Does cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT images
Identifieur interne : 001B44 ( Main/Exploration ); précédent : 001B43; suivant : 001B45Does cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT images
Auteurs : Maria Eugenia Guerrero [Belgique] ; Jorge Noriega [Pérou] ; Carmen Castro [Pérou] ; Reinhilde Jacobs [Belgique]Source :
- Imaging Science in Dentistry [ 2233-7822 ] ; 2014.
Abstract
The present study was performed to compare the planning of implant placement based on panoramic radiography (PAN) and cone-beam computed tomography (CBCT) images, and to study the impact of the image dataset on the treatment planning.
One hundred five partially edentulous patients (77 males, 28 females, mean age: 46 years, range: 26-67 years) seeking oral implant rehabilitation were referred for presurgical imaging. Imaging consisted of PAN and CBCT imaging. Four observers planned implant treatment based on the two-dimensional (2D) image datasets and at least one month later on the three-dimensional (3D) image dataset. Apart from presurgical diagnostic and dimensional measurement tasks, the observers needed to indicate the surgical confidence levels and assess the image quality in relation to the presurgical needs.
All observers confirmed that both imaging modalities (PAN and CBCT) gave similar values when planning implant diameter. Also, the results showed no differences between both imaging modalities for the length of implants with an anterior location. However, significant differences were found in the length of implants with a posterior location. For implant dimensions, longer lengths of the implants were planned with PAN, as confirmed by two observers. CBCT provided images with improved scores for subjective image quality and surgical confidence levels.
Within the limitations of this study, there was a trend toward PAN-based preoperative planning of implant placement leading towards the use of longer implants within the posterior jaw bone.
Url:
DOI: 10.5624/isd.2014.44.2.121
PubMed: 24944961
PubMed Central: 4061295
Affiliations:
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Comparison of preoperative implant planning using panoramic versus cone-beam CT 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">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><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="A3">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="Castro, Carmen" sort="Castro, Carmen" uniqKey="Castro C" first="Carmen" last="Castro">Carmen Castro</name><affiliation wicri:level="1"><nlm:aff id="A3">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="A2">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">24944961</idno><idno type="pmc">4061295</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061295</idno><idno type="RBID">PMC:4061295</idno><idno type="doi">10.5624/isd.2014.44.2.121</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002C98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002C98</idno><idno type="wicri:Area/Pmc/Curation">002C98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002C98</idno><idno type="wicri:Area/Pmc/Checkpoint">001511</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001511</idno><idno type="wicri:Area/Ncbi/Merge">005190</idno><idno type="wicri:Area/Ncbi/Curation">005190</idno><idno type="wicri:Area/Ncbi/Checkpoint">005190</idno><idno type="wicri:doubleKey">2233-7822:2014:Guerrero M:does:cone:beam</idno><idno type="wicri:Area/Main/Merge">001B51</idno><idno type="wicri:Area/Main/Curation">001B44</idno><idno type="wicri:Area/Main/Exploration">001B44</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Does cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT 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">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><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="A3">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="Castro, Carmen" sort="Castro, Carmen" uniqKey="Castro C" first="Carmen" last="Castro">Carmen Castro</name><affiliation wicri:level="1"><nlm:aff id="A3">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="A2">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>The present study was performed to compare the planning of implant placement based on panoramic radiography (PAN) and cone-beam computed tomography (CBCT) images, and to study the impact of the image dataset on the treatment planning.</p></sec><sec><title>Materials and Methods</title><p>One hundred five partially edentulous patients (77 males, 28 females, mean age: 46 years, range: 26-67 years) seeking oral implant rehabilitation were referred for presurgical imaging. Imaging consisted of PAN and CBCT imaging. Four observers planned implant treatment based on the two-dimensional (2D) image datasets and at least one month later on the three-dimensional (3D) image dataset. Apart from presurgical diagnostic and dimensional measurement tasks, the observers needed to indicate the surgical confidence levels and assess the image quality in relation to the presurgical needs.</p></sec><sec><title>Results</title><p>All observers confirmed that both imaging modalities (PAN and CBCT) gave similar values when planning implant diameter. Also, the results showed no differences between both imaging modalities for the length of implants with an anterior location. However, significant differences were found in the length of implants with a posterior location. For implant dimensions, longer lengths of the implants were planned with PAN, as confirmed by two observers. CBCT provided images with improved scores for subjective image quality and surgical confidence levels.</p></sec><sec><title>Conclusion</title><p>Within the limitations of this study, there was a trend toward PAN-based preoperative planning of implant placement leading towards the use of longer implants within the posterior jaw bone.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author><author><name sortKey="Schmid, B" uniqKey="Schmid B">B Schmid</name></author><author><name sortKey="Higginbottom, F" uniqKey="Higginbottom F">F Higginbottom</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lindquist, Lw" uniqKey="Lindquist L">LW Lindquist</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author><author><name sortKey="Jemt, T" 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Baciut</name></author><author><name sortKey="Hedesiu, M" uniqKey="Hedesiu M">M Hedesiu</name></author><author><name sortKey="Bran, S" uniqKey="Bran S">S Bran</name></author><author><name sortKey="Jacobs, R" uniqKey="Jacobs R">R Jacobs</name></author><author><name sortKey="Nackaerts, O" uniqKey="Nackaerts O">O Nackaerts</name></author><author><name sortKey="Baciut, G" uniqKey="Baciut G">G Baciut</name></author></analytic></biblStruct></listBibl></div1></back></TEI><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="Guerrero, Maria Eugenia" sort="Guerrero, Maria Eugenia" uniqKey="Guerrero M" first="Maria Eugenia" last="Guerrero">Maria Eugenia Guerrero</name><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="Noriega, Jorge" sort="Noriega, Jorge" uniqKey="Noriega J" first="Jorge" last="Noriega">Jorge Noriega</name></noRegion><name sortKey="Castro, Carmen" sort="Castro, Carmen" uniqKey="Castro C" first="Carmen" last="Castro">Carmen Castro</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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