A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease

Background. Several clinical techniques and a variety of biomaterials have been introduced over the years in an effort to overcome bone remodeling and resorption after tooth extraction. However, the predictability of these procedures in sockets with severely resorbed buccal/lingual plate due to periodontal disease is still unknown. Case Description. A patient with advanced periodontitis underwent extraction of upper right lateral and central incisors. The central incisor exhibited complete buccal bone plate loss and a 9 mm vertical bone deficiency on its palatal side. The alveolar sockets were filled with collagen sponge and covered with a nonresorbable high-density PTFE membrane. Primary closure was not attained and any rigid scaffold material was not used. Histologic analysis provided evidence of new bone formation. At 12 months a cone-beam computed tomographic scan revealed enough bone volume to insert two conventional dental implants in conjunction with minor horizontal bone augmentation procedures. Clinical Implications. This case report would seem to support the potential of the proposed reconstructive approach in changing the morphology of severely resorbed alveolar sockets, minimizing the need for advanced bone regeneration procedures during implant placement.

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Radiographic Assessment of Anatomy of Nasopalatine Canal for Dental Implant Placement: A Cone Beam Computed Tomographic Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2257 ◽

2018 ◽

Vol 19 (3) ◽

pp. 301-305 ◽

Cited By ~ 1

Author(s):

Pramod Tatuskar ◽

Jaligama B Rao ◽

Ashwini Pulla ◽

Swati C Patil ◽

Ila Tiwari

Keyword(s):

Dental Implant ◽

Cone Beam ◽

Cortical Plate ◽

Radiographic Assessment ◽

Nasopalatine Canal ◽

Computed Tomographic ◽

Exact Location ◽

Implant Placement ◽

Oral Opening ◽

Males And Females

ABSTRACT Aim The aim of this study is to assess the morphology of nasopalatine canal (NPC) with cone beam computed tomo-graphy (CBCT). Materials and methods A total of 460 subjects of both genders were subjected to CBCT with NewTom machine, and sagittal and coronal sections were used for evaluation of the shape of NPC and width of buccal cortical plate. Types of NPC were also assessed. Results Of 460 subjects, males were 210 and females were 250. The difference was nonsignificant (p = 0.1). Type III canals were mostly seen in both males and females, followed by types I and II. The mean length of NPC in males and females showed statistical significant difference (p < 0.05). Males showed significantly higher diameter of nasal opening, oral opening, and width of the buccal bone plate over the oral opening as compared with females. Conclusion The exact location, morphology, and dimensions of NPC can be well visualized with CBCT. All findings were higher in males as compared with females. Clinical significance The success of dental implant in maxillary anterior region may be affected by the approximation with NPC. The exact location and morphology play an important role for the correct placement of implant. Cone beam computed tomography is a useful tool providing three-dimensional images in all sections. How to cite this article Rao JB, Tatuskar P, Pulla A, Kumar N, Patil SC, Tiwari I. Radiographic Assessment of Anatomy of Nasopalatine Canal for Dental Implant Placement: A Cone Beam Computed Tomographic Study. J Contemp Dent Pract 2018;19(3):301-305.

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Incidental finding of metastatic malignancy involving the sphenoid sinus on a cone-beam computed tomographic scan: A case report

Imaging Science in Dentistry ◽

10.5624/isd.20200227 ◽

2021 ◽

Vol 51 (1) ◽

pp. 87

Author(s):

Niloufar Amintavakoli

Keyword(s):

Case Report ◽

Sphenoid Sinus ◽

Incidental Finding ◽

Cone Beam ◽

Computed Tomographic ◽

Computed Tomographic Scan

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The Effect of Alteration of the Exposure Parameters of a Cone-beam Computed Tomographic Scan on the Diagnosis of Simulated Horizontal Root Fractures

Journal of Endodontics ◽

10.1016/j.joen.2014.11.022 ◽

2015 ◽

Vol 41 (4) ◽

pp. 520-525 ◽

Cited By ~ 16

Author(s):

David Jones ◽

Francesco Mannocci ◽

Manoharan Andiappan ◽

Jackie Brown ◽

Shanon Patel

Keyword(s):

Cone Beam ◽

Computed Tomographic ◽

Computed Tomographic Scan ◽

Root Fractures

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Anatomical Study of the Pterygomaxillary Area for Implant Placement: Cone Beam Computed Tomographic Scanning in 100 Patients

The International Journal of Oral & Maxillofacial Implants ◽

10.11607/jomi.3173 ◽

2014 ◽

Vol 29 (5) ◽

pp. 1049-1052 ◽

Cited By ~ 8

Author(s):

Xavier Rodriguez ◽

Federico Rambla ◽

Luis de Marcos Lopez ◽

Victor Mendez ◽

Xavier Vela ◽

...

Keyword(s):

Anatomical Study ◽

Cone Beam ◽

Computed Tomographic ◽

Implant Placement

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Influence of Cone-beam Computed Tomographic Scan Mode for Detection of Horizontal Root Fracture

Journal of Endodontics ◽

10.1016/j.joen.2014.03.001 ◽

2014 ◽

Vol 40 (9) ◽

pp. 1472-1476 ◽

Cited By ~ 13

Author(s):

Felipe Ferreira Costa ◽

Lucas Rodrigues Pinheiro ◽

Otavio Shoiti Umetsubo ◽

Oséas dos Santos Júnior ◽

Bruno Felipe Gaia ◽

...

Keyword(s):

Cone Beam ◽

Root Fracture ◽

Computed Tomographic ◽

Computed Tomographic Scan ◽

Horizontal Root Fracture

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Cone-beam computed tomographic analysis of the alveolar ridge profile and virtual implant placement for the anterior maxilla

Journal of Periodontal & Implant Science ◽

10.5051/jpis.2019.49.5.299 ◽

2019 ◽

Vol 49 (5) ◽

pp. 299

Author(s):

Hyun-Chang Lim ◽

Do-Uk Kang ◽

Hyehyeon Baek ◽

Ji-Youn Hong ◽

Seung-Yun Shin ◽

...

Keyword(s):

Cone Beam ◽

Alveolar Ridge ◽

Anterior Maxilla ◽

Computed Tomographic ◽

Implant Placement ◽

Tomographic Analysis

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Correction of Buccal Dehiscence at the Time of Implant Placement Without Barrier Membranes: A Retrospective Cone Beam Computed Tomographic Study

The International Journal of Oral & Maxillofacial Implants ◽

10.11607/jomi.3093 ◽

2013 ◽

Vol 28 (6) ◽

pp. 1564-1569 ◽

Cited By ~ 6

Author(s):

Arthur Rodriguez Gonzalez Cortes ◽

Djalma Nogueira Cortes ◽

Emiko Saito Arita

Keyword(s):

Cone Beam ◽

Barrier Membranes ◽

Computed Tomographic ◽

Implant Placement

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Changes in Maxillary Sinus Mucosal Thickening following the Extraction of Teeth with Advanced Periodontal Disease: A Retrospective Study Using Cone-Beam Computed Tomography

BioMed Research International ◽

10.1155/2021/6688634 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Zheng Cao ◽

Jie Yuan

Keyword(s):

Periodontal Disease ◽

Maxillary Sinus ◽

Tooth Extraction ◽

Cone Beam ◽

Significant Difference ◽

Severe Periodontal Disease ◽

Group 2 ◽

Mucosal Thickening ◽

Over Time ◽

Group 1

Objectives. To explore the alterations in maxillary sinus mucosal thickening after extracting teeth with severe periodontal disease using cone-beam computed tomography (CBCT). Methods. 30 patients with severe periodontal disease of maxillary posterior teeth that needed to be extracted and who were radiographically diagnosed with mucosal thickening (MT) in the maxillary sinus participated in the study. CBCT scans were taken before tooth extraction and 2-29 months after tooth extraction. The postextraction follow-up time was divided into two groups: group 1 (<4 months) and group 2 (≥4 months). Dimensions of maxillary sinus MT, including the MT zone length (SL) and the maximum thickness of the MT zone (ST), were evaluated preextraction and postextraction; the residual ridge height (RRH) was evaluated at the sites of extracted and nonextracted teeth. Result. Of the 24 patients with unilateral tooth extraction, there was a statistically significant difference in MT between the extraction and nonextraction sides ( p < 0.05 ). The RRH at the site of the extracted teeth was significantly lower than that of the nonextracted teeth ( p < 0.05 ). MT decreased significantly after tooth extraction on the extraction side but not on the nonextraction side. There was no significant difference between group 1 and group 2 regarding the reduction in mucosal thickness over time. Conclusions. Severe periodontitis can cause MT in the maxillary sinus. The RRH was lower at the sites of extracted teeth. MT reduced quickly by a thorough debridement after tooth extraction in 4 months. MT will not decrease further over time.

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