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

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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Radiographic Assessment of Bone Healing Using Cone-beam Computed Tomographic Scans 1 and 5 Years after Apical Surgery

Journal of Endodontics ◽

10.1016/j.joen.2019.08.008 ◽

2019 ◽

Vol 45 (11) ◽

pp. 1307-1313 ◽

Cited By ~ 5

Author(s):

Thomas von Arx ◽

Simone F.M. Janner ◽

Stefan Hänni ◽

Michael M. Bornstein

Keyword(s):

Bone Healing ◽

Cone Beam ◽

Radiographic Assessment ◽

Computed Tomographic ◽

Apical Surgery

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Analysis of Digitalized Panorama and Cone Beam Computed Tomographic Image Distortion for the Diagnosis of Dental Implant Surgery

Journal of Craniofacial Surgery ◽

10.1097/scs.0b013e31820745a7 ◽

2011 ◽

Vol 22 (2) ◽

pp. 669-673 ◽

Cited By ~ 19

Author(s):

Jin-hyuk Yim ◽

Dong-mok Ryu ◽

Baek-soo Lee ◽

Yong-dae Kwon

Keyword(s):

Dental Implant ◽

Image Distortion ◽

Cone Beam ◽

Tomographic Image ◽

Implant Surgery ◽

Computed Tomographic ◽

Dental Implant Surgery

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Cone-beam computed tomographic analysis of the morphological characterization of the nasopalatine canal in a pediatric population

Surgical and Radiologic Anatomy ◽

10.1007/s00276-014-1271-0 ◽

2014 ◽

Vol 36 (9) ◽

pp. 925-932 ◽

Cited By ~ 11

Author(s):

Ahmet Ercan Sekerci ◽

Suleyman Kutalmis Buyuk ◽

Kenan Cantekin

Keyword(s):

Pediatric Population ◽

Morphological Characterization ◽

Cone Beam ◽

Nasopalatine Canal ◽

Computed Tomographic ◽

Tomographic Analysis

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Radiographic evaluation of the incisive foramen position by Cone-Beam Computed Tomography (CBCT) in edentulous anterior maxilla regions and its relationship to dental implant placement of incisor teeth

Bali Medical Journal ◽

10.15562/bmj.v6i2.504 ◽

2017 ◽

Vol 6 (2) ◽

pp. 236

Author(s):

Ali Banihashem Rad ◽

Ali Forouzanfar ◽

Ershad Aghasizadeh ◽

Hossein Hosseinee Zarch ◽

Hossein Nekooei ◽

...

Keyword(s):

Computed Tomography ◽

Dental Implant ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Radiographic Evaluation ◽

Anterior Maxilla ◽

Implant Placement ◽

Incisive Foramen

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Radiographic Assessment of Nasopalatine Canal Using Cone Beam Computed Tomography

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000005805 ◽

2020 ◽

Vol 31 (1) ◽

pp. e4-e6 ◽

Cited By ~ 1

Author(s):

Zainab H. Al-Ghurabi ◽

Zainab M. Al-Bahrani

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Radiographic Assessment ◽

Nasopalatine Canal

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Is Cone-Beam Computed Tomography Always Necessary for Dental Implant Placement?

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2016.11.005 ◽

2017 ◽

Vol 75 (2) ◽

pp. 285-289 ◽

Cited By ~ 9

Author(s):

George Deeb ◽

Ludmils Antonos ◽

Samuel Tack ◽

Caroline Carrico ◽

Daniel Laskin ◽

...

Keyword(s):

Computed Tomography ◽

Dental Implant ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Implant Placement

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Morphological Characteristics of the Nasopalatine Canal and the Relationship with the Anterior Maxillary Bone—A Cone Beam Computed Tomography Study

Diagnostics ◽

10.3390/diagnostics11050915 ◽

2021 ◽

Vol 11 (5) ◽

pp. 915

Author(s):

Pavle Milanovic ◽

Dragica Selakovic ◽

Milica Vasiljevic ◽

Nemanja U. Jovicic ◽

Dragan Milovanović ◽

...

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Morphological Characteristics ◽

Cone Beam ◽

Morphometric Characteristics ◽

Anterior Maxilla ◽

Nasopalatine Canal ◽

Implant Placement ◽

Significant Difference ◽

Incisive Foramen

The aim of this study was to evaluate the interconnection between the type of nasopalatine canal (NPC) and morphometric characteristics of the anterior maxilla. The investigation involved 113 subjects, and the morphometric parameters were obtained using cone beam computed tomography (CBCT). NPC shapes were classified into four types: banana-, hourglass-, cylindrical-, and funnel-shaped (distribution of approximately 9, 25, 31, and 35%, respectively). The analysis revealed that the NPC shape was significantly connected with the morphometric properties of anterior maxilla horizontal dimensions. In general, a banana-shaped NPC was accompanied with an overall reduction in anterior maxilla diameters when compared to other NPC shapes, with no significant difference between the other three NPC shapes. Furthermore, the morphometric characteristics that depend on NPC shape at the sagittal cross-section were significantly correlated with diameters of the incisive foramen, nasal foramen, and NPC length. According to the results of our study, it seems that the presented analyses of morphometric data may allow useful insight into the algorithms of various interconnections between the measures obtained in the region of the anterior maxilla, which could be of interest for a time rationale approach when planning some surgical procedures, such as immediate dental implant placement planning.

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Accuracy of a Newly Developed Cone-Beam Computerized Tomography-Aided Surgical Guidance System for Dental Implant Placement: An Ex Vivo Study

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-11-00062 ◽

2012 ◽

Vol 38 (6) ◽

pp. 706-712 ◽

Cited By ~ 3

Author(s):

Sema Murat ◽

Kıvanç Kamburoğlu ◽

Tuncer Özen

Keyword(s):

Dental Implant ◽

Computerized Tomography ◽

Ex Vivo ◽

Simulation Software ◽

Guidance System ◽

Cone Beam ◽

Angular Deviation ◽

Surgical Guidance ◽

Implant Placement ◽

Cone Beam Computerized Tomography

The aim of the present study was to measure the accuracy of the cone-beam computerized tomography (CBCT)- aided StentCad Beyond surgical guidance system and to compare bone-supported and tooth/bone-supported guidance by using this system in dental implant placement ex vivo. Five cadaver mandibles were scanned using an Iluma CBCT scanner. After scanning, DICOM slices were transferred to the StentCad Beyond implant simulation software, which was used for preoperative implant planning. Using the StentCad Beyond guidance system, 9 implant drills were inserted using a bone-supported guidance system and 11 using a tooth/bone-supported guidance system. Mandibles were scanned again and these data were transferred to the StentCad Beyond software. Pre- and postoperative information was superimposed using the Rhinoceros version 4 software program, and deviations between planned and actual drill positions were calculated for each implant. In addition, differences between bone-supported and tooth/bone-supported guidance systems were analyzed by t-test, with a significance level of P < .05. Data analysis found a mean coronal deviation of 1.2 ± 0.3 mm and 0.6 ± 0.6 mm, mean apical deviation of 1.3 ± 0.6 mm and 0.7 ± 0.6 mm, mean apical and coronal depth deviation of 1.4 ± 0.3 mm and 1.3 ± 0.3 mm, and mean angular deviation of 4.2° ± 2.0° and 3.0° ± 1.5° for tooth/bone supported and bone-supported guides, respectively. No statistical differences were found in depth or angular deviations between groups (P > .05); however, statistically significant differences between groups were found in mean horizontal coronal deviation (P = .016) and mean horizontal apical deviation (P = .047). The StentCad Beyond system was found to be a reliable guide for placing implants ex vivo.

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Accuracy of dental implant placement with computer-guided surgery: a retrospective cohort study

BMC Oral Health ◽

10.1186/s12903-022-02046-z ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Jeong-Kui Ku ◽

Junggon Lee ◽

Hyo-Jung Lee ◽

Pil-Young Yun ◽

Young-Kyun Kim

Keyword(s):

Dental Implant ◽

Drop Out ◽

Cone Beam ◽

Virtual Planning ◽

Guided Surgery ◽

Implant Placement ◽

Group 2 ◽

Implant Treatment ◽

Approach Group ◽

Group 1

Abstract Background The aim of this study was to assess the accuracy of virtual planning of computer-guided surgery based on the actual outcomes of clinical dental implant placement. Methods This retrospective study enrolled patients among whom implant treatment was planned using computer-guided surgery with cone beam computed tomography (CBCT). The patients who received implant according to the guide with the flapless and flapped approach were classified as group 1 and 2, respectively, and the others who could not be placed according to the guide were allocated to the drop-out group. The accuracy of implant placement was evaluated with the superimposition of CBCT. Results We analyzed differences in the deviated distance of the entrance point and deviated angulation of the insertion of implant fixtures. With regard to the surgical approach, group 2 exhibited greater accuracy compared to group 1 in deviation distance (2.22 ± 0.88 and 3.18 ± 0.89 mm, respectively, P < 0.001) and angulation (4.27 ± 2.30 and 6.82 ± 2.71°, respectively, P = 0.001). The limitations of guided surgery were discussed while considering the findings from the drop-out group. Conclusions Computer-guided surgery demonstrates greater accuracy in implant placement with the flapless approach. Further research should be conducted to enhance the availability of guides for cases with unfavorable residual bone conditions.

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