Evaluation of peri-implant buccal bone by computed tomography: an experimental study.

Abstract:

OBJECTIVES:To evaluate the accuracy of measuring peri-implant buccal bone when using three different computed tomography devices. MATERIALS AND METHODS:Sixty tissue-level or bone-level dental implants were placed in bovine ribs with either buccal bone full coverage, dehiscence or fenestration. For each site, the distance from the bone defect to the implant neck and the buccal bone thickness 1 mm apical to the crest were measured using a calliper. Subsequently, all sites were scanned in a reproducible position using a multi-slice computed tomography (CT) (Brightspeed, voxel size 0.625 mm) and two cone-beam computed tomography devices (i-CAT NG, voxel size 0.3 mm and Newtom VGi, voxel size 0.2 mm). Bone thickness was measured on images from the three systems similar to direct measurements and differences were evaluated. Factors that could influence the buccal bone identification were assessed by multiple binary logistic regression. RESULTS:Buccal bone ranged from 0.1 mm to 2.75 mm in thickness and was not visible in 68%, 63% and 60% of cases when using CT, i-CAT and Newtom, respectively. For each mm of bone thickness increment, the odds of radiographic identification increased by 30.6 (P < 0.001). Bone defects negatively affected radiographic visibility (P < 0.05). All devices underestimated bone dimensions although differences among them were not significant. CONCLUSIONS:Within these experimental conditions, the investigated devices have equivalent low accuracy in diagnosing peri-implant buccal bone. Accuracy was significantly influenced by buccal bone thickness, especially if <1 mm, and in presence of peri-implant marginal defects.

journal_name

Clin Oral Implants Res

authors

González-Martín O,Oteo C,Ortega R,Alandez J,Sanz M,Veltri M

doi

10.1111/clr.12663

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

950-5

issue

8

eissn

0905-7161

issn

1600-0501

journal_volume

27

pub_type

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