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Evaluation of linear measurements of implant sites based on head orientation during acquisition: An ex vivo study using cone-beam computed tomography

Identifieur interne : 005C84 ( Ncbi/Merge ); précédent : 005C83; suivant : 005C85

Evaluation of linear measurements of implant sites based on head orientation during acquisition: An ex vivo study using cone-beam computed tomography

Auteurs : Hanadi Sabban [États-Unis] ; Mina Mahdian [États-Unis] ; Ajay Dhingra [États-Unis] ; Alan G. Lurie [États-Unis] ; Aditya Tadinada [États-Unis]

Source :

RBID : PMC:4483623

Abstract

Purpose

This study evaluated the effect of various head orientations during cone-beam computed tomography (CBCT) image acquisition on linear measurements of potential implant sites.

Materials and Methods

Six dry human skulls with a total of 28 implant sites were evaluated for seven different head orientations. The scans were acquired using a Hitachi CB-MercuRay CBCT machine. The scanned volumes were reconstructed. Horizontal and vertical measurements were made and were compared to measurements made after simulating the head position to corrected head angulations. Data was analyzed using a two-way ANOVA test.

Results

Statistical analysis revealed a significant interaction between the mean errors in vertical measurements with a marked difference observed at the extension head position (P<0.05). Statistical analysis failed to yield any significant interaction between the mean errors in horizontal measurements at various head positions.

Conclusion

Head orientation could significantly affect the vertical measurements in CBCT scans. The main head position influencing the measurements is extension.


Url:
DOI: 10.5624/isd.2015.45.2.73
PubMed: 26125001
PubMed Central: 4483623

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PMC:4483623

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<journal-id journal-id-type="nlm-ta">Imaging Sci Dent</journal-id>
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<surname>Sabban</surname>
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<surname>Lurie</surname>
<given-names>Alan G.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Tadinada</surname>
<given-names>Aditya</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Section of Oral and Maxillofacial Radiology, Department of Oral Diagnostic Sciences, University of Connecticut School of Dental Medicine, Farmington, CT, USA.</aff>
<aff id="A2">
<label>2</label>
Section of Prosthodontics, Department of Reconstructive Sciences, University of Connecticut School of Dental Medicine, Farmington, CT, USA.</aff>
<author-notes>
<corresp>Correspondence to: Prof. Aditya Tadinada. Section of Oral and Maxillofacial Radiology, Department of Oral Diagnostic Sciences, University of Connecticut Health Center, 263 Farmington Ave., Farmington, CT 06030, USA. Tel) 1-860-679-2579, Fax) 1-860-679-4760,
<email>Tadinada@uchc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>6</month>
<year>2015</year>
</pub-date>
<volume>45</volume>
<issue>2</issue>
<fpage>73</fpage>
<lpage>80</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>16</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>2</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2015 by Korean Academy of Oral and Maxillofacial Radiology</copyright-statement>
<copyright-year>2015</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 evaluated the effect of various head orientations during cone-beam computed tomography (CBCT) image acquisition on linear measurements of potential implant sites.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>Six dry human skulls with a total of 28 implant sites were evaluated for seven different head orientations. The scans were acquired using a Hitachi CB-MercuRay CBCT machine. The scanned volumes were reconstructed. Horizontal and vertical measurements were made and were compared to measurements made after simulating the head position to corrected head angulations. Data was analyzed using a two-way ANOVA test.</p>
</sec>
<sec>
<title>Results</title>
<p>Statistical analysis revealed a significant interaction between the mean errors in vertical measurements with a marked difference observed at the extension head position (P<0.05). Statistical analysis failed to yield any significant interaction between the mean errors in horizontal measurements at various head positions.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Head orientation could significantly affect the vertical measurements in CBCT scans. The main head position influencing the measurements is extension.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Cone-Beam Computed Tomography</kwd>
<kwd>Dental Implants</kwd>
<kwd>Patient Positioning</kwd>
<kwd>Dimensional Measurement Accuracy</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<title>Various head positions. A and B. Centric: The three tripod angles marked at zero degrees; it demonstrates zero x, y, and z axes. The occlusal plane and the Frankfort's horizontal plane is parallel to the floor. This position is considered to be the gold standard position. C. Flexion: The skull is tilted downward anteriorly by 20 degrees. D. Extension: The skull is tilted upward and backward by 20 degrees. E. Right flexion: The skull is moved 20 degrees laterally, away from the midline towards the right side. F. Left flexion: The skull is moved 20 degrees laterally, away from the midline towards the left side. G. Right lateral: The skull is directed 15 degrees towards the right shoulder. H. Left lateral: The skull is directed 15 degrees towards the left shoulder.</title>
</caption>
<graphic xlink:href="isd-45-73-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<title>Vertical and horizontal measurements of the alveolar ridge at a molar site at various head positions. A. Extension, B. Flexion, C. Right, D. Centric, E. Left, F. Right flexion, G. Left flexion.</title>
</caption>
<graphic xlink:href="isd-45-73-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<title>Mean error of vertical and horizontal measurements for each head position at different implant sites.</title>
</caption>
<graphic xlink:href="isd-45-73-g003"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<title>Mean and standard deviations of errors for vertical measurements at all implant sites (excluding the premolars) in various head positions (mm)</title>
</caption>
<graphic xlink:href="isd-45-73-i001"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
P<0.05</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<title>Mean and standard deviations of errors for horizontal measurements at all implant sites (excluding the premolars) in various head positions (mm)</title>
</caption>
<graphic xlink:href="isd-45-73-i002"></graphic>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<title>Mean horizontal and vertical measurements for six implant sites in three selective head positions and their respective corrected positions (mm)</title>
</caption>
<graphic xlink:href="isd-45-73-i003"></graphic>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Connecticut</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Connecticut">
<name sortKey="Sabban, Hanadi" sort="Sabban, Hanadi" uniqKey="Sabban H" first="Hanadi" last="Sabban">Hanadi Sabban</name>
</region>
<name sortKey="Dhingra, Ajay" sort="Dhingra, Ajay" uniqKey="Dhingra A" first="Ajay" last="Dhingra">Ajay Dhingra</name>
<name sortKey="Lurie, Alan G" sort="Lurie, Alan G" uniqKey="Lurie A" first="Alan G." last="Lurie">Alan G. Lurie</name>
<name sortKey="Mahdian, Mina" sort="Mahdian, Mina" uniqKey="Mahdian M" first="Mina" last="Mahdian">Mina Mahdian</name>
<name sortKey="Tadinada, Aditya" sort="Tadinada, Aditya" uniqKey="Tadinada A" first="Aditya" last="Tadinada">Aditya Tadinada</name>
</country>
</tree>
</affiliations>
</record>

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