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Abbreviations: MDCT, multidetector computed tomography;
CBCT, cone beam computed tomography; CT, computed tomogra-
phy; PA, periapical radiographs; DPR, dental panoramic radiographs;
TACT, tuned aperture computed tomography
Introduction
During the last couple of decades implant dentistry has evolved
to become important part of modern dental practice. Until late 1980s
dental implant treatment was restricted to edentulous patients only
and was done at selected universities or specialist dental centers by
a team of specialist dentists.
1,2
Later with developments in implant
material, design and components the dental implants found their
application partially edentulous patients.
3
Success of any dental treatment depends on accurate diagnosis
and proper treatment planning. Diagnostic imaging techniques are
important tool for treatment planning of implant prosthesis.
2‒4
Implant
treatment planning requires radiographic examination of the implant
site to ascertain information about the quality and the quantity of
the bone available at the implant site and to accurately locate the
position of any critical anatomical structure present in immediate
vicinity of the implant site. Until late 1980s conventional radiographic
techniques such as intraoral periapical radiographs, cephalometric
and panoramic views were considered standards. With developments
in radiography many more sophisticated cross-sectional radiographic
imaging techniques like reformatted computerized tomography
were introduced for implant dental treatment. In the year 2000, the
American academy of oral and maxillofacial radiology specifed that
conventional cross-sectional tomography should be employed for the
implant patients.
5
Currently a wide variety of imaging techniques are available
ranging from simple two dimensional conventional imaging
techniques like intraoral periapical radiographs (PA) and dental
panoramic radiographs (DPR) to highly accurate three dimensional
imaging techniques like computed tomography (CT) and cone beam
tomography (CBCT). Therefore selection of imaging technique
for implant treatment planning has become a challenge.
3,5
Dental
panoramic radiographs have disadvantage of distortion and
magnifcation and require radio opaque marker to correct distortion.
On the other hand intra oral periapical radiograph is accurate but have
the limitations in accurately locating critical anatomical structures like
inferior alveolar canal. Computed tomography (CT) and cone beam
tomography (CBCT) is highly accurate and give three dimensional
images but have a drawback of higher radiation dose. In this article
latest imaging modalities for dental implants will be discussed along
with their advantages and disadvantages.
4,5
Tomography
Term tomography originated from Greek language and is a
combination of two words “Tomo” (Slice or section) and “Graph”
(Picture).
4,6
Devise used is called tomography and while the three
dimensional image produced is called Tomogram. In This technique
clear images of structures lying in one plan are obtained by blurring
out the structures not in the desired plane.
6
Conventional tomography is useful for single implant site or for
multiple implants within one quadrant. Tomographic slices are cross-
sectional and are as thin as 1mm. Magnifcation of conventional
tomographic images is constant in all directions therefore measurements
can be made using a special ruler provided with appropriate scale or
measurements can be made using a measurement programme in case
of digital images.
7
Conventional tomography is not of much help in
determining the difference in most bone densities or identifying any
disease at implant site. Tomography is highly technique sensitive with
superimposition of surrounding structure results in blurring of the
image.
8
Diagnostic quality of tomographic images is determined by
the type of tomographic motion, section thicknes and the degree of
Int J Radiol Radiat Ther. 2017;3(5):288‒290. 288
© 2017 Hussain et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Latest trends in imaging techniques for dental
implant: a literature review
Volume 3 Issue 5 - 2017
Muhammad Waqar Hussain,
1
Muhammad
Aamir Ghafoor Chaudhary,
2
Abdul Razzaq
Ahmed,
1
Shahabe Saquib Abullais
3
1
Department of Prosthodontics, King Khalid University, Saudi
Arabia
2
Department of Prosthodontics, Riphah International University
Islamabad, Pakistan
3
Department of Periodontics and Community Dental Sciences,
King Khalid University, Saudi Arabia
Correspondence: Shahabe Saquib Abullais, Department of
Periodontics and Community Dental Sciences, King Khalid
University, Abha, Asir, Saudi Arabia, Email drsaquin24@gmail.com
Received: May 28, 2017 | Published: July 28, 2017
Abstract
During the past fewyears replacement of the missing teeth with dental implants has
become an indispensible part of modern dental practice. As with other branches of
dentistry for the optimal success in dental implant treatment proper diagnosis and
treatment planning are the prerequisites. For proper diagnosis and treatment planning
Implant imaging techniques and their accurate interpretation is a very crucial step.
Radiography is the only non-surgical method of assessment of quality and the quantity
of the bone at implant site. With the advent of several types of imaging techniques
ranging from conventional two dimensional intraoral periapical radiographs and
orthopantograph to highly sophisticated multidetector computed tomography (MDCT)
and cone beam computed tomography (CBCT) selection of appropriate imaging
technique for implant treatment planning has become a challenge for the clinicians.
In this article latest imaging techniques used in implant dental practice are discussed
along with their advantages and disadvantages in comparison with the conventional
imaging techniques.
Keywords: implant imaging techniques, computed tomography, multidetector
computed tomography
International Journal of Radiology & Radiation Terapy
Case Report
Open Access