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

Imaging Science in Dentistry 2018³â 48±Ç 4È£ p.269 ~ 275
Ozalp Oznur, Tezerisener Huseyin Alican, Kocabalkan Burak, Buyukkaplan Ulviye Sebnem, Ozarslan Mehmet Mustafa, Kaya Goksel Simsek, Altay Mehmet Ali, Sindel Alper,
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 ( Ozalp Oznur ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
 ( Tezerisener Huseyin Alican ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
 ( Kocabalkan Burak ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
 ( Buyukkaplan Ulviye Sebnem ) - Akdeniz University Faculty of Dentistry Department of Prosthodontics
 ( Ozarslan Mehmet Mustafa ) - Akdeniz University Faculty of Dentistry Department of Prosthodontics
 ( Kaya Goksel Simsek ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
 ( Altay Mehmet Ali ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
 ( Sindel Alper ) - Akdeniz University Faculty of Dentistry Department of Oral and Maxillofacial Surgery

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.

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Cone-Beam Computed Tomography; Dental Implants; Radiography, Panoramic

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