The Relevance of the Use of Radiographic Planning in Order to Avoid Complications in Mandibular Implantology: A Retrospective Study
Identifieur interne : 000473 ( Main/Exploration ); précédent : 000472; suivant : 000474The Relevance of the Use of Radiographic Planning in Order to Avoid Complications in Mandibular Implantology: A Retrospective Study
Auteurs : Gilberto Sammartino [Italie] ; Juan Carlos Prados-Frutos [Espagne] ; Francesco Riccitiello [Italie] ; Pietro Felice [Italie] ; Vincenzo Cerone [Italie] ; Roberta Gasparro [Italie] ; Hom-Lay Wang [États-Unis]Source :
- BioMed Research International [ 2314-6133 ] ; 2016.
Abstract
The aim of this retrospective radiological study was to evaluate the variability of the mandibular anatomy in the presence and absence of teeth and to consider how it could influence implant planning. 187 mandibular CT DentaScans were selected from our department archive according to the inclusion criteria. The axial height, vertical height, angulation of the bone crest, and the bone available for ideal implant placement were measured. The analysis of the data shows that the mandible contour presents a constant degree of angulation. The variation of angulation in the absence of teeth was statistically significant only in the region between the canine and the first premolar and in that between the second premolar and the first molar. The difference between the crest height and the available distance to place the implant was greater in the region of the second molar while in the other regions the implant planning was made complex by postextraction resorption. Alveolar bone resorption after tooth loss can be considered as a risk factor for lingual cortical perforation during the insertion of an implant. To avoid potential intra/postoperative complications, 3D radiographic examination is recommended in order to study the mandibular anatomy and identify the risk areas.
Url:
DOI: 10.1155/2016/8175284
PubMed: 27294136
PubMed Central: 4880709
Affiliations:
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Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples</wicri:regionArea><wicri:noRegion>80131 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Prados Frutos, Juan Carlos" sort="Prados Frutos, Juan Carlos" uniqKey="Prados Frutos J" first="Juan Carlos" last="Prados-Frutos">Juan Carlos Prados-Frutos</name><affiliation wicri:level="3"><nlm:aff id="I2">Stomatology Department, Rey Juan Carlos University, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Stomatology Department, Rey Juan Carlos University, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Riccitiello, Francesco" sort="Riccitiello, Francesco" uniqKey="Riccitiello F" first="Francesco" last="Riccitiello">Francesco Riccitiello</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples</wicri:regionArea><wicri:noRegion>80131 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Periodontology and Implantology, University of Bologna, Bologna, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Periodontology and Implantology, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Cerone, Vincenzo" sort="Cerone, Vincenzo" uniqKey="Cerone V" first="Vincenzo" last="Cerone">Vincenzo Cerone</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples</wicri:regionArea><wicri:noRegion>80131 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Gasparro, Roberta" sort="Gasparro, Roberta" uniqKey="Gasparro R" first="Roberta" last="Gasparro">Roberta Gasparro</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples, Via Pansini 5, Edificio 14, 80131 Naples</wicri:regionArea><wicri:noRegion>80131 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name><affiliation wicri:level="2"><nlm:aff id="I4">School of Dentistry, University of Michigan, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Dentistry, University of Michigan, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this retrospective radiological study was to evaluate the variability of the mandibular anatomy in the presence and absence of teeth and to consider how it could influence implant planning. 187 mandibular CT DentaScans were selected from our department archive according to the inclusion criteria. The axial height, vertical height, angulation of the bone crest, and the bone available for ideal implant placement were measured. The analysis of the data shows that the mandible contour presents a constant degree of angulation. The variation of angulation in the absence of teeth was statistically significant only in the region between the canine and the first premolar and in that between the second premolar and the first molar. The difference between the crest height and the available distance to place the implant was greater in the region of the second molar while in the other regions the implant planning was made complex by postextraction resorption. Alveolar bone resorption after tooth loss can be considered as a risk factor for lingual cortical perforation during the insertion of an implant. To avoid potential intra/postoperative complications, 3D radiographic examination is recommended in order to study the mandibular anatomy and identify the risk areas.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Razavi, T" uniqKey="Razavi T">T. Razavi</name></author><author><name sortKey="Palmer, R M" uniqKey="Palmer R">R. M. Palmer</name></author><author><name sortKey="Davies, J" uniqKey="Davies J">J. Davies</name></author><author><name sortKey="Wilson, R" uniqKey="Wilson R">R. Wilson</name></author><author><name sortKey="Palmer, P J" uniqKey="Palmer P">P. J. Palmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenstein, G" uniqKey="Greenstein G">G. Greenstein</name></author><author><name sortKey="Cavallaro, J" uniqKey="Cavallaro J">J. Cavallaro</name></author><author><name sortKey="Romanos, G" uniqKey="Romanos G">G. 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Verdun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ludlow, J B" uniqKey="Ludlow J">J. B. Ludlow</name></author><author><name sortKey="Ivanovic, M" uniqKey="Ivanovic M">M. Ivanovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Araujo, T M" uniqKey="De Araujo T">T. M. De Araújo</name></author><author><name sortKey="Nascimento, M H A" uniqKey="Nascimento M">M. H. A. Nascimento</name></author><author><name sortKey="Bezzera, F" uniqKey="Bezzera F">F. Bezzera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Farman, A G" uniqKey="Farman A">A. G. Farman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, N P" uniqKey="Lang N">N. P. Lang</name></author><author><name sortKey="Pun, L" uniqKey="Pun L">L. Pun</name></author><author><name sortKey="Lau, K Y" uniqKey="Lau K">K. Y. Lau</name></author><author><name sortKey="Li, K Y" uniqKey="Li K">K. Y. Li</name></author><author><name sortKey="Wong, M C M" uniqKey="Wong M">M. C. M. Wong</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li><li>Italie</li><li>États-Unis</li></country><region><li>Communauté de Madrid</li><li>Michigan</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Sammartino, Gilberto" sort="Sammartino, Gilberto" uniqKey="Sammartino G" first="Gilberto" last="Sammartino">Gilberto Sammartino</name></noRegion><name sortKey="Cerone, Vincenzo" sort="Cerone, Vincenzo" uniqKey="Cerone V" first="Vincenzo" last="Cerone">Vincenzo Cerone</name><name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name><name sortKey="Gasparro, Roberta" sort="Gasparro, Roberta" uniqKey="Gasparro R" first="Roberta" last="Gasparro">Roberta Gasparro</name><name sortKey="Riccitiello, Francesco" sort="Riccitiello, Francesco" uniqKey="Riccitiello F" first="Francesco" last="Riccitiello">Francesco Riccitiello</name></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Prados Frutos, Juan Carlos" sort="Prados Frutos, Juan Carlos" uniqKey="Prados Frutos J" first="Juan Carlos" last="Prados-Frutos">Juan Carlos Prados-Frutos</name></region></country><country name="États-Unis"><region name="Michigan"><name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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