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      Dental radiography image enhancement for treatment evaluation through digital image processing

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          Abstract

          Background

          Evaluation of dental treatment is performed by observing dental periapical radiography to obtain information of filling’s condition, pulp tissue, remain dentin thickness, periodontal ligament, and lamina dura. Nevertheless, the radiographic image used often has low quality due to the level of x-ray radiation made low purposely in order to prevent health problem and limited tools capability. This low quality of the radiographic image, for examples, low image contrast, less brightness, and noise existence cause periapical radiography evaluation hard to be performed. This study aims to improve dental radiographic image quality for assisting pulp capping treatment evaluation.

          Material and Methods

          The research methodology consists of three main stages, i.e. data collection, image enhancement method production, and result validation. Radiographic image data collection in The Dental Hospital UMY. Image enhancement method has been conducted by comparing several methods: contourlet transform (CT), wavelet transform, contrast stretching (CS), and contrast limited adaptive histogram equalization (CLAHE) to reduce noise, to optimize image contrast, and to enhance image brightness.

          Results

          The result of this study is according to mean square error (MSE) and peak signal to noise ratio (PSNR) statistics evaluation, it obtains that the highest scores of MSE and PSNR in row gained from CT method totaled 5.441453 and 40.53652, followed by CLAHE method with the scores are 10.66326 and 38.00736, CS method whose scores are 12.39881 and 39.18518, and the last is wavelet method with the scores are 15.41569 and 36.25343.

          Conclusions

          Nonetheless, MSE and PSNR scores are not enough merely to give a recommendation of any suitable methods for improving contrast, therefore, it needs another success parameter coming from the dentist.

          Key words:Dental radiography, image enhancement, digital image processing.

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          Most cited references32

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          Computer aided detection (CAD): an overview

          Computer aided detection (CAD) is a technology designed to decrease observational oversights—and thus the false negative rates—of physicians interpreting medical images. Prospective clinical studies have demonstrated an increase in breast cancer detection with CAD assistance. This overview briefly describes the metrics that have been used to define CAD system performance.
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            Recent advances in imaging technologies in dentistry.

            Dentistry has witnessed tremendous advances in all its branches over the past three decades. With these advances, the need for more precise diagnostic tools, specially imaging methods, have become mandatory. From the simple intra-oral periapical X-rays, advanced imaging techniques like computed tomography, cone beam computed tomography, magnetic resonance imaging and ultrasound have also found place in modern dentistry. Changing from analogue to digital radiography has not only made the process simpler and faster but also made image storage, manipulation (brightness/contrast, image cropping, etc.) and retrieval easier. The three-dimensional imaging has made the complex cranio-facial structures more accessible for examination and early and accurate diagnosis of deep seated lesions. This paper is to review current advances in imaging technology and their uses in different disciplines of dentistry.
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              Pulp and dentin tissue engineering and regeneration: current progress.

              Dental pulp tissue is vulnerable to infection. Entire pulp amputation followed by pulp-space disinfection and filling with an artificial rubber-like material is employed to treat the infection - commonly known as root-canal therapy. Regeneration of pulp tissue has been difficult as the tissue is encased in dentin without collateral blood supply except from the root apical end. However, with the advent of the concept of modern tissue engineering and the discovery of dental stem cells, regeneration of pulp and dentin has been tested. This article will review the early attempts to regenerate pulp tissue and the current endeavor of pulp and dentin tissue engineering, and regeneration. The prospective outcome of the current advancement in this line of research will be discussed.
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                Author and article information

                Journal
                J Clin Exp Dent
                J Clin Exp Dent
                Medicina Oral S.L.
                Journal of Clinical and Experimental Dentistry
                Medicina Oral S.L.
                1989-5488
                1 July 2018
                July 2018
                : 10
                : 7
                : e629-e634
                Affiliations
                [1 ]S.T., M. Eng, Dept. Electromedical Engineering. Vocational Program, Universitas Muhammadiyah Yogyakarta, Indonesia
                [2 ]DDS, M.D.Sc, Dept. Oral Biology. School of Dentistry, Faculty of Medical and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
                [3 ]S.T., MSc, PhD, Dept. Informatic Engineering. Faculty of Engineering, Universitas Muhammadiyah Yogyakarta, Indonesia
                [4 ]DDS, Sp.KG, Dept. Endodontic and Conservative Dentistry. School of Dentistry, Faculty of Medical and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
                Author notes
                Dept. Oral Biology School of Dentistry Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta, Indonesia , E-mail: sartika.puspita@ 123456umy.ac.id

                Conflict of interest statement: There is no conflict of interest.

                Article
                54607
                10.4317/jced.54607
                6057071
                1ced0985-48f3-43fb-a1b1-17edc7718e75
                Copyright: © 2018 Medicina Oral S.L.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 May 2018
                : 19 February 2018
                Categories
                Research
                Biomaterials and Bioengineering in Dentistry

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