Are panoramic images reliable in planning sinus augmentation procedures?

Abstract

Based on the present data, cone-beam CT imaging can be recommended for visualising anatomical structures during planning of sinus augmentation procedures.

Neurovascular anatomical variations in the anterior palate observed on CBCT images

“…On multi‐slice CT images, Temmerman et al. () observed that in one‐third of cases additional bony canals in the upper canine region started palatally and coursed in a latero‐cranial direction. In our study, prevalence of additional canals was much lower (nearly 16%) and included other locations than just canine region.…”

“…Conventional radiographs may fail to properly display these anatomical configurations (Kohavi ; Temmerman et al. ) and even anatomy textbooks may lack detailed description of these variations.…”

Measurement of the Interantral Bone in Implant Dentistry using Panoramic Radiography and Cone-Beam Computed Tomography: a Human Radiographic Study

“…Visibility on panoramic images is limited and dependent on projection geometry, Kopecka et al head positioning and image magnification (6,19). However, several authors have indicated that panoramic radiographs can be a suitable diagnostic tool for vertical measurements when the patient is correctly positioned (20)(21)(22)(23)(24) because the vertical magnification factor, in contrast to the horizontal, is very consistent (6,16,19,23). The present study demonstrates that panoramic radiography is a sufficiently accurate method for interantral bone height imaging in the incisor area, but not for the canine area.…”

“…There is no doubt that cone beam computed tomography (CBCT) or medical computed tomography (CT) are the most accurate evaluation techniques and set the gold standard for measurement of bone available for dental implants (16). However, due to lower radiation load and examination cost, panoramic radiography is still considered the standard radiographic examination for implant treatment planning (17).…”

A Comparative Evaluation Of The Role Of Cone Beam Computed Tomography (CBCT) Imaging And Orthopantomography (OPG) In Sinus Augmentation Procedures: An Original Study

“…[1,2] Currently, CBCT is being used for a number of applications in dentistry and suggested a useful diagnostic tool. In addition, various studies have concluded that CBCT imaging should be recommended for planning sinus augmentation procedures, [3] however, there is a dearth of studies regarding the comparison between CBCT and panoramic radiography for planning sinus augmentation procedures prior to implant placement in the literature. …”