Evaluation of Osseointegration in Implants using Digital Orthopantomogram and Cone Beam Computed Tomography

2016 ◽  
Vol 17 (11) ◽  
pp. 953-957 ◽  
Author(s):  
Shameeka Thopte ◽  
Aastha Chopra ◽  
Amit A Mhapuskar ◽  
Swati Marathe ◽  
Shams U Nisa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Dental Implants ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Accurate Assessment ◽  
Bony Tissue ◽  
Apical Portion ◽  
Implant Placement ◽  
Radiographic Measurements ◽  
Bone Height

ABSTRACT Introduction Accurate assessment of osseointegration in dental implants requires precise radiographic visualization of pathologic conditions as well as anatomical structures. The present study aimed to evaluate the formation of bony tissue (osseointegration) using digital orthopantomogram (OPG) and cone beam computed tomography (CBCT) immediately after implant insertion (within 7 days) and 3 months postinsertion. Materials and methods Twenty single-implant sites on mandibular posterior regions were selected on patients irrespective of their gender. Both digital OPG and CBCT were done within a week and again after 3 months of implant insertion surgery, using the same exposure parameters. Results Three of the 20 implants were submerged and were excluded as the crestal bone height could not be measured. The participants were recalled for radiographic measurements after 3 months of implant placement. On an average, there was 0.03 mm of osseointegration at the apical portion after 3 months of implant insertion on digital OPG; 0.04 mm of osseointegration at the crestal bone height after 3 months on digital OPG; and 0.01 mm of osseointegration at the apical portion after 3 months on CBCT. No change or ≤0.02 mm of osseointegration at crestal bone height after 3 months on CBCT. Conclusion Both digital OPG and CBCT are significant for the assessment of osseointegration in implants, and hence, endow definite benefit for accurate assessment in terms of the success of the implant placement. Clinical significance However, CBCT is a better mode of evaluating dental implants but one should keep in mind that radiographic examination must be conducted to the benefit of the patient by application of the lowest achievable dose. How to cite this article Chopra A, Mhapuskar AA, Marathe S, Nisa SU, Thopte S, Saddiwal R. Evaluation of Osseointegration in Implants using Digital Orthopantomogram and Cone Beam Computed Tomography. J Contemp Dent Pract 2016;17(11):953-957.

scholarly journals Relationship of central incisor implant placement to the ridge configuration anterior to the nasopalatine canal in dentate and partially edentulous individuals: a comparative study

PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e1315 ◽  
Author(s):  
Xueting Jia ◽  
Wenjie Hu ◽  
Huanxin Meng
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Central Incisor ◽  
Nasopalatine Canal ◽  
Implant Placement ◽  
Bone Width ◽  
Incisive Foramen ◽  
Edentulous Patients ◽  
Bone Height

Background.The aims of this study were to investigate the ridge contour anterior to the nasopalatine canal, and the difference between the incidences of the nasopalatine canal perforation in dentate and partially edentulous patients by cone-beam computed tomography.Methods.Cone-beam computed tomography scan images from 72 patients were selected from database and divided into dentate and partially edentulous groups. The configuration of the ridge anterior to the canal including palatal concavity depth, palatal concavity height, palatal concavity angle, bone height coronal to the incisive foramen, and bone width anterior to the canal was measured. A virtual implant placement procedure was used, and the incidences of perforation were evaluated after implant placement in the cingulum position with the long axis along with the designed crown.Results.Comparing with variable values from dentate patients, the palatal concavity depth and angle were greater by 0.9 mm and 4°, and bone height was shorter by 1.1 mm in partially edentulous patients, respectively. Bone width in edentulous patients was narrower than in dentate patients by 1.2 mm at incisive foramen level and 0.9 mm at 8 mm subcrestal level, respectively. After 72 virtual cylindrical implants (4.1 × 12 mm) were placed, a total of 12 sites (16.7%) showed a perforation and three-fourths occurred in partially edentulous patients. After replacing with 72 tapered implants (4.3 × 13 mm), only 6 implants (8.3%) broke into the canal in the partially edentulous patient group.Conclusions.The nasopalatine canal may get close to the implant site and the bone width anterior to the canal decreases after the central incisor extraction. The incidence of nasopalatine canal perforation may occur more commonly during delayed implant placement in central incisor missing patients.

scholarly journals Classification of Sagittal Root Position and Angulation of Premolars for Immediate Implant Placement: A Cone Beam Computed Tomography Study

2020 ◽  
Author(s):  
Yalin Zhan ◽  
Miaozhen Wang ◽  
Xueyuan Cheng ◽  
Feng Liu
Keyword(s):  
Computed Tomography ◽  
Treatment Planning ◽  
Frequency Distribution ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Implant Placement ◽  
Root Position ◽  
Immediate Implant ◽  
Maxillary Premolars

Abstract Background: Sagittal root position (SRP) and thickness of buccal plate were of clinical guiding significance in implant treatment planning. The study was to classify the SRP and angulations of the maxillary and mandibular premolar to each osseous housing, and to measure the thickness of buccal plate by cone beam computed tomography (CBCT) in order to estimate the distributions and provide clinical decision support. Methods: CBCT images was reviewed on 150 patients who fulfilled the inclusion criteria. The sagittal root position and angulations of the maxillary and mandibular premolars to their respective osseous housing were evaluated and classified using CBCT images. The thickness of buccal plate at 1 mm, 3 mm, 5 mm apical to the alveolar crest was also measured. Results: The frequency distribution of SRP types indicated that, 41.67%, 51.83%, 3.67%, and 2.83% of maxillary premolars; 84.33%, 15%, 0%, and 0.67% of mandibular premolars were classified as type B, M, L, and N. The frequency distribution of angulation classifications indicated that, 20.83%, 46%, 32.17%, and 1% of maxillary premolars; 2%, 5.33%, 36.67%, and 56% of mandibular premolars were classified as class 1, 2, 3, and 4. The buccal bone thickness in most locations of premolar sites was less than 1 mm. Conclusions: The classification of clinical relevance of SRP and angulation of the premolar root to osseous housing would help for treatment planning and improving interdisciplinary communication of immediate implant placement (IIP) in the premolar region.

scholarly journals Presurgical Cone Beam Computed Tomography Bone Quality Evaluation for Predictable Immediate Implant Placement and Restoration in Esthetic Zone

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Corina Marilena Cristache
Keyword(s):  
Computed Tomography ◽  
Bone Quality ◽  
Cone Beam Computed Tomography ◽  
Quality Evaluation ◽  
Multislice Computed Tomography ◽  
Cone Beam ◽  
Implant Placement ◽  
Lower Radiation Dose ◽  
Cad Cam ◽  
Immediate Implant

Despite numerous advantages over multislice computed tomography (MSCT), including a lower radiation dose to the patient, shorter acquisition times, affordable cost, and sometimes greater detail with isotropic voxels used in reconstruction, allowing precise measurements, cone beam computed tomography (CBCT) is still controversial regarding bone quality evaluation. This paper presents a brief review of the literature on accuracy and reliability of bone quality assessment with CBCT and a case report with step-by-step predictable treatment planning in esthetic zone, based on CBCT scans which enabled the clinician to evaluate, depending on bone volume and quality, whether immediate restoration with CAD-CAM manufactured temporary crown and flapless surgery may be a treatment option.

Postoperative Assessment of Incisor Dental Implants Using Cone-Beam Computed Tomography

2010 ◽  
Vol 36 (5) ◽  
pp. 377-384 ◽  
Author(s):  
Munetaka Naitoh ◽  
Hiromitsu Nabeshima ◽  
Hisashi Hayashi ◽  
Takehiko Nakayama ◽  
Kenichi Kurita ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Dental Implants ◽  
Cone Beam Computed Tomography ◽  
Bone Grafts ◽  
Cone Beam ◽  
Postoperative Assessment ◽  
Labial Side ◽  
Bone To Implant Contact ◽  
The Mean ◽  
Postoperative Findings

Abstract The bone configuration surrounding anterior dental implants was postoperatively assessed using cone-beam computed tomography (CBCT). In 21 patients with a mean age of 41.5 years, 36 implants placed in the incisor region were postoperatively evaluated using CBCT. The rate of bone-to-implant contact (%) was calculated. The mean rate of bone-to-implant contact on the labial side was 78.3% with and 65.3% without bone grafts. The postoperative findings of incisor implants could be assessed using CBCT.

scholarly journals Comparative Evaluation of Cortical Bone Anatomy of Mandibular Buccal Shelf for Mini Implant Placement in Different Facial Divergence: A Cone Beam Computed Tomography Study

2020 ◽  
Vol 54 (4) ◽  
pp. 325-331
Author(s):  
Kalyani Trivedi ◽  
Bharvi K Jani ◽  
Sagar Hirani ◽  
Mansi V Radia
Keyword(s):  
Computed Tomography ◽  
Cortical Bone ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Bone Surface ◽  
Bone Thickness ◽  
Second Molar ◽  
Cortical Bone Thickness ◽  
Implant Placement ◽  
Alveolar Crest

Aim: The purpose of this study was to use measurements from cone beam computed tomography scans to quantify the cortical bone thickness of mandibular buccal shelf region and preferable site for buccal shelf implant placement in 10 hyperdivergent and 10 hypodivergent patients. Method: 20 cone beam computed tomographies were equally divided based on divergence. 6 sites were examined: mesial of first molar (6M), middle of first molar (6Mi), interdental between the first and second molar (Id), mesial of second molar (7M), middle of second molar (7Mi), and distal of second molar (7D). The study quantified the mandibular buccal shelf relative to its angle of slope, the cortical bone thickness measured perpendicular to the bone surface, the amount of cortical bone 30° angle to the bone surface. The cortical bone thickness was measured perpendicular and at a 30° angle at 3, 5, and 7 mm from the alveolar crest. Result: Significant change is seen at the buccal shelf slope at 6M ( P = .001) and further increase in this angle till 7D ( P = .003). Mean amount of cortical bone for hyperdivergent group at 7D is 4.77 ± 0.68 mm and for hypodivergent group is 3.86 ± 0.70 mm. Statistically significant differences were noted at insertion site at 90° and 30° for both groups at 3, 5, and 7 mm from the alveolar crest. Conclusion: Preferable site for buccal shelf implant placement is distal to the mandibular second molar. The maximum amount of cortical bone is found distal to the second molar 7 mm vertically from alveolar crest when the buccal shelf implant is placed at 30° angulation for hyperdivergent group.

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