Measurements of Dimensions of Nasopalatine Canal Using Cone Beam Computed Tomography in Patients Reporting to A Local Tertiary Care Dental Hospital in Lahore

2021 ◽  
Vol 15 (10) ◽  
pp. 3196-3198
Author(s):  
Muhammad Iftikhar Ahsen ◽  
Muhammad Usman Khattak ◽  
Kapil Kumar ◽  
Irshad Ahmed ◽  
Khurram Ata Ullah ◽  
...  

Objective: To measure the mean length and width of NPC in patients reporting to Fatima Memorial hospital Lahore, for implant surgery. Methods: This crossectional study was conducted at Department of Periodontology, Fatima Memorial Hospital, Lahore. Fatima Memorial Hospital is a tertiary care dental hospital affiliated with University of Health Sciences. After taking informed written consent history was taken, clinical examination was done and CBCT from SIRONA CBCT machine will be taken to assess the outcome i.e the mean length and width of NPC. Result: Total of 72 patients requiring CBCT for dental procedures were included. 38 patients were males (52.8%) & 34 patients were females (47.2%) with the mean age of 40.944+7.507 years. The mean length and width of Nasopalatine canal (NPC) was 8.787+1.534 mm and 3.919+0.738 mm respectively. Conclusion: Significant differences in nasopalatine canal length and width were observed among the patients and CBCT was useful in determining nasopalatine canal length and width before implant placement Key words: Cone-Beam Computed Tomography; nasopalatine canal, length, width

2012 ◽  
Vol 38 (6) ◽  
pp. 713-717 ◽  
Author(s):  
Pakawat Chatriyanuyoke ◽  
Chun-I Lu ◽  
Yusuke Suzuki ◽  
Jaime L. Lozada ◽  
Kitichai Rungcharassaeng ◽  
...  

The aim of this study was to determine the proximity of the nasopalatine canal (NPC) to the maxillary central incisor root (MCIR). The study included 120 cone beam computed tomography scans obtained from the Center for Implant Dentistry, Loma Linda University, between June 2006 and September 2009. They were equally distributed into six groups: (1) 21- to 40-year-old men, (2) 21- to 40-year-old women, (3) 41- to 60-year-old men, (4) 41- to 60-year-old women, (5) 61- to 80-year-old men, and (6) 61- to 80-year-old women. The closest distances between the NPC and the MCIR (NPC-to-MCIR) were measured at the midroot (bisecting palatal cementoenamel junction to root apex) and the apex levels. Differences between the groups were analyzed using a t test and 1-way analysis of variance at a significance level of α = .05. The overall mean NPC-to-MCIR distances at the midroot and apex levels were 3.05 ± 1.64 and 5.22 ± 1.56 mm, respectively. The modes of the NPC-to-MCIR distances at the midroot and apex levels were in the range of 1.01–2.00 mm and 4.01–5.00 mm, respectively. The mean NPC-to-MCIR distance was significantly greater in men than in women at the midroot level (P < .05) but not at the apex level (P > .05). The mean NPC-to-MCIR distance was significantly shorter for the youngest age group than the other two age groups at the midroot level (P < .05). However, at the apex level, the youngest age group had a significantly shorter distance compared with the oldest age group (P < .05) but not the middle age group (P > .05). The results of this study suggest that, to avoid NPC penetration, more care must be exercised during immediate implant placement at the midroot level of a maxillary central incisor in women and younger patients because of the root proximity to the NPC. Tapered implants may also be beneficial in such situations.


Urolithiasis ◽  
2021 ◽  
Author(s):  
R. A. Kingma ◽  
M. J. H. Voskamp ◽  
B. H. J. Doornweerd ◽  
I. J. de Jong ◽  
S. Roemeling

AbstractCone beam computed tomography (CBCT) provides multiplanar cross-sectional imaging and three-dimensional reconstructions and can be used intraoperatively in a hybrid operating room. In this study, we investigated the feasibility of using a CBCT-scanner for detecting residual stones during percutaneous nephrolithotomy (PCNL). Intraoperative CBCT-scans were made during PCNL procedures from November 2018 until March 2019 in a university hospital. At the point where the urologist would have otherwise ended the procedure, a CBCT-scan was made to image any residual fragments that could not be detected by either nephroscopy or conventional C-arm fluoroscopy. Residual fragments that were visualized on the CBCT-scan were attempted to be extracted additionally. To evaluate the effect of this additional extraction, each CBCT-scan was compared with a regular follow-up CT-scan that was made 4 weeks postoperatively. A total of 19 procedures were analyzed in this study. The mean duration of performing the CBCT-scan, including preparation and interpretation, was 8 min. Additional stone extraction, if applicable, had a mean duration of 11 min. The mean effective dose per CBCT-scan was 7.25 mSv. Additional extraction of residual fragments as imaged on the CBCT-scan occurred in nine procedures (47%). Of the follow-up CT-scans, 63% showed a stone-free status as compared to 47% of the intraoperative CBCT-scans. We conclude that the use of CBCT for the detection of residual stones in PCNL is meaningful, safe, and feasible.


2013 ◽  
Vol 43 (4) ◽  
pp. 273 ◽  
Author(s):  
Arpita Rai Thakur ◽  
Krishna Burde ◽  
Kruthika Guttal ◽  
Venkatesh G Naikmasur

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
P. López-Jarana ◽  
C. M. Díaz-Castro ◽  
A. Falcão ◽  
C. Falcão ◽  
J. V. Ríos-Santos ◽  
...  

Abstract Background The objective of this study was to measure two parameters involved in tri-dimensional implant planning: the position of the buccal and palatal bone wall and the palatal thickness. Methods Cone beam computed tomography (CBCT) images (Planmeca ProMax 3D) of 403 teeth (208 upper teeth and 195 lower teeth) were obtained from 49 patients referred to the Dental School of Seville from January to December 2014. The height difference between the palatal and buccal walls was measured on the most coronal point of both walls. The thickness of the palatal wall was measured 2 mm from the most coronal point of the palatal wall. Results The mean values in the maxilla were 1.7 ± 0.9 mm for central and lateral incisors, 2.2 ± 1.7 mm for canines, 1.6 ± 0.9 mm for premolars and 1.9 ± 1.5 mm for molars. In the lower jaw, the mean values were 1.3 ± 0.8 mm for incisors, 1.7 ± 1.2 mm for canines, 2.3 ± 1.3 mm for premolars, and 2.6 ± 1.7 mm for molars. In the upper jaw, more than 55% of maxillary teeth (excluding second premolars and molars) presented mean height differences greater than 1 mm. In the mandible, more than 60% of incisors showed a buccal bone thickness of 1 mm from the apical to lingual aspect. All teeth except the second premolar presented a buccal wall located more than 1 mm more apically than the lingual bone wall. Conclusions The buccal bone wall is located more apically (greater than 1 mm) than the palatal or lingual table in most of the cases assessed. The thickness of the palatal or lingual table is also less than 2 mm in the maxilla and mandible, except in the upper canines and premolars and the lower molars.


2021 ◽  
Author(s):  
P.L.E. Oliveira ◽  
C.R. Starling ◽  
C.L.P. Maurício ◽  
F.R. Guedes ◽  
M.A. Visconti ◽  
...  

Introduction: The objective of this study was to compare the mean absorbed dose in patients undergoing head and neck examinations using two cone beam computed tomography (CBCT, Kodak and i-CAT) and one multi-detector computed tomography (MDCT). Methods: Three thermoluminescent dosimeters (TLDs), calibrated in air kerma, were positioned in 24 regions of the head and neck of a phantom simulating an average adult. The mean absorbed dose (mGy) values in these positions, for different organs and tissues, were obtained using correction factors, considering the ratio between the mass energy absorption coefficients of organ/tissue and air. Comparison between radiation doses in the most radiosensitive regions was done by calculating the ratio of these dose values, with propagated uncertainty. Results: The dose in all regions was significantly higher for MDCT when compared to CBCT. Concerning CBCT equipment, the Kodak device had a higher absorbed dose than the i-CAT for most of the regions tested. The uncertainty of the i-CAT was greater than that of the Kodak. Conclusion: Due to the considerable difference between absorbed doses, emphasizing the higher dose values obtained in MDCT, the dissemination of CBCT application in medicine is recommended, as well as further studies to broaden the criteria for use.


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Atefeh Khavid ◽  
Mojgan Sametzadeh ◽  
Mostafa Godiny ◽  
Mohammad Mehdi Moarrefpour

Background and objective: In recent years, cone-beam computed tomography (CBCT) has become a key diagnostic tool in dentistry. CBCT can provide 3D images of the maxillofacial area to help dental practitioners in diagnosis and treatment, especially implant placement and treatment of pathogenic lesions. This study aimed to compare the Hounsfield Unit (HU) values obtained from CBCT images for bones of different densities with the corresponding HU values from MDCT images. Materials and methods: cube-shaped bone blocks of identical size were cut from the middle section of the cow ribs and femur area such that they had a layer of cortical bone in their buccal, lingual, and top surfaces and trabecular bone in the middle. MDCT scans were performed using a Somatom Sensation Ct Scanner. After determining HU from the results of these scans, nine suitable specimens from different ranges of HU were chosen for comparison. HU of the CBCT images was computed by the dedicated software of the CBCT machine. Finally, HU values obtained from MDCT and CBCT were compared. Data analysis was performed using SPSS version 25 at the 0.05 significance level. Results: The results showed a statistically significant difference between the mean HU from MDCT images and the mean HU from CBCT images (P<0.05). For similar specimens, CBCT produced higher mean HU values than MDCT. The Pearson correlation test detected a significant direct relationship between the HU values of specimens in MDCT and CBCT (P<0.05). Conclusion: For the tools and software used in this study, there was no significant difference between the HU values obtained from MDCT and CBCT, but the mean HU obtained from CBCT was higher than that from MDCT.


2021 ◽  
Vol 10 (15) ◽  
pp. e351101522978
Author(s):  
Ana Carolina Neves Melgaço de Lima ◽  
Dominique A. Peniche ◽  
Thais M. C. Coutinho ◽  
Fábio R. Guedes ◽  
Maria Augusta Visconti ◽  
...  

Objective: To evaluate the dimensions of the nasopalatine canal (NPC) and its relationship with the maxillary central incisors (MCI) using cone-beam computed tomography (CBCT) and to determine variations in the NPC in relation to age and gender. Methods: CBCT scans from 333 patients (67% female; 35.9 ± 14.6 years) were included. The CBCT scan was analyzed to determine the length and diameter of the NPC, the distance between the NPC and the MCI, and to evaluate the morphology of the NPC. The data were analyzed using the independent Student's t-test, the Mann–Whitney and Kruskal–Wallis tests, and Dunn's post-test (p < 0.05). Results: The average diameter and length of the NPC were 2.92 ± 0.91 mm and 12.67 ± 3.32 mm, respectively. The minimum and maximum distance between the MCI and the NPC were 0.78 ± 0.42 mm and 2.56 ± 1.38 mm, respectively. The NPC of male patients was greater in length compared with the female patients (p < 0.05). The majority presented a funnel-like morphology (34.1%), followed by a cylindrical morphology (27.5%). Conclusions: There was variability in the dimensions of the NPC and its relationship with the MCI, which was influenced by gender and age.


2021 ◽  
Vol 14 (3) ◽  
pp. 135-137
Author(s):  
Fionnuala Loy ◽  
Victoria Elton

A 44-year-old male was referred to the Department of Orthodontics at Manchester Dental Hospital. He presented with pain from his heavily restored, lower right second premolar, which had an apical supplemental tooth, visible radiographically. The dentist queried whether the second premolar tooth could be extracted and the supplemental tooth aligned in its place. Clinical examination revealed no relevant abnormalities. The family and medical history were non-contributory. Panoramic tomography revealed multiple supplemental supernumerary teeth in the canine and premolar regions. Cone beam computed tomography and multidisciplinary team input were required to plan the treatment for this unusual case. CPD/Clinical Relevance: These findings highlight the management and treatment options for a case of non-syndromic, multiple supernumerary teeth. Consideration must be given to the risk of damage to adjacent structures if surgically removing supernumerary teeth, and the risk that supernumerary teeth may be ankylosed and not amenable to alignment within the arch.


2010 ◽  
Vol 36 (5) ◽  
pp. 377-384 ◽  
Author(s):  
Munetaka Naitoh ◽  
Hiromitsu Nabeshima ◽  
Hisashi Hayashi ◽  
Takehiko Nakayama ◽  
Kenichi Kurita ◽  
...  

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.


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