TODENTJ-25-03-2019_TODENTJ-12-94
1553507285
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
01
31
2018
12
1
Impact of Cone Beam Computed Tomography Dose in Pre-Surgical Implant Analysis
Nabil
EL Sahili
Ibrahim
Nasseh
Antoine
Berberi
Sandra
David-Tchouda
Sophie
Thoret
Thomas
Fortin
Objectives:
Cone-Beam Computed Tomography (CBCT) produces vital information required for the accurate and prudent placement of dental implants. Lack of standardization between CBCT machines may result in unsafe patient exposure to harmful radiation; higher doses are not necessarily associated with improved image quality.
Aim:
The study aimed to assess the influence of low- and high-dose milliamperage settings on CBCT images for objective and subjective implant planning.
Methods:
Two dry skulls (4 hemi-maxillary segments of the maxilla and 4 hemi-maxillary segments of the mandible) were scanned under low (2 mA) and high (6.3 mA) dosage settings using a CBCT (Carestream CS 9300). Cross-sectional slices of both image qualities were evaluated by five expert clinicians, for image quality for implant planning and objective bone measurements.
Results:
There were no significant differences in bone measurements taken on high or low dose images (p > 0.05). In qualitative image assessments, assessment and image quality for almost all observers were independent of each other. For planning posterior mandibular implant placement, increased dosage improved concordance and kappa values between low and high dose images.
Conclusion:
Reduction in milliamperage did not affect diagnostic image quality for objective bone measurements and produced sufficient intra-rater reliability for qualitative assessment; therefore dose reduction can be achieved without compromising diagnostic decision- making.
01
31
2018
94
103
TODENTJ-12-94
1
10.2174/crossmark_policy
opendentistryjournal.com
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Peer Reviewed
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2017-11-17
2017-12-20
2018-01-05
2018-01-31
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601812010094
1553507285
https://opendentistryjournal.com/VOLUME/12/PAGE/94/
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-94/TODENTJ-12-94.pdf
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-94/TODENTJ-12-94.pdf
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-94/TODENTJ-12-94.pdf
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-94/TODENTJ-12-94.pdf
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-94/TODENTJ-12-94.xml
Aust. Dent. J.
Anderson PJ
4
174
2014
10.1111/adj.12154
Anderson PJ, Yong R, Surman TL, Rajion ZA, Ranjitkar S.
Application of three-dimensional computed tomography in craniofacial clinical practice and research.
Aust Dent J
2014;
4
(1)
: 174-85.
Periodontol.
Jacobs R
66
188
2000
10.1111/prd.12050
Jacobs R, Quirynen M, Bornstein MM.
Neurovascular disturbances after implant surgery.
Periodontol
2000;
66
(1)
: 188-202.
2014 Oct;
Natl. J. Maxillofac. Surg.
Gupta J.
4
2
2013
10.4103/0975-5950.117811
Gupta J, Ali SP.
Cone beam computed tomography in oral implants.
Natl J Maxillofac Surg
2013;
4
(1)
: 2-6.
J oral maxillofac surg.
Carter JB
74
668
2016
10.1016/j.joms.2015. 10.018
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 usage in united states academic centers and oral and maxillofacial surgery practices.
J oral maxillofac surg
2016;
74
(4)
: 668-79.
101177/0146645315575872
Rehani MM.
Radiological protection in computed tomography and cone beam computed tomography
Ann ICRP
2015;
44
(1)
: 229-35.
Imaging Sci. Dent.
Jaju PP
45
263
2015
Jaju PP, Jaju SP.
Cone-beam computed tomography: Time to move from ALARA to ALADA.
Imaging Sci Dent
2015;
45
(4)
: 263-5.
Int. J. Oral Maxillofac. Implants
Song Y.D.
24
59
2009
Song YD, Jun SH, Kwon JJ.
Correlation between bone quality evaluated by cone-beam computerized tomography and implant primary stability.
Int J Oral Maxillofac Implants
2009;
24
(1)
: 59-64.
10.1111/j.1600-0501.2011.02203.x
Isoda K, Ayukawa Y, Tsukiyama Y, Sogo M, Matsushita Y, Koyano K.
Relationship between the bone density estimed by cone-beam computed tomography and the primary stability of dental implants.
Clin Oral Implants Res
2012;
23
(7)
: 832-6.
Ann. ICRP
Valentin J.
37
1
2007
Valentin J.
Managing patient dose in multi-detector computed tomography(MDCT). ICRP Publication 102.
Ann ICRP
2007;
37
(1)
: 1-79, iii.
Int. J. Oral Maxillofac Implants.
Bornstein MM
37
55
2014
Bornstein MM, Scarfe WC, Vaughn VM, 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;
37
(29 Suppl)
: 55-77.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Sur J.
110
e29
2010
10.1016/j.tripleo.2010.03.041
Sur J, Seki K, Koizumi H, Nakajima K, Okano T.
Effects of tube current on cone-beam computerized tomography image quality for presurgical implant planning in vitro.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2010;
110
(3)
: e29-33.
Acta Radiol.
Rustemeyer P.
45
847
2004
10.1080/02841850410001402
Rustemeyer P, Streubühr U, Suttmoeller J.
Low-dose dental computed tomography: Significant dose reduction without loss of image quality.
Acta Radiol
2004;
45
(8)
: 847-53.
Dentomaxillofac. Radiol.
Okano T.
38
79
2009
10.1259/dmfr/14769929
Okano T, Harata Y, Sugihara Y, et al.
Absorbed and effective doses from cone beam volumetric imaging for implant planning.
Dentomaxillofac Radiol
2009;
38
(2)
: 79-85.
Clin. Oral Implants Res.
Koizumi H.
21
830
2010
10.1111/j.1600-0501.2010.01925.x
Koizumi H, Sur J, Seki K, Nakajima K, Sano T, Okano T.
Effects of dose reduction on multi-detector computed tomographic images in evaluating the maxilla and mandible for pre-surgical implant planning: A cadaveric study.
Clin Oral Implants Res
2010;
21
(8)
: 830-4.
10.1259/dmfr/16421849
Dawood A, Brown J, Sauret-Jackson V, Purkayastha S.
Optimization of cone beam CT exposure for pre-surgical evaluation of the implant site.
Dentomaxillofac Radiol
2012;
41
(1)
: 70-4.
Am. J. Orthod. Dentofacial Orthop.
Kwong J.C.
133
317
2008
10.1016/j.ajodo.2007.02.053
Kwong JC, Palomo JM, Landers MA, Figueroa A, Hans MG.
Image quality produced by different cone-beam computed tomography settings.
Am J Orthod Dentofacial Orthop
2008;
133
(2)
: 317-27.
Int. J. Oral Maxillofac. Implants
Vasconcelos T.V.
29
1364
2014
10.11607/jomi.3524
Vasconcelos TV, Neves FS, Queiroz de Freitas D, Campos PS, Watanabe PC.
Influence of the milliamperage settings on cone beam computed tomography imaging for implant planning.
Int J Oral Maxillofac Implants
2014;
29
(6)
: 1364-8.
Ned. Tijdschr. Tandheelkd.
van der Sanden W.J.
123
211
2016
10.5177/ntvt.2016.04.15222
van der Sanden WJ, Kreulen CM, Berkhout WE.
Instruction in dental radiology.
Ned Tijdschr Tandheelkd
2016;
123
(4)
: 211-8.
Imaging Sci. Dent.
Lee C.
46
103
2016
10.5624/isd.2016.46.2.103
Lee C, Lee SS, Kim JE, et al.
A dose monitoring system for dental radiography.
Imaging Sci Dent
2016;
46
(2)
: 103-8.
Prim. Dent. J.
Horner K.
2
22
2013
10.1308/205016813804971582
Horner K.
Cone-beam computed tomography: Time for an evidence-based approach.
Prim Dent J
2013;
2
(1)
: 22-31.
10.1155/2016/5261247
Mangano F, Shibli JA, Fortin T.
Digital dentistry: New Materials and Techniques
2016.
Eur. J. Oral Implantology
Liljeholm R.
10
351
2017
Liljeholm R, Kadesjö N, Benchimol D, Hellén-Halme K, Shi XQ.
Cone-beam computed tomography with ultra-low dose protocols for pre-implant radiographic assessment: An in vitro study.
Eur J Oral Implantology
2017;
10
(3)
: 351-9.
Int. J. Med. Robot.
Mangano F.
9
331
2013
10.1002/rcs.1460
Mangano F, Zecca P, Pozzi-Taubert S, et al.
Maxillary sinus augmentation using computer-aided design/computer-aided manufacturing (CAD/CAM) technology.
Int J Med Robot
2013;
9
(3)
: 331-8.
Lasers Med. Sci.
Mangano F.G.
27
1241
2012
10.1007/s10103-012-1134-z
Mangano FG, Cirotti B, Sammons RL, Mangano C.
Custom-made, root-analogue direct laser metal forming implant: A case report.
Lasers Med Sci
2012;
27
(6)
: 1241-5.
Dent. Traumatol.
Cohenca N.
33
321
2017
10.1111/edt.12339
Cohenca N, Silberman A.
Contemporary imaging for the diagnosis and treatment of traumatic dental injuries: A review.
Dent Traumatol
2017;
33
(5)
: 321-8.