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. 2018 Dec;48(4):269-275.
doi: 10.5624/isd.2018.48.4.269. Epub 2018 Dec 20.

Comparing the precision of panoramic radiography and cone-beam computed tomography in avoiding anatomical structures critical to dental implant surgery: A retrospective study

Öznur Özalp  1 , Hüseyin Alican Tezerişener  1 , Burak Kocabalkan  1 , Ulviye Şebnem Büyükkaplan  2 , Mehmet Mustafa Özarslan  2 , Göksel Şimşek Kaya  1 , Mehmet Ali Altay  1 , Alper Sindel  1
Affiliations

Comparing the precision of panoramic radiography and cone-beam computed tomography in avoiding anatomical structures critical to dental implant surgery: A retrospective study

Öznur Özalp et al. Imaging Sci Dent. 2018 Dec.

Abstract

Purpose: The aim of this study was to evaluate the correlations between measurements made using panoramic radiography and cone-beam computed tomography (CBCT) based on certain anatomical landmarks of the jaws, with the goal of preventing complications due to inaccurate measurements in the pre-surgical planning phase of dental implant placement.

Materials and methods: A total of 56 individuals who underwent panoramic radiography and a CBCT evaluation before dental implant surgery were enrolled in the study. Measurements were performed to identify the shortest vertical distance between the alveolar crest and neighboring anatomical structures, including the maxillary sinus, nasal floor, mandibular canal, and foramen mentale. The differences between the measurements on panoramic radiography and CBCT images were statistically analyzed.

Results: Statistically significant differences were observed between the measurements on panoramic radiography and CBCT for all anatomical structures (P<.05). The correlation coefficients (r) between the paired samples obtained from panoramic radiography and CBCT were closely correlated (P<.05), with r values varying from 0.921 and 0.979 for different anatomical regions.

Conclusion: The results of this study support the idea that panoramic radiography might provide sufficient information on bone height for preoperative implant planning in routine cases or when CBCT is unavailable. However, an additional CBCT evaluation might be helpful in cases where a safety margin cannot be respected due to insufficient bone height.

Keywords: Cone-Beam Computed Tomography; Dental Implants; Radiography, Panoramic.

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Figures

Fig. 1
Fig. 1. Measurement of the shortest vertical distance between the alveolar crest and the bottom of the maxillary sinus on a panoramic image (A) and a cone-beam computed tomography image (B).
Fig. 2
Fig. 2. Measurement of the shortest vertical distance between the alveolar crest and the bottom of the nasal floor on a panoramic image (A) and a cone-beam computed tomography image (B).
Fig. 3
Fig. 3. Measurement of the shortest vertical distance between the alveolar crest and the top of the mandibular canal on a panoramic image (A) and a cone-beam computed tomography image (B).
Fig. 4
Fig. 4. Measurement of the shortest vertical distance between the alveolar crest and the top of the foramen mentale on a panoramic image (A) and a cone-beam computed tomography image (B).
See this image and copyright information in PMC

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References

    1. Ali SA, Karthigeyan S, Deivanai M, Kumar A. Implant rehabilitation for atrophic maxilla: a review. J Indian Prosthodont Soc. 2014;14:196–207. - PMC - PubMed
    1. Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008;17:159–168. - PubMed
    1. Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clin Cosmet Investig Dent. 2014;6:29–43. - PMC - PubMed
    1. Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J. 1986;10:73–84. - PubMed
    1. Lecomber AR, Yoneyama Y, Lovelock DJ, Hosoi T, Adams AM. Comparison of patient dose from imaging protocols for dental implant planning using conventional radiography and computed tomography. Dentomaxillofac Radiol. 2001;30:255–259. - PubMed