Evaluation of the Effectiveness of Panoramic Radiography in Determining Dental Implant Length

Abstract

Introduction Panoramic radiographs are frequently used as a radiographic method in the evaluation and preparation of treatment protocols before dental implant procedures. The aim of this retrospective study is to examine the correlation between the preoperatively planned implant lengths determined on panoramic radiographic images and the actual placed implant lengths in patients who received dental implants in the maxillary and mandibular posterior regions. Additionally, the study aims to evaluate the reliability and adequacy of panoramic radiography in this context. Materials and Methods In this study, the records of 568 patients who applied to our clinic for dental implant treatment between March 2023 and February 2024 were examined. Patients who received implants in the maxillary and mandibular posterior regions and had preoperative panoramic radiographs were included in the study. Patients were excluded if their radiographic images contained artifacts that hindered length measurements, if angled implants were placed, or if they underwent external and internal sinus lifting or vertical augmentation. Statistical analyses were performed using SPSS 23 (SPSS Inc., Chicago, IL, USA) software. Results A total of 443 dental implants were included in the study, involving 234 patients. The gender distribution of the sample consisted of 54% (n=126) female and 46% (n=108) male patients. Of the implants, 46.7% (n=207) were placed in the maxillary posterior region, and 53.3% (n=236) were placed in the mandibular posterior region. The intraclass correlation coefficient (ICC) for the concordance between planned and placed implant lengths was found to be 0.9014. This ICC was measured at 0.9036 among male patients and 0.9 among female patients. These results indicate a high level of concordance between the planned and actual implant lengths. Conclusion Panoramic radiography can be considered a simple, accessible, and useful tool in determining implant length before dental implant treatment. However, advanced radiographic examinations such as cone-beam computed tomography may also be necessary for more consistent implant treatment planning.

Keywords

• dental implant
• panoramic radiography
• radiological examination
• length

Dental İmplant Uzunluğunun Belirlenmesinde Panoramik Radyografi Etkinliğinin Değerlendirilmesi

Abstract

Giriş: Panoramik radyografiler, dental implant tedavisi öncesi değerlendirme ve tedavi protokollerinin hazırlanmasında radyografik bir yöntem olarak sıklıkla kullanılmaktadır. Bu retrospektif çalışmanın amacı, maksiller ve mandibular posterior bölgeye dental implant yapılmış hastalarda, preoperatif panoramik radyografik görüntüler üzerinde yapılan planlamaya göre belirlenen implant boyları ile yerleştirilmiş implant boyları arasındaki korelasyonu incelemek ve panoramik radyografinin bu kapsamda güvenilirliğini ve yeterliliğini değerlendirmektir. Materyal ve Metod: Çalışmada, Mart 2023 ile Şubat 2024 tarihleri arasında dental implant tedavisi için kliniğimize başvuran 568 hastanın dosyası incelenmiştir. Bu bağlamda, maksiller ve mandibular posterior bölgeye implant yapılmış ve preoperatif panoramik radyografisi olan hastalar çalışmaya dahil edilmiştir. Radyografik görüntülerde uzunluk ölçümünü engelleyen artefaktlar bulunan, açılı implant yapılmış, eksternal ve internal sinüs lifting yapılmış hastalar ve vertikal augmentasyon yapılmış hastalar çalışma dışı bırakılmıştır. İstatiksel analizler için SPSS 23 (SPSS Inc., Chicago, IL, USA) yazılımı kullanılmıştır. Bulgular: Çalışmaya, toplamda 234 hastada 443 dental implant dahil edilmiştir. Örneklemdeki hastaların cinsiyet dağılımı, %54'si (n=126) kadın ve %46’si (n=108) erkek hastadan oluşmaktadır. İmplantların %46,7’si (n=207) maksiller posterior %53,3’si (n=236) mandibular posterior bölgeye uygulanmıştır. Planlanan implant boyları ile yapılmış implantlar arasındaki intraclass correlation coefficient uyum katsayısı 0,9014 olarak bulunmuştur. Erkekler arasında bu oran 0,9036; kadınlar arasında 0,9 olarak ölçülmüştür. Bu sonuçlar, planlanan ve uygulanan implant boyları arasında yüksek düzeyde bir uyum olduğunu göstermektedir. Sonuç: Panoramik radyografi, dental implant tedavisi öncesinde implant uzunluğunun belirlenmesinde basit, kolay ulaşılabilir ve yararlı bir araç olarak kabul edilebilir. Ancak planlamayla daha uyumlu implant tedavisi için konik ışınlı bilgisayarlı tomografi gibi ileri radyografik tetkiklere de ihtiyaç bulunmaktadır.

Keywords

• dental implant
• panoramik radyografi
• radyolojik inceleme
• uzunluk

Supporting Institution

Yoktur.

Ethical Statement

Bu makale, sempozyum ya da kongrede sunulan bir tebliğin içeriği geliştirilerek ve kısmen değiştirilerek üretilmemiştir. Bu çalışma, yüksek lisans ya da doktora tezi esas alınarak hazırlanmamıştır. Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

Thanks

Yoktur.

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