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Are panoramic images reliable in planning sinus augmentation procedures?

Andy Temmerman, Stijn Hertelé UGent, Wim Teughels, Christel Dekeyser, Reinhilde Jacobs and Marc Quirynen (2011) CLINICAL ORAL IMPLANTS RESEARCH. 22(2). p.189-194
abstract
Objective: The inherent deformation and two-dimensional nature of panoramic radiographs jeopardise their interpretation and quantitative measurements. This study aims to estimate the degree of underestimation of available mesio-distal bone in the premolar area (comparing panoramic radiographs with multi-slice/cone-beam computer tomography [CT]) to determine the prevalence, width, length and position of the bony canal [artery] in the lateral sinus wall and to explore the prevalence, width and length of another (newly detected) bony canal at the palatal aspect of the upper canine. Material and methods: The distance between the distal side of the canine/first premolar and the mesial side of the first molar or the anterior wall of the maxillary sinus was measured on panoramic radiographs and corresponding multi-slice/cone-beam CT images (65 patients). Measurements were made at apical, mid-radicular and crestal regions, parallel to the occlusal plane. The presence and dimensions of the two above-mentioned intra-osseous canals were verified on multi-slice CT scans (144 patients) using reformatted cross-sectional images and/or axial slices. Results: For all 65 patients, panoramic radiographs underscored the mesio-distal distance of available bone in the upper premolar region (mean 2.9 mm, range 0.1-7.5 mm). An intra-osseous canal in the lateral maxillary sinus wall was clearly visible in 49.5% of the cases (mean diameter 1.4 mm). In the canine region, a bony canal was obvious in 32.9% of the cases, with a mean diameter of 1.23 mm. For both canals, there was no correlation between diameter and patient's age. Conclusions: Based on the present data, cone-beam CT imaging can be recommended for visualising anatomical structures during planning of sinus augmentation procedures.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
implants, CT, maxilla, panoramic images, sinus augmentation, BEAM COMPUTED-TOMOGRAPHY, MAXILLARY SINUS, FLOOR ELEVATION, IMPLANT PLACEMENT, SURVIVAL RATES, RADIOGRAPHY, ACCURACY, BONE, PERIODONTITIS, PART
journal title
CLINICAL ORAL IMPLANTS RESEARCH
Clin. Oral Implants Res.
volume
22
issue
2
pages
189 - 194
Web of Science type
Article
Web of Science id
000286145000009
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
2.514 (2011)
JCR rank
13/81 (2011)
JCR quartile
1 (2011)
ISSN
0905-7161
DOI
10.1111/j.1600-0501.2010.02000.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1191958
handle
http://hdl.handle.net/1854/LU-1191958
date created
2011-03-21 09:35:36
date last changed
2016-12-19 15:45:50
@article{1191958,
  abstract     = {Objective: The inherent deformation and two-dimensional nature of panoramic radiographs jeopardise their interpretation and quantitative measurements. This study aims to estimate the degree of underestimation of available mesio-distal bone in the premolar area (comparing panoramic radiographs with multi-slice/cone-beam computer tomography [CT]) to determine the prevalence, width, length and position of the bony canal [artery] in the lateral sinus wall and to explore the prevalence, width and length of another (newly detected) bony canal at the palatal aspect of the upper canine.
Material and methods: The distance between the distal side of the canine/first premolar and the mesial side of the first molar or the anterior wall of the maxillary sinus was measured on panoramic radiographs and corresponding multi-slice/cone-beam CT images (65 patients). Measurements were made at apical, mid-radicular and crestal regions, parallel to the occlusal plane. The presence and dimensions of the two above-mentioned intra-osseous canals were verified on multi-slice CT scans (144 patients) using reformatted cross-sectional images and/or axial slices.
Results: For all 65 patients, panoramic radiographs underscored the mesio-distal distance of available bone in the upper premolar region (mean 2.9 mm, range 0.1-7.5 mm). An intra-osseous canal in the lateral maxillary sinus wall was clearly visible in 49.5\% of the cases (mean diameter 1.4 mm). In the canine region, a bony canal was obvious in 32.9\% of the cases, with a mean diameter of 1.23 mm. For both canals, there was no correlation between diameter and patient's age.
Conclusions: Based on the present data, cone-beam CT imaging can be recommended for visualising anatomical structures during planning of sinus augmentation procedures.},
  author       = {Temmerman, Andy and Hertel{\'e}, Stijn and Teughels, Wim and Dekeyser, Christel and Jacobs, Reinhilde and Quirynen, Marc},
  issn         = {0905-7161},
  journal      = {CLINICAL ORAL IMPLANTS RESEARCH},
  keyword      = {implants,CT,maxilla,panoramic images,sinus augmentation,BEAM COMPUTED-TOMOGRAPHY,MAXILLARY SINUS,FLOOR ELEVATION,IMPLANT PLACEMENT,SURVIVAL RATES,RADIOGRAPHY,ACCURACY,BONE,PERIODONTITIS,PART},
  language     = {eng},
  number       = {2},
  pages        = {189--194},
  title        = {Are panoramic images reliable in planning sinus augmentation procedures?},
  url          = {http://dx.doi.org/10.1111/j.1600-0501.2010.02000.x},
  volume       = {22},
  year         = {2011},
}

Chicago
Temmerman, Andy, Stijn Hertelé, Wim Teughels, Christel Dekeyser, Reinhilde Jacobs, and Marc Quirynen. 2011. “Are Panoramic Images Reliable in Planning Sinus Augmentation Procedures?” Clinical Oral Implants Research 22 (2): 189–194.
APA
Temmerman, A., Hertelé, S., Teughels, W., Dekeyser, C., Jacobs, R., & Quirynen, M. (2011). Are panoramic images reliable in planning sinus augmentation procedures? CLINICAL ORAL IMPLANTS RESEARCH, 22(2), 189–194.
Vancouver
1.
Temmerman A, Hertelé S, Teughels W, Dekeyser C, Jacobs R, Quirynen M. Are panoramic images reliable in planning sinus augmentation procedures? CLINICAL ORAL IMPLANTS RESEARCH. 2011;22(2):189–94.
MLA
Temmerman, Andy, Stijn Hertelé, Wim Teughels, et al. “Are Panoramic Images Reliable in Planning Sinus Augmentation Procedures?” CLINICAL ORAL IMPLANTS RESEARCH 22.2 (2011): 189–194. Print.