{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:28:48Z","timestamp":1787315328192,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,10,28]],"date-time":"2012-10-28T00:00:00Z","timestamp":1351382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The aim of this study was to establish an anatomical guideline in cone beam computed tomography (\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      ) images to discriminate soft\u2010tissue calcifications, specifically, tonsilloliths, and styloid chain ossification (\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      ) in the multiplanar reconstruction screen of the i\u2010\n                      <jats:styled-content style=\"fixed-case\">CAT<\/jats:styled-content>\n                      Vision.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed 100 pairs of\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      images and panoramic digital radiographies regarding the presence or absence of tonsilloliths and\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      . The intraobserver agreement varied from excellent to good. The statistical analyses included Mann\u2013Whitney test, chi\u2010square test, Spearman test, Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, and Wilcoxon test. The analyses were repeated without the guideline to verify its effectiveness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 25 tonsilloliths were found in panoramic images while\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      images revealed 60. Panoramic and\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      images showed 42% and 63% of patients positive to\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      , respectively. We found a statistically significant difference when comparing the presence of tonsilloliths and\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      between panoramic and\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      images (Wilcoxon test\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &lt;\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.05). The analyses without the guideline showed that the observer tended to diagnoses more false\u2010positive\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Based on the results, we can suggest that\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      images are more suitable to differentiate tonsilloliths and\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      than panoramic images. The guideline was more important to diagnosis\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      than tonsilloliths.\n                      <jats:styled-content style=\"fixed-case\">SCO<\/jats:styled-content>\n                      was misclassified in 34% without the guideline.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.12026","type":"journal-article","created":{"date-parts":[[2012,9,27]],"date-time":"2012-09-27T00:38:30Z","timestamp":1348706310000},"page":"473-478","source":"Crossref","is-referenced-by-count":15,"title":["How to assess tonsilloliths and styloid chain ossifications on cone beam computed tomography images"],"prefix":"10.1111","volume":"19","author":[{"given":"BS","family":"Centurion","sequence":"first","affiliation":[{"name":"Department of Stomatology, Bauru School of Dentistry University of S\u00e3o Paulo S\u00e3o Paulo 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