Radiographic Assessment of Peri-implant Bone Level – A Comparative Study of Digital Intraoral and Digital Panoramic Radiography | Radiografska procena kosti oko zubnih implantata – studija poređenja digitalne intraoralne radiografije i digitalne ortopantomografije |
Serbian Dental Journal, ORIGINAL ARTICLE [pdf] | Stomatološki Glasnik Srbije, ORIGINALNI RAD [pdf] |
ID: 4.2015.3.2 Number: 3 Volume: 62 Month: 9 Year: 2015 UDC: 616.31-073 [tmx] [bow] |
Ishita Gupta Institution: Oral Medicine and Radiology, South Australia Mail: drishitagupta@gmail.com | Ishita Gupta Institucija: Oralna medicina i radiologija, Južna Australija E-pošta: drishitagupta@gmail.com |
Astha Chaudhry Institution: Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT University, Budhera, Distt. Gurgaon (Haryana), India | Astha Chaudhry Institucija: Katedra za oralnu medicinu i radiologiju, Fakultet stomatoloških nauka, Univerzitet SGT, Budera, Distrikt Gurgaon (Harjana), Indija |
Solanki Savita Institution: Department of Preventive & Community Dentistry, PDM Dental College and Hospital, Distt. Gurgaon (Haryana), India | Solanki Savita Institucija: Katedra za preventivnu i opštu stomatologiju, Stomatološki koledž i bolnica PDM, Distrikt Gurgaon (Harjana), Indija |
Arvind Shetti Institution: Department of Oral Medicine and Radiology, K.L.E. Vishwanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India | Arvind Shetti Institucija: Katedra za oralnu medicinu i radiologiju, Institut stomatoloških nauka „K. L. E. Višvanat Kati“, Belgaum, Karnataka, Indija |
Abstract Introduction
The objective of this study was to compare two radiographic methods – digital intraoral and digital panoramic radiography in assessing marginal bone level around dental implants. The study also evaluated inter-observer and intra-observer reliability during repeated assessments.
Material and Methods
Marginal bone around 29 implants in 17 patients was assessed using standardized digital intraoral and digital panoramic radiographs. Two observers evaluated bone level by noting the thread at which marginal bone seemed to be attached at distal and mesial surfaces of the implants. The assessments were repeated after one week. Kappa statistics was used to evaluate agreement between assessments, observers, and radiographical methods.
Results
The agreement rate between digital intraoral and digital panoramic radiography was fair. Intra-observer agreement was very good, while inter-observer agreement was moderate.
Conclusion
Digital panoramic radiographs can be used to evaluate marginal bone level in patients with multiple implants and also to supplement intraoral radiographs. However, observer variability should be considered when comparing values from follow up studies for implant maintenance. | Apstrakt Uvod
Cilj rada je bio da se uporede dve radiografske metode – digitalna intraoralna radiografija i digitalna ortopantomografija u proceni kosti oko dentalnih implantata. Upoređivana je i saglasnost istraživača prilikom procene, i to jednog istraživača u ponovljenim merenjima, kao i dva različita istraživača.
Materijal i metode rada
Primenom standardizovane digitalne intraoralne radiografije i digitalne ortopantomografije procenjena je marginalna kost oko 29 implantata kod 17 pacijenata. Dva istraživača su ocenjivala nivo kosti procenjujući marginalnu kost koja je pripojena na mezijalnoj i distalnoj površini implantata. Merenje je ponovljeno nakon nedelju dana. Za procenu saglasnosti između merenja, istraživača i metode radiografije korišćena je kapa statistika.
Rezultati
Uočena je dobra saglasnost između digitalne intraoralne radiografije i digitalne ortopantomografije. Takođe, saglasnost između ponovljenih merenja istog istraživača bila je vrlo dobra, dok je saglasnost merenja različitih istraživača bila umerena.
Zaključak
Digitalna ortopantomografija može se koristiti za procenu marginalne kosti kod više dentalnih implantata i kao dopuna intraoralnoj radiografiji. Međutim, treba uzeti u obzir varijabilnost istraživača kada se upoređuju merenja u različitom periodu. |
Keywords: dental implants; intraoral radiographs; marginal bone; panoramic radiographs; peri-implant bone level; observer agreement | Ključne reči: dentalni implantati; intraoralna radiografija; marginalna kost; ortopantomografija; nivo periimplantantne kosti; slaganje istraživača |
Pages: 117-121 | Strane: 117-121 |