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<title xml:lang="en">Conventional radiography and cross-sectional imaging when planning dental implants in the anterior edentulous mandible to support an overdenture: a systematic review</title>
<author>
<name sortKey="Shelley, A M" sort="Shelley, A M" uniqKey="Shelley A" first="A M" last="Shelley">A M Shelley</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, UK</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Glenny, A M" sort="Glenny, A M" uniqKey="Glenny A" first="A-M" last="Glenny">A-M Glenny</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Goodwin, M" sort="Goodwin, M" uniqKey="Goodwin M" first="M" last="Goodwin">M. Goodwin</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brunton, P" sort="Brunton, P" uniqKey="Brunton P" first="P" last="Brunton">P. Brunton</name>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
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<idno type="pmid">24271462</idno>
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<idno type="RBID">PMC:4064657</idno>
<idno type="doi">10.1259/dmfr.20130321</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">Conventional radiography and cross-sectional imaging when planning dental implants in the anterior edentulous mandible to support an overdenture: a systematic review</title>
<author>
<name sortKey="Shelley, A M" sort="Shelley, A M" uniqKey="Shelley A" first="A M" last="Shelley">A M Shelley</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, UK</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Glenny, A M" sort="Glenny, A M" uniqKey="Glenny A" first="A-M" last="Glenny">A-M Glenny</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Goodwin, M" sort="Goodwin, M" uniqKey="Goodwin M" first="M" last="Goodwin">M. Goodwin</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brunton, P" sort="Brunton, P" uniqKey="Brunton P" first="P" last="Brunton">P. Brunton</name>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
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<series>
<title level="j">Dentomaxillofacial Radiology</title>
<idno type="ISSN">0250-832X</idno>
<idno type="eISSN">1476-542X</idno>
<imprint>
<date when="2014">2014</date>
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<div type="abstract" xml:lang="en">
<p>The objectives for this systematic review were to determine if the pre-operative availability of cross-sectional imaging, such as cone beam CT, has a diagnostic impact, therapeutic impact or impact on patients' outcome when placing two dental implants in the anterior mandible to support an overdenture. The Cochrane Oral Health Group's Trials Register (CENTRAL), MEDLINE® and Embase were searched up to, and including, February 2013. Studies were considered eligible for inclusion if they compared the impact of conventional and cross-sectional imaging when placing dental implants in sites including the anterior mandible. An adapted quality assessment tool was used for the assessment of the risk of bias in included studies. Pooled quantitative analysis was not possible and, therefore, synthesis was qualitative. Of 2374 potentially eligible papers, 5 studies were included. Little can be determined from a synthesis of these studies because of their small number, clinical diversity and high risks of bias. Notwithstanding, it may be tentatively inferred that cross-sectional imaging has a therapeutic impact in the more challenging cases. In terms of impact, this review has found no evidence to support any specific imaging modality when planning dental implant placement in any region of the mouth. Therefore, those who argue that cross-sectional imaging should be used for the assessment of all dental implant sites are unsupported by evidence.</p>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="publisher-id">dmfr</journal-id>
<journal-title-group>
<journal-title>Dentomaxillofacial Radiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0250-832X</issn>
<issn pub-type="epub">1476-542X</issn>
<publisher>
<publisher-name>The British Institute of Radiology.</publisher-name>
</publisher>
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<article-id pub-id-type="pmid">24271462</article-id>
<article-id pub-id-type="pmc">4064657</article-id>
<article-id pub-id-type="publisher-id">13321</article-id>
<article-id pub-id-type="doi">10.1259/dmfr.20130321</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Systematic Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Conventional radiography and cross-sectional imaging when planning dental implants in the anterior edentulous mandible to support an overdenture: a systematic review</article-title>
<alt-title alt-title-type="left-running-head">Radiography when planning implants in the anterior mandible</alt-title>
<alt-title alt-title-type="right-running-head">A M Shelley
<italic>et al</italic>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Shelley</surname>
<given-names>A M</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Glenny</surname>
<given-names>A-M</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Goodwin</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brunton</surname>
<given-names>P</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Horner</surname>
<given-names>K</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<aff id="aff1">
<sup>1</sup>
<addr-line>Dental Practice, Denton, UK</addr-line>
</aff>
<aff id="aff2">
<sup>2</sup>
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</aff>
<aff id="aff3">
<sup>3</sup>
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">Correspondence to: Mr Andrew M Shelley. Email:
<email xlink:href="andrew@andrewshelley.com">andrew@andrewshelley.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2014</year>
<string-date>February 1 2014</string-date>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>43</volume>
<issue>2</issue>
<elocation-id>20130321</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>8</month>
<year>2013</year>
<string-date>Received on August 28, 2013</string-date>
</date>
<date date-type="rev-recd">
<day>16</day>
<month>11</month>
<year>2013</year>
<string-date>Revised on November 11, 2013</string-date>
</date>
<date date-type="accepted">
<day>20</day>
<month>11</month>
<year>2013</year>
<string-date>Accepted on November 20, 2013</string-date>
</date>
</history>
<permissions>
<copyright-statement>© 2014 The Authors. Published by the British Institute of Radiology</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>The British Institute of Radiology</copyright-holder>
</permissions>
<self-uri content-type="pdf" xlink:href="dmfr.20130321.pdf"></self-uri>
<abstract>
<p>The objectives for this systematic review were to determine if the pre-operative availability of cross-sectional imaging, such as cone beam CT, has a diagnostic impact, therapeutic impact or impact on patients' outcome when placing two dental implants in the anterior mandible to support an overdenture. The Cochrane Oral Health Group's Trials Register (CENTRAL), MEDLINE® and Embase were searched up to, and including, February 2013. Studies were considered eligible for inclusion if they compared the impact of conventional and cross-sectional imaging when placing dental implants in sites including the anterior mandible. An adapted quality assessment tool was used for the assessment of the risk of bias in included studies. Pooled quantitative analysis was not possible and, therefore, synthesis was qualitative. Of 2374 potentially eligible papers, 5 studies were included. Little can be determined from a synthesis of these studies because of their small number, clinical diversity and high risks of bias. Notwithstanding, it may be tentatively inferred that cross-sectional imaging has a therapeutic impact in the more challenging cases. In terms of impact, this review has found no evidence to support any specific imaging modality when planning dental implant placement in any region of the mouth. Therefore, those who argue that cross-sectional imaging should be used for the assessment of all dental implant sites are unsupported by evidence.</p>
</abstract>
<kwd-group>
<kwd>dental implant</kwd>
<kwd>radiography</kwd>
<kwd>comparison systematic review</kwd>
</kwd-group>
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<fig-count count="5"></fig-count>
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<ref-count count="68"></ref-count>
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</front>
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