International Journal For Multidisciplinary Research

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A clinician approach to assess the accuracy of cone beam computerized tomography in dental implant placement

Author(s) Ateeb Usman, Neha Usman, Muhammad Usman Akhtar, Zulfqar A Atiq
Country Pakistan
Abstract Dental radiography is widely used by clinicians in dentistry, whereas in radiology continuously and rapidly developing devices have become integral to dental practices. The conventional dental x-rays have limited diagnostic value as being two-dimensional (2D) depictions of three dimensional (3D) oral cavity. The Cone Beam Computed Tomography (CBCT) currently in practice, is considered to be gold standard for diagnostic assessment in orofacial dentistry. CBCT enables a precise 3D image of the orofacial region and provides more accuracy in evaluating the architecture, contouring and density of the bone and soft tissues. It has wide implementation in implant dentistry. This research article evaluates the accuracy of the diagnostic imaging technique CBCT for postoperative accuracy. In 22 patients, 136 implants were replaced for missing teeth with equal males to female ratio. 56 implants were placed in maxilla and 80 in mandible. The age of the group was between 45 to 60 yrs. Variety of implant systems with endosseous implants were replaced to accommodate and facilitate the missing teeth. All patients underwent CBCT Scan before and also within 06 months
of implant placement. Standard torque of 25 Newton and 35 Newton were applied to stabilize the implants in the osteotomy cut in maxilla and mandible respectively. The patients were given prosthetic part after securing interim period of osseointigration with prefabricated available abutments. The results were evaluated preoperatively and post operatively on CBCT image for
measurements of bone height and width at different level along with implant size variations in CBCT images. It has been significant dimensional changes observed in bone height measuring by Shapiro-Wilk test for normality (P = 0.0033, two-tailed), indicating a small but meaningful change in bone height following surgery. In coronal width using a paired t-test, no statistically significant
difference pre- and postoperative measurements (P = 0.9232) was noted likewise in apical width 2
(P = 0.9232) indicating stability after surgery. The implant height and width post CBCT images measured comparative to actual implant size, they are statistically significant (P < 0.0001) in both directions, indicating a slight overestimation in both height and width by CBCT, underscoring the need to account for these variations in clinical practice.
Keywords Key Words: Jawbone, Alveolar Bone, Dental implants, CBCT, Diagnostic Imaging.
Field Medical / Pharmacy
Published In Volume 6, Issue 6, November-December 2024
Published On 2024-11-13
Cite This A clinician approach to assess the accuracy of cone beam computerized tomography in dental implant placement - Ateeb Usman, Neha Usman, Muhammad Usman Akhtar, Zulfqar A Atiq - IJFMR Volume 6, Issue 6, November-December 2024. DOI 10.36948/ijfmr.2024.v06i06.30576
DOI https://doi.org/10.36948/ijfmr.2024.v06i06.30576
Short DOI https://doi.org/g8rd3t
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