Skip to main content

Advertisement

SpringerLink
Log in

State-of-the-art on cone beam CT imaging for preoperative planning of implant placement

  • Review
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Orofacial diagnostic imaging has grown dramatically in recent years. As the use of endosseous implants has revolutionized oral rehabilitation, a specialized technique has become available for the preoperative planning of oral implant placement: cone beam computed tomography (CT). This imaging technology provides 3D and cross-sectional views of the jaws. It is obvious that this hardware is not in the same class as CT machines in cost, size, weight, complexity, and radiation dose. It is thus considered to be the examination of choice when making a risk–benefit assessment. The present review deals with imaging modalities available for preoperative planning purposes with a specific focus on the use of the cone beam CT and software for planning of oral implant surgery. It is apparent that cone beam CT is the medium of the future, thus, many changes will be performed to improve these. Any adaptation of the future systems should go hand in hand with a further dose optimalization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Arai Y, Honda K, Iwai K, Shinoda K (2001) Practical model “3DX” of limited cone-beam X-ray CT for dental use. Int Congr Ser 1230:713–718

    Article  Google Scholar 

  2. Araki K, Maki K, Seki K, Sakamaki K, Harata Y, Sakaino R, Okano T, Seo K (2004) Characteristics of a newly developed dentomaxillofacial X-ray cone beam CT scanner (CB MercuRay): system configuration and physical properties. Dentomaxillofac Radiol 33:51–59

    Article  PubMed  Google Scholar 

  3. Baba R, Konno Y, Ueda K, Ikeda S (2002) Comparison of flat-panel detector and image-intensifier detector for cone-beam CT. Comput Med Imaging Graph 26:153–158

    Article  PubMed  Google Scholar 

  4. Baba R, Ueda K, Okabe M (2004) Using a flat-panel detector in high resolution cone beam CT for dental imaging. Dentomaxillofac Radiol 33:285–290

    Article  PubMed  Google Scholar 

  5. Belser U, Schmit B, Higginbottom F, Buser D (2004) Outcome analysis of implant restorations located in the anterior maxilla: A review of the literature. Int J Oral Maxillofac Implants 19:30–42 (Suppl)

    PubMed  Google Scholar 

  6. Besimo C, Lambrecht JT, Guindy JS (2000) Accuracy of implant treatment planning utilizing template-guided reformatted computed tomography. Dentomaxillofac Radiol 29:46-51

    Article  PubMed  Google Scholar 

  7. Brånemark P-I, Breine U, Adell R, Hanson Bo, Lindström J, Ohlsson A (1969) Intraosseous anchorage of dental prostheses. Scand J Plast Reconstr Surg 3:81–100

    Article  PubMed  Google Scholar 

  8. Brooks SL, Beason R, Sarment D, Sukovic P (2004) Implant imaging with the I-CAT cone-beam CT-a progress report. Int Congr Ser 1268:1184–1186

    Article  Google Scholar 

  9. Cavalcanti MGP, Rocha SS, Vannier MW (2004) Craniofacial measurements based on 3D-CT volume rendering: implications for clinical applications. Dentomaxillofac Radiol 33:170–176

    Article  PubMed  Google Scholar 

  10. Fortin T, Coudert J, Champleboux G, Sautot P, Lavallee S (1995) Computer-assisted dental implant surgery using computed tomography. J Image Guid Surg 1:53–58

    Article  PubMed  Google Scholar 

  11. Gijbels F, Jacobs R, Debaveye D, Verlinden S, Bogaerts R, Sanderink G (2005) Dosimetry of digital panoramic imaging. Part 1: patient exposure. Dentomaxillofac Radiol 34:145–149

    Article  PubMed  Google Scholar 

  12. Harris D, Buser D, Dula K et al (2002) E.A.O Guidelines for the use of Diagnostic Imaging in Implant Dentistry. Clin Oral Implants Res 566–570

  13. Hashimoto K, Arai Y, Iwai K, Araki M, Kawashima S, Terakado M (2003) A comparison of a new limited cone beam computed tomography machine for dental use with a multidetector row helical CT machine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:371–377

    Article  PubMed  Google Scholar 

  14. Heiland M, Schmelzle R, Hebecker A, Schulze D (2004) Intraoperative 3D imaging of the facial skeleton using the SIREMOBIL Iso-C3D. Dentomaxillofac Radiol 33:130–132

    Article  PubMed  Google Scholar 

  15. Hirsch E, Graf H-L, Hemprich A (2003) Comparative investigation of image quality of three different X-ray procedures. Dentomaxillofac Radiol 32:201–211

    Article  Google Scholar 

  16. Honda K, Arai Y, Iwai K, Hasimoto K, Saito T, Shinoda K (2000) Fundamental efficiency of new-style limited cone-beam CT (3DX). Comparison with Helical CT. Jpn J Tomogr 27:17–22

    Google Scholar 

  17. Honda K, Larheim A, Johannessen S, Arai Y, Shinoda K, Westesson P (2001) Ortho cubic super high resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91:239–243

    PubMed  Google Scholar 

  18. Ito K, Gomi Y, Sato S, Arai Y, Shinoda K (2001) Clinical application of a new compact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible. A case report. Clin Oral Implants Res 12:539–542

    Article  PubMed  Google Scholar 

  19. Iwai K, Arai Y, Nishizawa K,Tammisalo E, Hashimoto K, Shinoda K (1998) Estimation of radiation doses from ortho cubic super high resolution CT. Dentomaxillofac Radiol 27[Suppl 1]:39

    Google Scholar 

  20. Jacobs R, Gijbels F (2000) Oral Imaging 2000. KULeuven, Dept Periodontology, Leuven, pp 4–8

  21. Jacobs R, Adriansens A, Verstreken K, Suetens P, van Steenberghe D (1999) Predictability of a three-dimensional planning system for oral implant surgery. Dentomaxillofac Radiol 28:105–111

    Article  PubMed  Google Scholar 

  22. Kobayashi K, Shimoda S, Nakagawa Y, Yamamoto A (2004) Accuracy in measurement of distance using limited cone-beam computerized tomography. Int J Oral Maxillofac Implants 19:228–231

    PubMed  Google Scholar 

  23. Lascala CA, Panella J, Marques MM (2004) Analysis of the accuracy of linear measurements obtained by cone beam computed tomography (CBCT-NewTom). Dentomaxillofac Radiol 33:291–294

    Article  PubMed  Google Scholar 

  24. Lindquist LW, Carlsson GE, Jemt T (1996) A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. Clin Oral Implants Res 7:329–336

    Article  PubMed  Google Scholar 

  25. Loubele M, Schutyser K, Debaveye D, Jacobs R, Bogaerts R, Maes F, van Cleynenbreugel J, Vandermeulen D, Marchal G, Suetens P (2005) Radiation dose versus image quality for low-dose CT protocols of the head for maxillofacial surgery and dental implant planning. Radiat Prot Dosim (International workshop on optimisation of dose and performance in interventional and digital imaging-DIMOND III, March 25–27, 2004, Leuven, Belgium) (in press)

  26. Ludlow JB, Brooks SL, Davies-Ludlow LE, Howerton WB (2005) Dosimetry of 3 CBCT units for oral and maxillofacial radiology. 15th International Congress of DentoMaxilloFacial Radiology. OP22, p 53

  27. Mishima A, Kobayashi K, Yamamoto A, Kimura Y, Tanaka M (2001) Comparison of patient radiation dose from dental CT and spiral CT. Symposium of high technology research center in Tsurumi University School of Dental Medicine. Nagasue Shoten, Yokohama, Japan, pp 171–172

  28. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8:1558–1564

    Article  PubMed  Google Scholar 

  29. Nakagawa Y, Kobayashi K, Mishima, Ishii H, Asada K, Ishibashi K (2002) Preoperative application of limited cone beam computerized tomography as an assessment toll before minor oral surgery. Int J Oral Maxillofac Surg 31:322–327

    Article  PubMed  Google Scholar 

  30. Naitoh M, Arjji E, Okumura S, Ohsaki C, Kurita K, Ishigama T (2000) Can implants be correctly angulated based on surgical templates used for osseointegrated dental implants? Clin Oral Implants Res 11:409–414

    Article  PubMed  Google Scholar 

  31. Oldham M, Letourneau D, Watt L, Chen P, Martinez A, Wong J (2003) On-line volumetric CT-guided radiation theraphy. Int J Rad Onc Biol Phys 57:184 (Suppl)

    Google Scholar 

  32. Pouliot J, Xia P, Aubin M, Verhey L, Bani-Hashemi A, Ghelmansarai F, Mitschke M, Svatos M (2003) Low-dose megavoltage cone beam CT for dose-guided radiation therapy. Int J Rad Onc Biol Phys 57:183 (Suppl)

    Google Scholar 

  33. Sarkar PS, Sinha A, Kashyap Y, More MR, Godwal BK (2004) Development and characterization of a 3D cone beam tomography system. Nucl Instr Meth A 524:377–384

    Article  Google Scholar 

  34. Sarment D, Sukovic P, Clinthorne N (2003) Accuracy of implant placement with astereolithographic surgical guide. Int J Oral Maxillofac Implants 18:571–577

    PubMed  Google Scholar 

  35. Schulze D, Heiland M, Schmelzle R, Rother UJ (2004) Diagnostic possibilities of cone-beam computed tomography in the facial skeleton. Int Congr Ser 1268:1179–1183

    Article  Google Scholar 

  36. Schulze D, Heiland M, Thurmann H, Adam G (2004b) Radiation exposure during midfacial imaging using 4- and 16-slice computed tomography, cone beam computed tomography systems and conventional radiography. Dentomaxillofac Radiol 33:83–86

    Article  PubMed  Google Scholar 

  37. Shinoda K, Honda K, Matsumoto K, Arai Y (2004) Annual report of limited cone beam computed tomography (3D Accu-I-Tomo) from 3000 cases at Nihon University dental hospital in 2003. Int Congr Ser 1268:1187–1191

    Article  Google Scholar 

  38. Schwarz MS, Rothman SL, Chafetz N, Rhodes M (1989) Computed tomography in dental implantation surgery. Dent Clin North Am 33:555–597

    PubMed  Google Scholar 

  39. Tyndall AA, Brooks SL (2000) Selection criteria for dental implant site imaging: a position paper of the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:630–637

    Article  PubMed  Google Scholar 

  40. van Steenberghe D, Naert I, Andersson M, Brajnovic I, Van Cleynenbreugel J, Suetens P (2002) A custom template and definitive prosthesis allowing immediate implant loading in the maxilla: a clinical report. Int J Oral Maxillofac Implants 17:663–670

    PubMed  Google Scholar 

  41. van Steenberghe D, Ericsson I, Van Cleynenbreugel J, Schutyser F, Brajnovic I, Andersson M (2004) High precision planning for oral implants based on 3-D CT scanning. A new surgical technique for immediate and delayed loading. Appl Osseointegration Res 4:27–31

    Google Scholar 

  42. Wanschitz F, Birkfellner W, Watzinger F, Schopper C, Patruta S, Kainberger K, Figl M, Kettenbach J, Bergmann H, Ewers R (2002) Evaluation of accuracy of computer aided intraoperative positioning of endosseous oral implants in the edentulous mandible. Clin Oral Implants Res 13:59–64

    Article  PubMed  Google Scholar 

  43. Watzinger F, Wanschitz F, Wagner A, Enislidis G, Millesi W, Baumann A, Ewers R (1997) Computer-aided navigation in secondary reconstruction of post-traumatic deformities of the zygoma. J Craniomaxillofac Surg 25:198–202

    PubMed  Google Scholar 

  44. Wiegert J, Bertram M, Wulff J, Schafer D, Weese J, Netsch T, Schomberg H, Rose G (2004) 3D ROI imaging for cone-beam computed tomography. Int Congr Ser 1268:7–12

    Article  Google Scholar 

  45. Ziegler CM, Woertche R, Brief J, Hassfeld S (2002) Clinical indications for digital volume tomography in oral and maxillofacial surgery. Dentomaxillofac Radiol 31:126–130

    Article  PubMed  Google Scholar 

Download references

Acknowledgement

M. E. Guerrero is a scholarship holder of the Belgian Technical Cooperation. D. van Steenberghe is holder of the P. I. Brånemark Chair in Osseointegration.

Author information

Authors and Affiliations

  1. Oral Imaging Center, School for Dentistry, Oral Pathology and Maxillofacial Surgery, Katholieke Universiteit Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium

    Maria Eugenia Guerrero & Reinhilde Jacobs

  2. Department of Periodontology, School for Dentistry, Oral Pathology and Maxillofacial Surgery, Katholieke Universiteit Leuven, Leuven, Belgium

    Maria Eugenia Guerrero, Reinhilde Jacobs & Daniel van Steenberghe

  3. Medical Image Computing (ESAT+Radioloy), Faculties of Engineering and Medicine, UZ Gasthuisberg, Leuven, Belgium

    Miet Loubele, Filip Schutyser & Paul Suetens

Authors
  1. Maria Eugenia Guerrero
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Reinhilde Jacobs
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Miet Loubele
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Filip Schutyser
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Paul Suetens
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Daniel van Steenberghe
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Reinhilde Jacobs.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Guerrero, M.E., Jacobs, R., Loubele, M. et al. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Invest 10, 1–7 (2006). https://doi.org/10.1007/s00784-005-0031-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-005-0031-2

Keywords

Search

Navigation