Advertisement

Clinical Oral Investigations

, Volume 23, Issue 2, pp 929–936 | Cite as

Influence of 2D vs 3D imaging and professional experience on dental implant treatment planning

  • João Henrique Fortes
  • Christiano de Oliveira-Santos
  • Wilson Matsumoto
  • Raphael Jurca Gonçalves da Motta
  • Camila TirapelliEmail author
Original Article
  • 187 Downloads

Abstract

Objectives

This study investigated whether professional experience and type of image examination (panoramic radiography (PAN) or cone beam computed tomography (CBCT)) could influence the pre-surgical planning for dental implant treatment.

Materials and methods

Six dentists, from two different levels of experience (senior (Sr) and junior (Jr)) performed simulated pre-surgical planning by using PANs and after 1 month, by using CBCTs, considering implant length (IL), implant width (IW), need for bone graft (BG), and other surgical procedures (OP). Bland-Altman test and Kappa coefficient were used to identify agreements.

Results

Bland-Altman test showed good agreement in the plans for inter-professional (i.e., Sr vs Jr) comparisons. Bland-Altman plots displayed intra-observer agreement (i.e., differences between PAN and CBCT), showing discrepancy between imaging modalities for IL and a tendency towards selecting larger dental implant options when using PAN and smaller options with CBCT. Kappa showed almost perfect (0.81–1.0) agreement between Jr and Sr for OP (PAN and CBCT). For BG, agreement was substantial (0.61–0.80) when planning was done with PAN and CBCT. Descriptive statistics showed evidence that when Jrs used CBCT, they no longer indicated the BG they had planned when they used PAN.

Conclusion

There were differences in the pre-surgical planning for treatment with dental implants depending on the professional experience and the type of imaging examination used.

Clinical relevance

Variation in dental implant planning can affect treatment time, cost, and morbidity in patients.

Keywords

Cone beam tomography Dental implants Treatment plan Professional experience Digital dentistry 

Notes

Acknowledgments

We would like to thank Clínica DVI (Ribeirão Preto, SP, Brazil), RadioMemory Company (Belo Horizonte, MG, Brazil).

Funding information

The work was supported by the Department of Dental Materials and Prosthodontics and Departament of Stomatology, Public Health, and Forensic Dentistry in the University of São Paulo, SP, Brazil. CAPES (Coordination for the Improvement of Higher Level Education—Personnel) for the financial support provided for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with direct human participants or animals performed by any of the authors. Access to diagnostic image database was approved by institutional research committee approved ethically under the number 47779215.8.0000.5419.

Informed consent

For this type of study, no formal consent is required.

References

  1. 1.
    Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D (2006) State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Investig 10:1–7.  https://doi.org/10.1007/s00784-005-0031-2 CrossRefGoogle Scholar
  2. 2.
    Harris D, Buser D, Dula K, Grondahl K, Haris D, Jacobs R, Lekholm U, Nakielny R, van Steenberghe D, van der Stelt P, European Association for Osseointegration (2002) E.A.O. guidelines for the use of diagnostic imaging in implant dentistry. A consensus workshop organized by the European Association for Osseointegration in Trinity College Dublin. Clin Oral Implants Res 13:566–570.  https://doi.org/10.1034/j.1600-0501.2002.130518.x CrossRefGoogle Scholar
  3. 3.
    Harris D, Horner K, Gröndahl K, Jacobs R, Helmrot E, Benic GI, Bornstein MM, Dawood A, Quirynen M (2012) E.A.O. guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res 23:1243–1253.  https://doi.org/10.1111/j.1600-0501.2012.02441.x4 CrossRefGoogle Scholar
  4. 4.
    Monsour PA, Dudhia R (2008) Implant radiography and radiology. Aust Dent J.  https://doi.org/10.1111/j.1834-7819.2008.00037.x
  5. 5.
    Tyndall DA, Price JB, Tetradis S, Ganz SD, Hildebolt C, Scarfe WC (2012) Position statement of the American Academy of Oral and Maxillofacial Radiology on selection criteria for the use of radiology in dental implantology with emphasis on cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol 113(6):817–26. Available from:  https://doi.org/10.1016/j.oooo.2012.03.005
  6. 6.
    Bou Serhal C, Jacobs R, Persoons M, Hermans R, van Steenberghe D (2000) The accuracy of spiral tomography to assess bone quantity for the preoperative planning of implants in the posterior maxilla. Clin Oral Implants Res 11:242–247.  https://doi.org/10.1034/j.1600-0501.2000.011003242.x CrossRefGoogle Scholar
  7. 7.
    Correa LR, Spin-Neto R, Stavropoulos A, Schropp L, da Silveira HED, Wenzel A (2014) Planning of dental implant size with digital panoramic radiographs, CBCT-generated panoramic images, and CBCT cross-sectional images. Clin Oral Implants Res 25:690–695.  https://doi.org/10.1111/clr.12126 CrossRefGoogle Scholar
  8. 8.
    Deeb G, Antonos L, Tack S, Carrico C, Laskin D, Deeb JG (2016) Is cone beam computed tomography always necessary for dental implant placement? J Oral Maxillofac Surg 75:285–289.  https://doi.org/10.1016/j.joms.2016.11.005 CrossRefGoogle Scholar
  9. 9.
    Diniz AFN, Mendonca EF, Leles CR, Guilherme AS, Cavalcante MP, Silva MAGS (2008) Changes in the pre-surgical treatment planning using conventional spiral tomography. Clin Oral Implants Res 19:249–253.  https://doi.org/10.1111/j.1600-0501.2007.01475.x CrossRefGoogle Scholar
  10. 10.
    Guerrero ME, Noriega J, Castro M, Jacobs R (2014) Does cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT images. Imaging Sci Dent 44(2):121–128.  https://doi.org/10.5624/isd.2014.44.2.121 CrossRefGoogle Scholar
  11. 11.
    Schropp L, Stavropoulos A, Gotfredsen E, Wenzel A (2010) Comparison of panoramic and conventional cross-sectional tomography for preoperative selection of implant size. Clin Oral Implants Res 22:424–429.  https://doi.org/10.1111/j.1600-0501.2010.02006.x CrossRefGoogle Scholar
  12. 12.
    Fryback DG, Thornbury JR (1991) The efficacy of diagnostic imaging. Med Decis Mak 11:88–94.  https://doi.org/10.1177/0272989x9101100203 CrossRefGoogle Scholar
  13. 13.
    Gazelle GS, Kessler L, Lee DW, McGinn T, Menzin J, Neumann PJ, van Amerongen D, White LA, Working Group on Comparative Effectiveness Research for Imaging (2011) A framework for assessing the value of diagnostic imaging in the era of comparative effectiveness research. Radiology 261(3):692–698.  https://doi.org/10.1148/radiol.11110155 CrossRefGoogle Scholar
  14. 14.
    Vazquez L, Saulacic N, Belser UC, Bernard J-P (2007) Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res 19:81–85.  https://doi.org/10.1111/j.1600-0501.2007.01402.x Google Scholar
  15. 15.
    Engelhardt S, Papacosta P, Rathe F, Özen J, Jansen JA, Junker R (2014) Annual failure rates and marginal bone-level changes of immediate compared to conventional loading of dental implants. A systematic review of the literature and meta-analysis. Clin Oral Implants Res 26:671–687.  https://doi.org/10.1111/clr.12363 CrossRefGoogle Scholar
  16. 16.
    Lambert P, Morris H, Ochi S (1997) Positive effect of surgical experience with implants on second stage implant survival. J Oral Maxillofac Surg 55:12–18.  https://doi.org/10.1016/s0278-2391(16)31192-2 CrossRefGoogle Scholar
  17. 17.
    Cushen SE, Turkyilmaz I (2013) Impact of operator experience on the accuracy of implant placement with stereolithographic surgical templates: an in vitro study. J Prosthet Dent 109:248–254.  https://doi.org/10.1016/s0022-3913(13)60053-0 CrossRefGoogle Scholar
  18. 18.
    Zoghbi SA, Lima LAPA, Saraiva L, Romito GA (2011) Surgical experience influences 2-stage implant osseointegration. J Oral Maxillofac Surg 69:2771–2776.  https://doi.org/10.1016/j.joms.2011.03.031 CrossRefGoogle Scholar
  19. 19.
    Jacobs R, Adriansens A, Naert I, Quirynen M, Hermans R, Van Steenberghe D (1999) Predictability of reformatted computed tomography for pre-operative planning of endosseous implants. Dentomaxillofac Radiol 28:37–41.  https://doi.org/10.1038/sj.dmfr.4600403 CrossRefGoogle Scholar
  20. 20.
    Manzano G, Montero J, Martín-Vallejo J, Del Fabbro M, Bravo M, Testori T (2016) Implant Dent 25:272–280.  https://doi.org/10.1097/id.0000000000000386 CrossRefGoogle Scholar
  21. 21.
    Olate S, Lyrio MCN, Moraes M, Mazzonetto R, Moreira RWF (2010) Influence of diameter and length of implant on early dental implant failure. J Oral Maxillofac Surg 68:414–419.  https://doi.org/10.1016/j.joms.2009.10.002 CrossRefGoogle Scholar
  22. 22.
    Olmedo-Gaya MV, Manzano-Moreno FJ, Cañaveral-Cavero E, de Dios Luna-del Castillo J, Vallecillo-Capilla M (2016) Risk factors associated with early implant failure: a 5-year retrospective clinical study. J Prosthet Dent 115:150–155.  https://doi.org/10.1016/j.prosdent.2015.07.020 CrossRefGoogle Scholar
  23. 23.
    Renouard F, Nisand D (2006) Impact of implant length and diameter on survival rates. Clin Oral Implants Res 17(S2):35–51.  https://doi.org/10.1111/j.1600-0501.2006.01349.x CrossRefGoogle Scholar
  24. 24.
    Balevi B (2013) In selected sites, short, rough-surfaced dental implants are as successful as long dental implants. J Am Dent Assoc 144:195–196.  https://doi.org/10.14219/jada.archive.2013.0099 CrossRefGoogle Scholar
  25. 25.
    Christensen GJ (2006) The ‘mini’-implant has arrived. J Am Dent Assoc 137:387–390.  https://doi.org/10.14219/jada.archive.2006.0189 CrossRefGoogle Scholar
  26. 26.
    Jain N, Gulati M, Garg M, Pathak C (2016) Short implants: new horizon in implant dentistry. J Clin Diagn Res 10(9):ZE14–ZE17.  https://doi.org/10.7860/JCDR/2016/21838.8550 Google Scholar
  27. 27.
    Flores-Mir C, Rosenblatt MR, Major PW, Carey JP, Heo G (2014) Measurement accuracy and reliability of tooth length on conventional and CBCT reconstructed panoramic radiographs. Dental Press J Orthod 19(5):45–53.  https://doi.org/10.1590/2176-9451.19.5.045-053.oar CrossRefGoogle Scholar
  28. 28.
    Chiapasco M, Zaniboni M, Rimondini L (2007) Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficiente edentulous ridges: a 2-4-year prospective study on humans. Clin Oral Implants Res 18:432–440.  https://doi.org/10.1111/j.1600-0501.2007.01351.x CrossRefGoogle Scholar
  29. 29.
    Felice P, Pistilli R, Lizio G, Pellegrino G, Nisii A, Marchetti C (2009) Inlay versus onlay iliac bone grafting in atrophic posterior mandible: a prospective controlled clinical trial for the comparison of two techniques. Clin Implant Dent Relat Res 11:69–82.  https://doi.org/10.1111/j.1708-8208.2009.00212.x CrossRefGoogle Scholar
  30. 30.
    Omami G (2017) Cone-beam computed tomography in implant dentistry: back to the future. J Oral Maxillofac Surg 75(4):655.  https://doi.org/10.1016/j.joms.2016.12.028 CrossRefGoogle Scholar
  31. 31.
    Dau M, Edalatpour A, Schulze R, Al-Nawas B, Alshihri A, Kämmerer PW (2017) Presurgical evaluation of bony implant sites using panoramic radiography and cone beam computed tomography—influence of medical education. Dentomaxillofac Radiol 46(2):20160081.  https://doi.org/10.1259/dmfr.20160081 CrossRefGoogle Scholar
  32. 32.
    Debellemanière G, Guilbert E, Courtin R, Panthier C, Sabatier P, Gatinel D, Saad A (2017) Impact of surgical learning curve in Descemet membrane endothelial keratoplasty on visual acuity gain. Cornea 36(1):1–6.  https://doi.org/10.1097/ICO.0000000000001066 CrossRefGoogle Scholar
  33. 33.
    Hasan A, Pozzi M, Hamilton JR (2000) New surgical procedures: can we minimise the learning curve? BMJ 320(7228):171–173CrossRefGoogle Scholar
  34. 34.
    Simpson AH, Howie CR, Norrie J (2017) Surgical trial design—learning curve and surgeon volume: determining whether inferior results are due to the procedure itself, or delivery of the procedure by the surgeon. Bone Joint Res 6:194–195.  https://doi.org/10.1302/2046-3758.64.bjr-2017-0051 CrossRefGoogle Scholar
  35. 35.
    Stolz LA, Cappa AR, Minckler MR, Stolz U, Wyatt RG, Binger CW, Amini R, Adhikari S (2016) Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement. J Vasc Access 3:0.  https://doi.org/10.5301/jva.5000574 Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • João Henrique Fortes
    • 1
  • Christiano de Oliveira-Santos
    • 2
  • Wilson Matsumoto
    • 1
  • Raphael Jurca Gonçalves da Motta
    • 1
  • Camila Tirapelli
    • 1
    Email author
  1. 1.Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil
  2. 2.Departament of Stomatology, Public Health, and Forensic Dentistry, School of Dentistry of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil

Personalised recommendations