Review of the radiographic modalities used during dental implant therapy - A narrative

Authors

  • Khaled R Beshtawi University of Western Cape, South Africa
  • Mogammad T Peck The City of London Dental School, Southgate College, London, United Kingdom. https://orcid.org/0000-0002-4755-0574
  • Manogari Chetty University of Western Cape, South Africa

DOI:

https://doi.org/10.17159/2519-0105/2021/v76no2a4

Keywords:

dental radiographic modalities, digital x-ray receivers, Dental implant therapy (DIT)

Abstract

The introduction of digital x-ray receivers which replaced conventional films was a significant radiographic development that is commonly used in daily dental practice. Dental implant therapy (DIT) is a sought after dental therapeutic intervention and dental radiography is an essential component contributing to the success of treatment. Dental radiographs taken in daily practice are generally conventional two-dimensional images and/or three-dimensional images. Ideally, the choice of radiographic technique should be determined after a thorough clinical examination and comprehensive consideration of the advantages, indications, and drawbacks. Digital three-dimensional modalities that have emerged over the last decade have been incorporated into DIT
with the assumption that treatment outcomes will be improved. These modalities are constantly being reassessed and improved but there is a paucity of published information regarding the assessment of variables such as dosages and dimensional accuracy, suggesting that further research in these matters is necessary. This is crucial in order to obtain evidence-based information that may influence future radiographic practices. In this narrative, the authors present the most commonly used dental radiographic modalities currently used in DIT.

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References

Moraschini V, da Poubel LC, Ferreira V, dos Barboza ES. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015; 44(3): 377-88.

Tyndall DA, Brooks SL. Selection criteria for dental implant site imaging: a position paper of the American Academy of Oral and Maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 May; 89(5): 630-7.

Boyce RA, Klemons G. Treatment Planning for Restorative Implantology. Dent Clin NA. 2015; 59: 291-304.

Shah N, Bansal N, Logani A. Recent advances in imagingtechnologies in dentistry. World J Radiol. 2014 Oct 28;

(10): 794-807.

Nagarajan A, Perumalsamy R, Thyagarajan R, Namasivayam A. Diagnostic imaging for dental implant

therapy. J Clin Imaging Sci. 2014; 4 (Suppl 2): 4.

Gupta S, Patil N, Solanki J, Singh R, Laller S. Oral Implant Imaging: A Review. Malays J Med Sci. 2015; 22(3): 7-17.

Gupta A, Devi P, Srivastava R, Jyoti B. Intra oral periapi cal radiography-basics yet intrigue: A review. Bangladesh J Dent Res Educ. 2014; 4(2): 83-7.

Deshpande A, Bhargava D. Intraoral Periapical Radiographs with Grids for Implant Dentistry. J Maxillofac Oral Surg. 2014 Dec; 13(4): 603-5.

Tyndall DA, Price JB, Tetradis S, Ganz SD, Hildebolt C, Scarfe WC, et al. Position statement of the American Academy of Oral and Maxillofacial Radiology on selection criteria for the use of radiology in dental implantology with emphasis on cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jun; 113(6): 817- 26.

White SC, Pharoah MJ. Oral radiology: principles and interpretation. 7th edition. St. Louis, Missouri: Mosby, Elsevier; 2013; 86-7.

Agrawal A, Agrawal G, Nagarajappa A, Sreedevi K, Kakkad A. Journey from 2D to 3D: Implant imaging a review. Int J Contemp Dent Med Rev. 2014.

Lingam A, Reddy L, Nimma V, Pradeep K. “Dental implant radiology” - Emerging concepts in planning implants. J Oro fac Sci. 2013; 5(2): 88.

Harris D, Horner K, Gröndahl K, Jacobs R, Helmrot E, Benic GI, et al. E.A.O. guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res. 2012 Nov; 23(11): 1243-53.

Manisundar N, Saravanakumar Hemalatha BV, Manigandan T, Amudhan A. Implant Imaging-A Literature

Review. Biosci Biotechnol Res ASIA. 2014; 11(1): 179 - 87.

Karjodkar FR. Textbook of Dental and Maxillofacial Radiology.2nd ed. New Delhi (IND): Jaypee Brothers; 2009. 881-928.

Gray CF, Redpath TW, Smith FW, Staff RT. Advanced imaging: Magnetic resonance imaging in implant dentistry. Clin Oral Implants Res. 2003 Feb;14(1):18 -27.

Hounsfield G. Computerized transverse axial scanning (tomography): Part I description of system. Br J Radiol. 1973 ;46(552): 1016-22.

Seeram E. Computed tomography: physical principles, clinical applications, and quality control. 3rd ed. St. Louis: Saunders Elsevier; 2009.

European Commission. Protection Radiation No 172 Cone beam CT for dental and maxillofacial radiology (Evidence based guidelines). 2012.

Jacobs R, Salmon B, Codari M, Hassan B, Bornstein MM. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC Oral Health. 2018; 18(1): 88.

Sahai S. Recent advances in imaging technologies in implant dentistry. J Int Clin Dent Res Organ. 2015; 7(3): 19.

Fokas G, Vaughn VM, Scarfe WC, Bornstein MM. Accuracy of linear measurements on CBCT images related to pre surgical implant treatment planning: A systematic review. Clin Oral Implants Res. 2018; 29 (Suppl 16): 393-415.

Bornstein M, Scarfe W, Vaughn V, Jacobs R. Cone Beam Computed Tomography in Implant Dentistry: A Systematic Review Focusing on Guidelines, Indications, and Radiation Dose Risks. Int J Oral Maxillofac Implants. 2014 Jan; 29 (Supplement): 55-77.

Vazquez L, Saulacic N, Belser U, Bernard JP. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: A prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res. 2008; 19(1): 81-5.

Kim YK, Park JY, Kim SG, Kim JS, Kim JD. Magnification rate of digital panoramic radiographs and its effectiveness for pre-operative assessment of dental implants. Dentomaxillofacial Radiol. 2011; 40(2): 76-83.

Assaf M, Gharbyah A. Accuracy of Computerized Vertical Measurements on Digital Orthopantomographs: Posterior Mandibular Region. J Clin Imaging Sci. 2014; 4(2): 7.

Devlin H, Yuan J. Object position and image magnification in dental panoramic radiography: A theoretical analysis. Dentomaxillofacial Radiol. 2013 Jan; 42(1): 29951683.

Sakakura C, Morais J, Loffredo L, Scaf G. A survey of radio graphic prescription in dental implant assessment. Dentomax illofacial Radiol. 2003 Nov; 32(6): 397-400.

Ramakrishnan P, Shafi FM, Subhash A, Kumara AEG, Chakkarayan J, Vengalath J. A survey on radiographic prescription practices in dental implant assessment among dentists in Kerala, India. Oral Health Dent Manag. 2014 Sep; 13(3): 826-30.

Alnahwi M, Alqarni A, Alqahtani R, Baher Baker M, Alshahrani FN. A survey on radiographic prescription practices in dental implant assessment. J Appl Dent Med Sci. 2017; 3(1).

Majid I, Mukith ur Rahaman S, Sowbhagya M, Alikutty F, Kumar H. Radiographic prescription trends in dental implant site. J Dent Implant. 2014; 4(2): 140.

Rabi H, Qirresh E, Rabi T. Radiographic Prescription Trends among Palestinian Dentists for Dental Implant Placement - A Cross Sectional Survey. J Dent Probl Solut. 2017; 11-4.

Pertl L, Gashi-Cenkoglu B, Reichmann J, Jakse N, Pertl C. Preoperative assessment of the mandibular canal in implant surgery: comparison of rotational panoramic radiography (OPG), computed tomography (CT) and cone beam computed tomography (CBCT) for preoperative assessment in implant surgery. Eur J Oral Implantol. 2013; 6(1): 73-80.

Lindh C, Petersson A, Klinge B. Measurements of distances related to the mandibular canal in radiographs. Clin Oral Implants Res. 1995; 6(2): 96-103.

Riecke B, Friedrich RE, Schulze D, Loos C, Blessmann M, Heiland M, et al. Impact of malpositioning on panoramic radiography in implant dentistry. Clin Oral Investig. 2015; 19(4): 781-90.

Gomez-Roman G, Lukas D, Beniashvili R, Schulte W. Area dependent enlargement ratios of panoramic tomography on orthograde patient positioning and its significance for implant dentistry. Int J Oral Maxillofac Implants. 1999; 14(2): 248-57.

Deeb G, Antonos L, Tack S, Carrico C, Laskin D, Deeb JG. Is Cone-Beam Computed Tomography Always Necessary for Dental Implant Placement? J Oral Maxillofac Surg. 2017 Feb; 75(2): 285-9.

Noffke C, Farman A, Nel S, Nzima N. Guidelines for the safe use of dental and maxillofacial CBCT: a review with recommendations for South Africa. SADJ. 2011; 66(6): 264-6.

Chau ACM, Fung K. Comparison of radiation dose for implant imaging using conventional spiral tomography, computed tomography, and cone-beam computed tomography. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2009; 107(4): 559-65.

Carter JB, Stone JD, Clark RS, Mercer JE. Applications of Cone-Beam Computed Tomography in Oral and Maxillofacial Surgery: An Overview of Published Indications and Clinical Us age in United States Academic Centers and Oral and Maxillofacial Surgery Practices. J Oral Maxillofac Surg. 2016 Apr; 74(4): 668-79.

Kraut RA. Interactive CT diagnostics, planning and preparation for dental implants. Implant Dent. 1998; 7(1): 19-25.

Hatcher DC, Dial C, Mayorga C. Cone beam CT for pre surgical assessment of implant sites. J Calif Dent Assoc.

Nov; 31(11): 825-33.

Flügge T, Derksen W, te Poel J, Hassan B, Nelson K, Wismeijer D. Registration of cone beam computed tomography data and intraoral surface scans - A prerequisite for guided implant surgery with CAD/CAM drilling guides. Clin Oral Implants Res. 2017 Sep; 28(9): 1113-8.

Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin T. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC Oral Health. 2017 Dec 13; 17(1): 150.

Grunder U, Gracis S, Capelli M. Influence of the 3-D bone to-implant relationship on esthetics. Int J Periodontics Restorative Dent. 2005 Apr; 25(2): 113-9.

Wood MR, Vermilyea SG, Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. A review of selected dental literature on evidence-based treatment planning for dental implants: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. J Prosthet Dent. 2004 Nov; 92(5): 447-62.

Drage NA, Palmer RM, Blake G, Wilson R, Crane F, Fogelman I. A comparison of bone mineral density in the

spine, hip and jaws of edentulous subjects. Clin Oral Implants Res. 2007 Aug; 18(4): 496-500.

Lindh C, Obrant K, Petersson A. Maxillary bone mineral den sity and its relationship to the bone mineral density of the lumbar spine and hip. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Jul; 98(1): 102-9.

Lindh C, Nilsson M, Klinge B, Petersson A. Quantitative computed tomography of trabecular bone in the mandible. Dentomaxillofacial Radiol. 1996 Jun; 25(3): 146-50.

Turkyilmaz I, Tözüm TF, Tumer C. Bone density assessments of oral implant sites using computerized tomography. J Oral Rehabil. 2007; 34(4): 267-72.

Aksoy U, Eratalay K, Tözüm TF. The possible association among bone density values, resonance frequency measure ments, tactile sense, and histomorphometric evaluations of dental implant osteotomy sites: A preliminary study. Implant Dent. 2009; 18(4): 316-25.

Cassetta M, Stefanelli LV, Pacifici A, Pacifici L, Barbato E. How Accurate Is CBCT in Measuring Bone Density? A Comparative CBCT-CT In Vitro Study. Clin Implant Dent Relat Res. 2014 Aug; 16(4): 471-8.

Arisan V, Karabuda ZC, Avsever H, Özdemir T. Conventional Multi-Slice Computed Tomography (CT) and Cone-Beam CT (CBCT) for Computer-Assisted Implant Placement. Part I: Relationship of Radiographic Gray Density and Implant Stability. Clin Implant Dent Relat Res. 2013 Dec; 15(6): 893-906.

Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M, Ariji E, et al. Effects of image artifacts on gray-value density in limited-volume cone-beam computerized tomography. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2007 Dec; 104(6): 829-36.

Armstrong RT. Acceptability of Cone Beam CT vs. Multi-Detec tor CT for 3D Anatomic Model Construction. J Oral Maxillofac Surg. 2006 Sep 1; 64(9): 37.

Miles D, Danforth R. A Clinician’s Guide to Understanding Cone Beam Volumetric Imaging (CBVI). Peer-Reviewed Publication - Academy of Dental Therapeutics and Stomatology. 2008.

Nackaerts O, Maes F, Yan H, Couto Souza P, Pauwels R, Jacobs R. Analysis of intensity variability in multislice and cone beam computed tomography. Clin Oral Implants Res. 2011 Aug; 22(8): 873 -9.

Naitoh M, Hirukawa A, Katsumata A, Ariji E. Evaluation of voxel values in mandibular cancellous bone: relationship between cone-beam computed tomography and multislice helical computed tomography. Clin Oral Implants Res. 2009 May; 20(5): 503-6.

Nomura Y, Watanabe H, Honda E, Kurabayashi T. Reliability of voxel values from cone-beam computed tomography for dental use in evaluating bone mineral density. Clin Oral Implants Res. 2010 May; 21(5): 558-62.

Reeves T, Mah P, McDavid W. Deriving Hounsfield units using grey levels in cone beam CT: a clinical application. Dento maxillofacial Radiol. 2012 Sep; 41(6): 500-8.

Mah P, Reeves TE, McDavid WD. Deriving Hounsfield units using grey levels in cone beam computed tomography. Den tomaxillofacial Radiol. 2010 Sep; 39(6): 323-35.

Lagravère M, Fang Y, Carey J, Toogood R, Packota G, Major P. Density conversion factor determined using a cone beam computed tomography unit New Tom QR-DVT 9000. Dentomaxillofacial Radiol. 2006 Nov; 35(6): 407-9.

Wadhwani CPK, Schuler R, Taylor S, Chen CSK. Intraoral radiography and dental implant restoration. Dent Today. 2012 Aug; 31(8): 66, 68, 70-1; quiz 72-3.

Pauletto N, Lahiffe BJ, Walton JN. Complications associated with excess cement around crowns on osseo integrated implants: a clinical report. Int J Oral Maxillofac Implants. 1999; 14(6): 865-8.

Oliveira B, Valerio C, Jansen W, Zenóbio E, Manzi F. Accu racy of Digital Versus Conventional Periapical Radiographs to Detect Misfit at the Implant-Abutment Interface. Int J Oral Maxillofac Implants. 2016 Sep; 31(5): 1023-9.

Begoña Ormaechea M, Millstein P, Hirayama H. Tube angulation effect on radiographic analysis of the implant-abutment interface. Int J Oral Maxillofac Implants. 1999; 14(1): 77-85.

Cassetta M, Di Giorgio R, Barbato E. Are intraoral radio graphs reliable in determining peri-implant marginal bone level changes? The correlation between open surgical measurements and peri-apical radiographs. Int J Oral Maxillofac Surg. 2018; 47(10): 1358-64.

Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1(1): 11-25.

Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent. 1989; 62(5): 567-72.

Sewerin I. Errors in radiographic assessment of marginal bone height around osseointegrated implants. Eur J Oral Sci. 1990; 98(5): 428-33.

Flügge TV, Nelson K, Schmelzeisen R, Metzger MC. Three Dimensional Plotting and Printing of an Implant Drilling Guide: Simplifying Guided Implant Surgery. J Oral Maxillofac Surg. 2013 Aug; 71(8): 1340-6.

Plooij JM, Maal TJJ, Haers P, Borstlap WA, Kuijpers-Jagtman AM, Bergé SJ. Digital three-dimensional

image fusion processes for planning and evaluating orthodontics and orthognathic surgery. A systematic review. Int J Oral Maxillofac Surg. 2011 Apr; 40(4): 341-52.

Shen P, Zhao J, Fan L, Qiu H, Xu W, Wang Y, et al. Accuracy evaluation of computer-designed surgical guide template in oral implantology. J Cranio-Maxillofacial Surg. 2015 Dec; 43(10): 2189-94.

Filius MAP, Kraeima J, Vissink A, Janssen KI, Raghoebar GM, Visser A. Three-dimensional computer-guided implant placement in oligodontia. Int J Implant Dent. 2017 Dec 8; 3(1): 30.

Platzer S, Bertha G, Heschl A, Wegscheider WA, Lorenzoni M. Three-Dimensional Accuracy of Guided Implant

Placement: Indirect Assessment of Clinical Outcomes. ClinImplant Dent Relat Res. 2012 Jan; 15(5).

Vercruyssen M, Cox C, Coucke W, Naert I, Jacobs R, Quirynen M. A randomized clinical trial comparing guided

implant surgery (bone- or mucosa-supported) with mental navigation or the use of a pilot-drill template. J Clin Perio dontol. 2014 Jul; 41(7): 717-23.

Behneke A, Burwinkel M, Behneke N. Factors influencing transfer accuracy of cone beam CT-derived template-based implant placement. Clin Oral Implants Res. 2012 Apr; 23(4): 416 -3.

Davies J, Johnson B, Drage N. Effective doses from cone beam CT investigation of the jaws. Dentomaxillofacial Radiol. 2012 Jan; 41(1): 30-6.

Li G. Patient radiation dose and protection from cone-beam computed tomography. Imaging Sci Dent. 2013 Jun; 43(2): 63.

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Published

2021-03-31

How to Cite

Beshtawi, . K. R. ., Peck, M. T. ., & Chetty, . M. . (2021). Review of the radiographic modalities used during dental implant therapy - A narrative. South African Dental Journal, 76(2), 84–90. https://doi.org/10.17159/2519-0105/2021/v76no2a4