İmplant planlamasında iki farklı görüntüleme yönteminin karşılaştırılması

Yıl 2020, Cilt: 6 Sayı: 1, 19 - 28, 23.04.2020

Serap Keskin Tunç , Mehmet Güzel

https://doi.org/10.30569/adiyamansaglik.657667

Öz

Amaç: Panoramik radyografi (PR), diş hekimliğinde özellikle cerrahi işlemlerden önce sıklıkla kullanılan iki boyutlu görüntüleme tekniğidir. Son zamanlarda ise üç boyutlu görüntülemeye başvurulmaktadır. Bu çalışmanın amacı implantların uzunluk ve çap planlamasında, PR ile birlikte değerlendirilen klinik fotoğraflar ve konik ışınlı bilgisayarlı tomografiler’in (KIBT) yeterliliklerinin tanısal düşünme etkinliği açısından incelenmesidir.

Gereç ve Yöntem: Çalışma Grup 1 (KIBT) ve Grup 2 (PR+Klinik Görüntü) olarak gruplandırıldı. İmplant tedavileri yapılmadan önceki klinik fotoğrafları, dijital panoramik radyografileri ve KIBT görüntüleri gibi hasta kayıtları, arşivden temin edildi. Deneyimli ve hastaların demografik bilgileri hakkında bilgisi olmayan 5 klinisyen tarafından, planlanan implantların boy&çapları değerlendirildi.

Bulgular: Çalışmaya 13 erkek, 8 kadın toplam 21 hasta dâhil edildi. 60 implant için uygun bölgeler değerlendirildi. Grup 2’de daha uzun implantlar, Grup 1’de ise daha geniş implantlar planlandığı gözlendi. Araştırmada gruplar arasında istatistiksel olarak anlamlı bir farklılığa rastlanmadı.

Sonuç: Fotoğraf kayıtlarının alınmasının ve bunların implant planlamasında kullanılmasının daha doğru planlamalar yapılabilmesine olanak sağlayacağını düşünmekteyiz.

Anahtar Kelimeler

KIBT, İmplant çap-boy planlama, Panoramik film, Klinik fotoğraf

Comparison of two different imaging methods in implant planning

Öz

Aim: Panoramic radiography (PR) is an imaging technique that is frequently used in dentistry, before surgical procedures. In recent years, three-dimensional imaging has been specifically used to visualize potential implant sites in more detail. The aim of this study was to investigate the efficiency of clinical photographs and conical-beam-computed-tomography (CBCT) in terms of diagnostic thinking and the effectiveness in the planning of length&diameter of implants together with PR.

Materials and Methods: Patient records such as clinical photographs, PR and CBCT prior to implant treatment were obtained from the archive. A total of 21 patients were included in study. 60 implants were evaluated by 5 clinicians who were experience and blinded to the demographic information. It was evaluated by taking the average of measurements.

Results: The analysis showed that longer implants were planned by PR+photographs, and larger implants were planned by CBCTs. There was no statistical differences between groups.

Conclusion: We think it is beneficial to use photos in implant planning.

Anahtar Kelimeler

CBCT, Implant planning, Panoramic film, Clinical photography

Kaynakça

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