scholarly journals Accuracy of Full-Guided and Half-Guided Surgical Templates in Anterior Immediate and Delayed Implantation: A Retrospective Study

Materials ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 26
Author(s):  
Yuan Chen ◽  
Xiaoqing Zhang ◽  
Maoxia Wang ◽  
Qingling Jiang ◽  
Anchun Mo
Keyword(s):  
Computed Tomography ◽  
Statistical Difference ◽  
Preoperative Planning ◽  
Statistical Significance ◽  
Cone Beam ◽  
Guided Surgery ◽  
Delayed Implantation ◽  
Computer Aided ◽  
Immediate Implantation ◽  
Surgical Templates

Computer-aided implantology has developed rapidly in recent years, this study aimed to compare the accuracy of guided-surgery between anterior immediate and delayed implantation, and simultaneously assess the effect of full-guided and half-guided templates on accuracy values. Seventy-six implants were inserted in 63 patients using full-guided or half-guided template in the anterior zone. Postoperative cone beam computed tomography (CBCT) was matched with preoperative planning to evaluate the deviation between actual and planned implants. No statistical difference was found in any deviation between immediate and delayed implantation (p > 0.05). In anterior immediate implantation, the global coronal, apical, depth and angular deviations of full-guided templates were all significantly lower than those of half-guided templates (0.66 ± 0.26 vs. 1.10 ± 0.76 mm, 0.96 ± 0.41 vs. 1.43 ± 0.70 mm, 0.46 ± 0.24 mm vs. 0.93 ± 0.79 mm and 1.69° ± 0.94° vs. 2.57° ± 1.57°). While in delayed implantation, full-guided templates only perform better with statistical significance on global apical and depth deviation (1.01 ± 0.42 vs. 1.51 ± 0.55 mm and 0.32 ± 0.26 vs. 0.71 ± 0.47 mm). After excluding the influence of depth deviation, the coronal and apical deviations between the two systems in immediate implantation and the apical deviations in delayed implantation had no statistical difference. Within the limit of this study, the results suggested the accuracy of guided-surgeries for anterior immediate and delayed implantations was comparable, and full-guided template was more accurate for immediate and delayed implantation.

scholarly journals Comparison of the different voxel sizes in the estimation of peri-implant fenestration defects using cone beam computed tomography: an ex vivo study

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Mehmet Hakan Kurt ◽  
Nilsun Bağış ◽  
Cengiz Evli ◽  
Cemal Atakan ◽  
Kaan Orhan
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Ex Vivo ◽  
Statistical Significance ◽  
Area Under The Curve ◽  
Titanium Implant ◽  
Bone Defects ◽  
Titanium Implants ◽  
Cone Beam ◽  
Voxel Size

Abstract Background To examine the influence of voxel sizes to detect of peri-implant fenestration defects on cone beam computed tomography (CBCT) images. Materials and methods This study performed with three sheep heads both maxilla and mandible and two types of dental implant type 1 zirconium implant (Zr40) (n = 6) and type 2 titanium implant (Ti22) (n = 10). A total of 14 peri-implant fenestrations (8 buccal surfaces, 6 palatal/lingual surface) were created while 18 surfaces (8 buccal, 10 palatal/lingual) were free of fenestrations. Three observers have evaluated the images of fenestration at each site. Images obtained with 0.75 mm3, 0.100 mm3, 0.150 mm3, 0.200 mm3, and 0.400 mm3 voxel sizes. For intra- and inter-observer agreements for each voxel size, Kappa coefficients were calculated. Results Intra- and inter-observer kappa values were the highest for 0.150 mm3, and the lowest in 0.75 mm3 and 0.400 mm3 voxel sizes for all types of implants. The highest area under the curve (AUC) values were found higher for the scan mode of 0.150 mm3, whereas lower AUC values were found for the voxel size for 0.400 mm3. Titanium implants had higher AUC values than zirconium with the statistical significance for all voxel sizes (p ≤ 0.05). Conclusion A voxel size of 0.150 mm3 can be used to detect peri-implant fenestration bone defects. CBCT is the most reliable diagnostic tool for peri-implant fenestration bone defects.

scholarly journals Association between imaging and clinical findings in mandibular third molar surgeries

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Marcelo Bonifácio da Silva Sampieri ◽  
Danilo Da Silva Correa ◽  
Francisca Lívia Parente Viana ◽  
Thaís Sumie Nozu Imada ◽  
Josfran Da Silva Ferreira Filho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Statistical Significance ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Mandibular Canal ◽  
Clinical Findings ◽  
Cone Beam ◽  
The Third ◽  
Close Relationship

Objective: it is important to evaluate the position andestablish the third molar relationship with the mandibularcanal to minimize the risk of nerve injury and assistin planning the extraction of this tooth. The panoramicradiograph is the standard diagnostic tool for this purpose.However, if it indicates a close relationship betweenthe third molar and the mandibular canal, furtherinvestigation using cone beam computed tomography(CBCT) may be recommended to check the three-dimensionalrelationship between the tooth and the mandibularcanal. Thus, this study aimed to correlate the clinicalfindings (observed in third molar surgeries) to imagingfindings (observed in panoramic radiographs andCBCT). Subjects and method: after the extraction of 20mandibular third molars, the panoramic radiograph andthe cone beam computed tomography were analyzed.Then, the surgical findings were correlated to the imagefindings. Results: It was observed that the radiographicfinding type 2 (darkening of roots) observed in the panoramicradiograph presented a greater relation to theabsence of cortical bone between the mandibular canaland the third molar (CBCT finding), with statistical significance(p

scholarly journals A Simple Technique for Interventional Tool Placement Combining Fluoroscopy With Interventional Computed Tomography on a C-Arm System

2010 ◽  
Vol 67 (3) ◽  
pp. ons49-ons57 ◽  
Author(s):  
Brian E. Nett ◽  
Beverly Aagaard-Kienitz ◽  
Yurdal Serarslan ◽  
Mustafa K. Başkaya ◽  
Guang-Hong Chen
Keyword(s):  
Computed Tomography ◽  
Intraoperative Imaging ◽  
Cone Beam ◽  
Preoperative Imaging ◽  
Clinical Feature ◽  
Flat Panel ◽  
Guided Surgery ◽  
Surgical Tool ◽  
Contrast Enhanced ◽  
Needle Trajectory

Abstract BACKGROUND: Flat-panel cone-beam computed tomography (FP-CBCT) has recently been introduced as a clinical feature in neuroangiography radiographic C-arm systems. OBJECTIVE: To introduce a method of positioning a surgical tool such as a needle or ablation probe within a target specified by intraoperative FP-CBCT scanning. METHODS: Two human cadaver and 2 porcine cadaver heads were injected with a mixture of silicone and contrast agent to simulate a contrast-enhanced tumor. Preoperative imaging was performed using a standard 1.5-T magnetic resonance imaging scanner. Intraoperative imaging was used to define the needle trajectory on a GE Innova 4100 flat panel-based neuroangiography C-arm system. RESULTS: Using a combination of FP-CBCT and fluoroscopy, a needle was successfully positioned within each of the simulated contrast-enhanced tumors, as verified by subsequent FP-CBCT scans. CONCLUSIONS: This proof-of-concept study demonstrates the potential utility of combining FP-CBCT scanning with fluoroscopy to position surgical tools when stereotactic devices and image-guided surgery systems are not available. However, further work is required to fully characterize the precision and accuracy of the method in a variety of realistic surgical sites.

scholarly journals Assessment of Trabecular Bone During Dental Implant Planning using Cone-beam Computed Tomography with High-resolution Parameters

2021 ◽  
Vol 15 (1) ◽  
pp. 57-63
Author(s):  
Lauren Bohner ◽  
Pedro Tortamano ◽  
Felix Gremse ◽  
Israel Chilvarquer ◽  
Johannes Kleinheinz ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Resolution ◽  
Trabecular Bone ◽  
Cone Beam Computed Tomography ◽  
Volume Fraction ◽  
Statistical Significance ◽  
Cone Beam ◽  
Bone Volume Fraction ◽  
Voxel Size ◽  
Trabecular Thickness

Background: Cone-Beam Computed Tomography (CBCT) with high-resolution parameters may provide an acceptable resolution for bone assessment. Objectives: The purpose of this study is to assess trabecular bone using two cone-beam computed tomography (CBCT) devices with high-resolution parameters in comparison to micro-computed tomography (µCT). Methods: Bone samples (n=8) were acquired from dry mandibles and scanned by two CBCT devices: 1) VV (Veraview R100, Morita; FOV 4x4, 75kV, 9mA, voxel size 0.125µm); and PR (Prexion 3D, Prexion; FOV 5x5, 90kV, 4mA, 37s, voxel size 108µm). Gold-standard images were acquired using µCT (SkyScan 1272; Bruker; 80kV, 125mA, voxel size 16µm). Morphometric parameters (BvTv- Bone Volume Fraction, BsBv- Trabecular specific surface, TbTh- Trabecular thickness and TbSp- Trabecular separation) were measured. Statistical analysis was performed within ANOVA, Spearman Correlation test and Bland-Altmann plots with a statistical significance level at p=0.05. Results: CBCT devices showed similar BvTv values in comparison to µCT. No statistical difference was found for BvTv parameters assessed by CBCT devices and µCT. BsBv values were underestimated by CBCT devices (p<0.01), whereas TbTh and TbSp values were overestimated by them (p<0.01). Positive correlations were found between VV and µCT measurements for BvTv (r2= 0.65, p=0.00), such as between PR and µCT measurements for TbSp (r2= 0.50, p=0.04). For BsBv measurements, PR was negatively correlated with µCT (r2= -0.643, p=0.01). Conclusion: The evaluated CBCT device was able to assess trabecular bone. However, bone parameters were under or overestimated in comparison to µCT.

scholarly journals The use of Computer Guided Implant Surgery in Oral Rehabilitation: A Literature Review

2014 ◽  
Vol 5 (1) ◽  
pp. 60-63
Author(s):  
Mateus Rodrigues Tonetto ◽  
Matheus Coelho Bandéca ◽  
Vinicius Ibiapina Mascarenhas ◽  
Lívia Jacovassi Tavares ◽  
Lara Maria Ferreira Mendes
Keyword(s):  
Literature Review ◽  
Dental Implants ◽  
Preoperative Planning ◽  
Cone Beam ◽  
Prosthetic Rehabilitation ◽  
Oral Rehabilitation ◽  
Virtual Planning ◽  
Implant Surgery ◽  
Guided Surgery ◽  
High Resolution Images

ABSTRACT The virtual planning of dental implants is a technology that brings many benefits to practitioners and patients who undergo a prosthetic rehabilitation. The cone beam computed tomography (CBCT) produces high-resolution images allowing to implant a breakthrough in preoperative planning, making planning more accurate. The virtually guided surgery is a surgery planned based computers in a 3D anatomical model of the patient and transferred to the surgical procedure through guides built especially for this purpose. The objective of this study is to report the current concepts in the literature on virtually guided surgery, emphasizing its applicability, indications and benefits in prosthetic rehabilitation with dental implants. Thus, it was concluded that the technique of guided surgery represents an advance in the field of implantology significantly decreasing errors, bringing good results postoperative and increasing predictability of the results, one technique suitable for various cases. How to cite this article Mascarenhas VI, de Molon RS, Tavares LJ, Mendes LMF, Tonetto MR, Bandeca MC. The use of Computer Guided Implant Surgery in Oral Rehabilitation: A Literature Review. World J Dent 2014;5(1):60-63.

scholarly journals Impact of intraoperative Cone-Beam Computed Tomography use on patient satisfaction after closed nasal reduction

2021 ◽  
Vol 4 ◽  
pp. 77-84
Author(s):  
C. Bruehlmann ◽  
M. Blumer ◽  
M.B. Soyka
Keyword(s):  
Computed Tomography ◽  
Patient Satisfaction ◽  
Cone Beam Computed Tomography ◽  
Intraoperative Imaging ◽  
Statistical Significance ◽  
Clinical Importance ◽  
Cone Beam ◽  
The Difference ◽  
And Function ◽  
Female Subjects

Background: The aim of the study was to assess, whether there is a difference in aesthetic and functional patient satisfaction between closed nasal reductions with intraoperative Cone-Beam Computed Tomography (CBCT) and without using intraoperative medical imaging. Methods: A monocentric, retrospective cohort study of 43 patients (20 patients treated with intraoperative CBCT and 23 patients treated without intraoperative imaging) was conducted. Subjective postoperative aesthetic and functional aspects of the nose were assessed. Additionally, questions comparing the aesthetics and function of the nose before and after the accident and on the desire of revision surgery were asked. Results: Both the SCHNOS-C and total SCHNOS score in the non-CBCT group were higher than the respective scores of the CBCT-group. The comparison of SCHNOS-C between male subjects of the two groups showed no statistical significance. The comparison of SCHNOS-C between male and female subjects over both groups showed significantly higher scores for female subjects. Conclusions: Patients undergoing surgery with intraoperative CBCT imaging showed better aesthetical outcomes than patients, treated without intraoperative imaging. However, the difference showed no clinical importance, so that both strategies appear to have comparable outcomes regarding postoperative aesthetics and function of the nose. Gender instead of the different strategies could contribute to the demonstrated differences. Female subjects seem to be less satisfied with the aesthetics of their nose postoperatively, potentially being more sensitive to remaining nasal deformities after surgery.

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