to 0.93 and 0.83\u20130.84, respectively. For Axeos, two zirconia implants significantly reduced sensitivity and AUC compared with control (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and titanium implants (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). For X1, two zirconia implants reduced sensitivity and AUC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), while two titanium implants reduced specificity compared with control, one titanium, and two zirconia conditions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The presence of dental implants, particularly two zirconia implants, reduces the detection of IRR in CBCT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70373","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T18:15:26Z","timestamp":1782670526000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Do Artifacts From Dental Implants Impair the Diagnosis of Simulated Internal Root Resorption in Cone\u2010Beam CT?"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0414-6395","authenticated-orcid":false,"given":"Matheus","family":"Sampaio\u2010Oliveira","sequence":"first","affiliation":[{"name":"Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School University of Campinas (UNICAMP) Piracicaba Brazil"},{"name":"Department of Dentistry and Oral Health, Section for Oral Radiology and Endodontics Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9777-4197","authenticated-orcid":false,"given":"Fernanda Bulh\u00f5es","family":"Fagundes","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School University of Campinas (UNICAMP) Piracicaba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5701-5164","authenticated-orcid":false,"given":"Luiz Eduardo","family":"Marinho\u2010Vieira","sequence":"additional","affiliation":[{"name":"Departament of Dentistry State University of Para\u00edba Campina Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9562-0610","authenticated-orcid":false,"given":"Rubens","family":"Spin\u2010Neto","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health, Section for Oral Radiology and Endodontics Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8054-8759","authenticated-orcid":false,"given":"Matheus L.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School University of Campinas 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