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Case Reports
. 2017 Nov;9(Suppl 1):S274-S280.
doi: 10.4103/jpbs.JPBS_94_17.

Evaluation of the Accuracy of Cone Beam Computed Tomography for Immediate Implant Placement- A Case Report

B Saravanan  1 , P Jayavelu  1 , R Riaz  1 , A R Tariqsalam  1
Affiliations
Case Reports

Evaluation of the Accuracy of Cone Beam Computed Tomography for Immediate Implant Placement- A Case Report

B Saravanan et al. J Pharm Bioallied Sci. 2017 Nov.

Abstract

Diagnostic imaging acts as a distinctive method in analyzing and drawing in the appropriate treatment protocol for any procedure. Pertaining to immediate implant placement, determining the bone width and height plays a vital role in the success of the implant therapy. This visualization of the measurements done preoperatively will enhance the treatment by reducing the overall time span of the procedure. Currently, cone beam computed tomography (CBCT) plays a significant role in the preoperative determination of the measurements of the tooth and the bone. This case report is regarding, a 27-year-old male patient reporting to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital, with a chief complaint of fractured crown in relation to the upper left front tooth region. On clinical examination, there was the presence of an endodontically failed and fractured crown in relation to 22. With the interpretation of clinical and radiographic examination, the tooth was categorized under unfavorable prognosis. The patient was given a detailed description of the various treatment procedures available pertaining to that present condition, along with immediate implant placement procedure. Since the patient was young and conscious about his esthetics and accuracy, he opted for placement of immediate implant followed by extraction of the tooth. To accurately determine the length and width, the tooth and socket measurements were preoperatively measured by CBCT. This article evaluates the accuracy of CBCT by comparing the clinical quantity of bone and dimensions of tooth to be extracted and alveolar socket.

Keywords: Bone expanders; cone beam computed tomography; immediate implant; periotome.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Implant kit
Figure 2
Figure 2
Physiodispenser
Figure 3
Figure 3
Surgical instruments
Figure 4
Figure 4
Bone expanders
Figure 5
Figure 5
Preoperative intraoral periapical radiograph
Figure 6
Figure 6
Preoperative orthopantomogram
Figure 7
Figure 7
Study model - Labial view
Figure 8
Figure 8
Study model - Occlusal View
Figure 9
Figure 9
Extraoral profile of the patient
Figure 10
Figure 10
Preoperative intraoral view reveals the presence of endodontically failed left lateral incisor tooth with fractured crown
Figure 11
Figure 11
A preoperative cone beam computed tomography to determine the width of buccal bone
Figure 12
Figure 12
A preoperative cone beam computed tomography to determine the width of palatal bone
Figure 13
Figure 13
Measurement of width of 22 using cone beam computed tomography
Figure 14
Figure 14
Measurement of length of 22 using cone beam computed tomography
Figure 15
Figure 15
Atraumatic removal of the tooth using periotome
Figure 16
Figure 16
Measuring the extracted tooth clinically
Figure 17
Figure 17
Expansion of socket using osteotome (bone expander)
Figure 18
Figure 18
Placement of the implant in such a way that it touches all the bony walls of the extraction socket
Figure 19
Figure 19
Placement of healing cap
Figure 20
Figure 20
Suturing done using 3-0 silk suture
See this image and copyright information in PMC

References

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