Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images
Identifieur interne : 000154 ( Pmc/Checkpoint ); précédent : 000153; suivant : 000155Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images
Auteurs : Maria Eugenia Guerrero [Belgique, Pérou] ; Jorge Noriega [Pérou] ; Reinhilde Jacobs [Belgique]Source :
- Imaging Science in Dentistry [ 2233-7822 ] ; 2014.
Abstract
This study was performed to determine the efficacy of observers' prediction for the need of bone grafting and presence of perioperative complications on the basis of cone-beam computed tomography (CBCT) and panoramic radiographic (PAN) planning as compared to the surgical outcome.
One hundred and eight partially edentulous patients with a need for implant rehabilitation were referred for preoperative imaging. Imaging consisted of PAN and CBCT images. Four observers carried out implant planning using PAN image datasets, and at least one month later, using CBCT image datasets. Based on their own planning, the observers assessed the need for bone graft augmentation as well as complication prediction. The implant length and diameter, the need for bone graft augmentation, and the occurrence of anatomical complications during planning and implant placement were statistically compared.
In the 108 patients, 365 implants were installed. Receiver operating characteristic analyses of both PAN and CBCT preoperative planning showed that CBCT performed better than PAN-based planning with respect to the need for bone graft augmentation and perioperative complications. The sensitivity and the specificity of CBCT for implant complications were 96.5% and 90.5%, respectively, and for bone graft augmentation, they were 95.2% and 96.3%, respectively. Significant differences were found between PAN-based planning and the surgery of posterior implant lengths.
Our findings indicated that CBCT-based preoperative implant planning enabled treatment planning with a higher degree of prediction and agreement as compared to the surgical standard. In PAN-based surgery, the prediction of implant length was poor.
Url:
DOI: 10.5624/isd.2014.44.3.213
PubMed: 25279342
PubMed Central: 4182356
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images</title><author><name sortKey="Guerrero, Maria Eugenia" sort="Guerrero, Maria Eugenia" uniqKey="Guerrero M" first="Maria Eugenia" last="Guerrero">Maria Eugenia Guerrero</name><affiliation wicri:level="1"><nlm:aff id="A1">OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Master of Periodontology, Universidad San Martin de Porres, Lima, Peru.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pérou</country><wicri:regionArea>Master of Periodontology, Universidad San Martin de Porres, Lima</wicri:regionArea><wicri:noRegion>Lima</wicri:noRegion></affiliation></author><author><name sortKey="Noriega, Jorge" sort="Noriega, Jorge" uniqKey="Noriega J" first="Jorge" last="Noriega">Jorge Noriega</name><affiliation wicri:level="1"><nlm:aff id="A2">Master of Periodontology, Universidad San Martin de Porres, Lima, Peru.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pérou</country><wicri:regionArea>Master of Periodontology, Universidad San Martin de Porres, Lima</wicri:regionArea><wicri:noRegion>Lima</wicri:noRegion></affiliation></author><author><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><affiliation wicri:level="1"><nlm:aff id="A1">OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, University Hospitals, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25279342</idno><idno type="pmc">4182356</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182356</idno><idno type="RBID">PMC:4182356</idno><idno type="doi">10.5624/isd.2014.44.3.213</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000561</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000561</idno><idno type="wicri:Area/Pmc/Curation">000561</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000561</idno><idno type="wicri:Area/Pmc/Checkpoint">000154</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000154</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images</title><author><name sortKey="Guerrero, Maria Eugenia" sort="Guerrero, Maria Eugenia" uniqKey="Guerrero M" first="Maria Eugenia" last="Guerrero">Maria Eugenia Guerrero</name><affiliation wicri:level="1"><nlm:aff id="A1">OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Master of Periodontology, Universidad San Martin de Porres, Lima, Peru.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pérou</country><wicri:regionArea>Master of Periodontology, Universidad San Martin de Porres, Lima</wicri:regionArea><wicri:noRegion>Lima</wicri:noRegion></affiliation></author><author><name sortKey="Noriega, Jorge" sort="Noriega, Jorge" uniqKey="Noriega J" first="Jorge" last="Noriega">Jorge Noriega</name><affiliation wicri:level="1"><nlm:aff id="A2">Master of Periodontology, Universidad San Martin de Porres, Lima, Peru.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pérou</country><wicri:regionArea>Master of Periodontology, Universidad San Martin de Porres, Lima</wicri:regionArea><wicri:noRegion>Lima</wicri:noRegion></affiliation></author><author><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><affiliation wicri:level="1"><nlm:aff id="A1">OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, University Hospitals, Leuven, Belgium.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></analytic><series><title level="j">Imaging Science in Dentistry</title><idno type="ISSN">2233-7822</idno><idno type="eISSN">2233-7830</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>This study was performed to determine the efficacy of observers' prediction for the need of bone grafting and presence of perioperative complications on the basis of cone-beam computed tomography (CBCT) and panoramic radiographic (PAN) planning as compared to the surgical outcome.</p></sec><sec><title>Materials and Methods</title><p>One hundred and eight partially edentulous patients with a need for implant rehabilitation were referred for preoperative imaging. Imaging consisted of PAN and CBCT images. Four observers carried out implant planning using PAN image datasets, and at least one month later, using CBCT image datasets. Based on their own planning, the observers assessed the need for bone graft augmentation as well as complication prediction. The implant length and diameter, the need for bone graft augmentation, and the occurrence of anatomical complications during planning and implant placement were statistically compared.</p></sec><sec><title>Results</title><p>In the 108 patients, 365 implants were installed. Receiver operating characteristic analyses of both PAN and CBCT preoperative planning showed that CBCT performed better than PAN-based planning with respect to the need for bone graft augmentation and perioperative complications. The sensitivity and the specificity of CBCT for implant complications were 96.5% and 90.5%, respectively, and for bone graft augmentation, they were 95.2% and 96.3%, respectively. Significant differences were found between PAN-based planning and the surgery of posterior implant lengths.</p></sec><sec><title>Conclusion</title><p>Our findings indicated that CBCT-based preoperative implant planning enabled treatment planning with a higher degree of prediction and agreement as compared to the surgical standard. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Imaging Sci Dent</journal-id><journal-id journal-id-type="iso-abbrev">Imaging Sci Dent</journal-id><journal-id journal-id-type="publisher-id">ISD</journal-id><journal-title-group><journal-title>Imaging Science in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2233-7822</issn><issn pub-type="epub">2233-7830</issn><publisher><publisher-name>Korean Academy of Oral and Maxillofacial Radiology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25279342</article-id><article-id pub-id-type="pmc">4182356</article-id><article-id pub-id-type="doi">10.5624/isd.2014.44.3.213</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Guerrero</surname><given-names>Maria Eugenia</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Noriega</surname><given-names>Jorge</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Jacobs</surname><given-names>Reinhilde</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>OIC, OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, Belgium.</aff><aff id="A2"><label>2</label>Master of Periodontology, Universidad San Martin de Porres, Lima, Peru.</aff><aff id="A3"><label>3</label>Department of Oral and Maxillofacial Surgery, University Hospitals, Leuven, Belgium.</aff><author-notes><corresp>Correspondence to: Prof. Reinhilde Jacobs. Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Kapucijnenvoer 7, Leuven 3000, Belgium. Tel) 32-16-3-32410, Fax) 32-16-3-32410, <email>reinhilde.jacobs@uzleuven.be</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>17</day><month>9</month><year>2014</year></pub-date><volume>44</volume><issue>3</issue><fpage>213</fpage><lpage>220</lpage><history><date date-type="received"><day>20</day><month>3</month><year>2014</year></date><date date-type="rev-recd"><day>18</day><month>4</month><year>2014</year></date><date date-type="accepted"><day>01</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 by Korean Academy of Oral and Maxillofacial Radiology</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec><title>Purpose</title><p>This study was performed to determine the efficacy of observers' prediction for the need of bone grafting and presence of perioperative complications on the basis of cone-beam computed tomography (CBCT) and panoramic radiographic (PAN) planning as compared to the surgical outcome.</p></sec><sec><title>Materials and Methods</title><p>One hundred and eight partially edentulous patients with a need for implant rehabilitation were referred for preoperative imaging. Imaging consisted of PAN and CBCT images. Four observers carried out implant planning using PAN image datasets, and at least one month later, using CBCT image datasets. Based on their own planning, the observers assessed the need for bone graft augmentation as well as complication prediction. The implant length and diameter, the need for bone graft augmentation, and the occurrence of anatomical complications during planning and implant placement were statistically compared.</p></sec><sec><title>Results</title><p>In the 108 patients, 365 implants were installed. Receiver operating characteristic analyses of both PAN and CBCT preoperative planning showed that CBCT performed better than PAN-based planning with respect to the need for bone graft augmentation and perioperative complications. The sensitivity and the specificity of CBCT for implant complications were 96.5% and 90.5%, respectively, and for bone graft augmentation, they were 95.2% and 96.3%, respectively. Significant differences were found between PAN-based planning and the surgery of posterior implant lengths.</p></sec><sec><title>Conclusion</title><p>Our findings indicated that CBCT-based preoperative implant planning enabled treatment planning with a higher degree of prediction and agreement as compared to the surgical standard. In PAN-based surgery, the prediction of implant length was poor.</p></sec></abstract><kwd-group><kwd>Dental Implants</kwd><kwd>Cone-Beam Computed Tomography</kwd><kwd>Alveolar Bone Grafting</kwd><kwd>Radiography, Panoramic</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p>Receiver operating characteristic (ROC) analysis reveals an excellent diagnostic accuracy of CBCT for the planning of complications and the diagnosis of bone graft augmentation with an area under the curve (AUC) of 0.94.</p></caption><graphic xlink:href="isd-44-213-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><p>A. CBCT shows the posterior superior alveolar artery before creating a lateral window into the maxillary sinus. B. The artery is seen during the sinus lift procedure located at 15 mm from the alveolar crest as diagnosed with CBCT.</p></caption><graphic xlink:href="isd-44-213-g002"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Sample distribution of implant sites (n=365)</p></caption><graphic xlink:href="isd-44-213-i001"></graphic></table-wrap><table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Variation on pre-surgical planning with modality</p></caption><graphic xlink:href="isd-44-213-i002"></graphic><table-wrap-foot><fn><p><sup>*</sup>No statistically significant difference (p>0.05), PAN: panoramic radiography</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Complications and bone graft augmentation relative to gold standard (GS)</p></caption><graphic xlink:href="isd-44-213-i003"></graphic><table-wrap-foot><fn><p><sup>*</sup>1st line: Observers 1 or 3, 2nd line: Observers 2 or 4</p></fn></table-wrap-foot></table-wrap><table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Inter-observer agreement on CBCT/panoramic radiography (PAN) and surgical gold standard considering implants length, diameter, complications, and need for bone graft augmentation</p></caption><graphic xlink:href="isd-44-213-i004"></graphic></table-wrap></floats-group></pmc><affiliations><list><country><li>Belgique</li><li>Pérou</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Guerrero, Maria Eugenia" sort="Guerrero, Maria Eugenia" uniqKey="Guerrero M" first="Maria Eugenia" last="Guerrero">Maria Eugenia Guerrero</name></noRegion><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name></country><country name="Pérou"><noRegion><name sortKey="Guerrero, Maria Eugenia" sort="Guerrero, Maria Eugenia" uniqKey="Guerrero M" first="Maria Eugenia" last="Guerrero">Maria Eugenia Guerrero</name></noRegion><name sortKey="Noriega, Jorge" sort="Noriega, Jorge" uniqKey="Noriega J" first="Jorge" last="Noriega">Jorge Noriega</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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