The effects of dentoalveolar distraction extraction on alveolar ridge preservation: Cone-beam computed tomography and X-ray analysis in canine model

2018 ◽  
Vol 26 (5) ◽  
pp. 843-851 ◽  
Author(s):  
Liping Zhan ◽  
Runtao Gao ◽  
Jiao Fan ◽  
Huarui Ma
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Motohiro Munakata ◽  
Koudai Nagata ◽  
Minoru Sanda ◽  
Ryota Kawamata ◽  
Daisuke Sato ◽  
...  

Abstract Background The vertical thickness of the peri-implant mucosa is associated with the amount of post treatment marginal bone loss. However, the variations in mucosal thickness at the different edentulous sites have been sparsely documented. The purpose of the study was to conduct a survey of the frequency distribution of variations in mucosal thickness at the different sites of the edentulous alveolar ridge and to compare them according to gender. Our study included 125 partially edentulous patients having a total of 296 implant sites. Cone-beam computed tomography (CBCT) scans were obtained by placing a diagnostic template with a radiopaque crown indicator on the ridge to determine the mucosal thickness at the crest of the alveolar ridge. Results The mucosal thickness was 3.0±1.3 mm in the maxilla, which was significantly greater than the mucosal thickness of 2.0±1.0 mm in the mandible (p<0.001). In both the maxilla and the mandible, the mucosa was the thickest in the anterior region, followed by the premolar and molar regions. Sites were further classified into two groups based on whether the mucosal thickness was greater than 2 mm. In the mandible, more than half of the sites showed a mucosal thickness of 2 mm or less. Conclusions Although this study was a limited preoperative study, the vertical mucosal thickness at the edentulous ridge differed between the maxillary and mandibular regions. The majority of sites in the mandibular molar region had a mucosal thickness of less than 2 mm. Practitioners might be able to develop an optimal dental implant treatment plan for long-term biologic and esthetic stability by considering these factors.


2021 ◽  
pp. 1-14
Author(s):  
Ignacio O. Romero ◽  
Changqing Li

BACKGROUND: The time of flight (TOF) cone beam computed tomography (CBCT) was recently shown to reduce the X-ray scattering effects by 95%and improve the image CNR by 110%for large volume objects. The advancements in X-ray sources like in compact Free Electron Lasers (FEL) and advancements in detector technology show potential for the TOF method to be feasible in CBCT when imaging large objects. OBJECTIVE: To investigate feasibility and efficacy of TOF CBCT in imaging smaller objects with different targets such as bones and tumors embedded inside the background. METHODS: The TOF method used in this work was verified using a 24cm phantom. Then, the GATE software was used to simulate the CBCT imaging of an 8 cm diameter cylindrical water phantom with two bone targets using a modeled 20 keV quasi-energetic FEL source and various TOF resolutions ranging from 1 to 1000 ps. An inhomogeneous breast phantom of similar size with tumor targets was also imaged using the same system setup. RESULTS: The same results were obtained in the 24cm phantom, which validated the applied CBCT simulation approach. For the case of 8cm cylindrical phantom and bone target, a TOF resolution of 10 ps improved the image contrast-to-noise ratio (CNR) by 57%and reduced the scatter-to-primary ratio (SPR) by 8.63. For the case of breast phantom and tumor target, image CNR was enhanced by 12%and SPR was reduced by 1.35 at 5 ps temporal resolution. CONCLUSIONS: This study indicates that a TOF resolution below 10 ps is required to observe notable enhancements in the image quality and scatter reduction for small objects around 8cm in diameter. The strong scattering targets such as bone can result in substantial improvements by using TOF CBCT.


2021 ◽  
Vol 15 (3) ◽  
Author(s):  
A. Pfeil ◽  
L. Barbé ◽  
F. Geiskopf ◽  
R. L. Cazzato ◽  
P. Renaud

Abstract Biopsies for personalized cancer care can be performed with cone beam computed tomography (CBCT) guidance, but manual needle manipulation remains an issue due to X-ray exposure to physicians. Modern CBCT scanners integrate today real-time imaging and software assistance for needle planning. In this paper, these available features are exploited to design a novel device offering an intermediate level of assistance between simple passive mechanical devices of limited efficiency, and advanced robotic devices requiring adapted procedure workflows. Our resulting system is built to limit its impact on the current manual practice. It is patient-mounted and provides remote control of needle orientation and insertion. A multilayer phantom is specifically developed to reproduce interactions between the needle and soft abdominal tissues. It is used to experimentally evaluate the device added value by comparing assisted versus manual needle insertions. The device is shown to help reducing X-ray exposure by a factor 4, without impacting the accuracy obtained manually.


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